02/13/17
New Evaluation Codes and Percentages
In calendar year 2017, the Centers for Medicare and Medicaid Services (CMS) decided to pay the 3 physical therapy evaluation codes the exact same amount and the 3 occupational therapy evaluation codes the exact same amount. The Health Care Professional Advisory Committee (HCPAC) recommended different work relative value units (RVUs) and practice expense RVUs for the 6 new evaluation codes; however, CMS wrote they had concerns about having difficulty for them to evaluate the HCPAC’s recommended values or to predict with a high degree of certainty whether physical and occupational therapists will actually bill for these services at the same
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