With the new physical therapy evaluation codes that began on January 1, 2017, I am receiving many questions on how to determine the appropriate complexity level to report on the claim form to the insurance carrier. Many of the questions relate to the clinical presentation of the patient and the following words:
- CPT code 97161: Stable or uncomplicated characteristics
- CPT Code 97162: Evolving clinical presentation with changing characteristics
- CPT Code 97163: Unstable and unpredictable characteristics
In this article, I will provide some examples for each of the 3 levels of clinical presentation.
Stable or Uncomplicated Characteristics:
All material posted on our website is the intellectual property of Gawenda Seminars & Consulting, Inc. and can’t be used, reproduced, or posted as your own material without the prior written approval of Gawenda Seminars & Consulting, Inc.
This article is not intended to and does not serve as legal advice or as consultative services, but is for general information purposes only.