On September 6, 2016, the American Medical Association (AMA) released the 2017 CPT codes used by providers to bill insurance carriers for services rendered, including outpatient physical, occupational and speech therapy services. For physical and occupational therapy, there are significant changes regarding their current evaluation and reevaluation codes. Effective, January 1, 2017, 97001 (Physical therapy evaluation), 97002 (Physical therapy reevaluation), 97003 (Occupational therapy evaluation) and 97004 (Occupational therapy reevaluation) are being deleted and are being replaced with 3 new evaluation CPT codes per discipline and 1 new reevaluation CPT code per discipline.
In this article, I will provide the following information:
- The new evaluation and reevaluation codes for physical and occupational therapy
- A description of each code
- A guidance on the amount of time that would be spent performing each level of evaluation
- The 4 components associated with each evaluation that must be documented in the medical record in order to report the selected level of evaluation
- What insurance carriers will use the new evaluation and reevaluation codes
- Who would not be mandated to use the new evaluation and reevaluation codes
Physical therapy evaluations include the following components:
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This article is not intended to and does not serve as legal advice or as consultative services, but is for general information purposes only.