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Understanding CPT Code 97750

CPT code 97750 is a code that many providers of therapy services do not understand when to use this code, when not to use this code, who can use this code, what interventions are included under this code and what time is included towards the billing of this code. I often receive questions regarding CPT code 97750 such as: When can I bill CPT code 97750? Can we use CPT code 97750 in place of a reevaluation if an insurance carrier does not pay for a reevaluation? Can we use CPT code 97750 for the time it takes us to

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NCCI Edits: Questions and Answers

On June 15, 2020, I published an article where I answered some of the more common questions I receive regarding the National Correct Coding Initiative (NCCI) procedure-to-procedure (PTP) edits as they pertain to outpatient physical, occupational and speech therapy services. That article led to additional questions that I will provide answers to in this article. QuestionDoes the Medicare program pay for CPT code 97750 (Physical performance test or measurement) on the same day as a physical therapy or occupational therapy evaluation or reevaluation? Answer QuestionDoes the Medicare program pay for CPT code 97755 (Assistive technology assessment) on the same day

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Billing an Evaluation and CPT Code 97750 on the Same Day

A question I often receive is can I bill and be paid for an evaluation or reevaluation (CPT codes 97161-97168) and a physical performance test and measurement (CPT code 97750) when provided on the same date of service by the same discipline? To obtain the answer, we must refer to the

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