CMS Estimated Payments for Outpatient Therapy in 2023

On November 1, 2022, the Centers for Medicare and Medicaid Services (CMS) released the calendar year (CY) 2023 final rule for services reimbursed under the Medicare Physician Fee Schedule (MPFS). Click HERE to read my summary on the final rule that will impact outpatient physical, occupational and speech therapy services in 2023.

In this article, I will provide my members with the estimated payment amounts for calendar year 2023 for the more common CPT codes billed in outpatient physical, occupational and speech therapy compared to the 2022 payment rate for each CPT code. For my examples, I used Detroit, Michigan as the payment locality. Keep in mind that if Congress passses legislation to prevent all or some of the payment cuts, the examples below will change.