Auditing Therapy Evaluation Codes Not So Quick

Why This Topic Matters

Therapy evaluation coding changed in a way that affects documentation review, audit processes, and claim adjudication. Understanding the general framework helps coding and compliance teams evaluate therapy records more consistently.

Article Sections

1. Introduction and 2017 Therapy Evaluation Code Changes

   Introduces the update to physical therapy and occupational therapy evaluation coding and sets the context for the article. It also notes the related reevaluation renumbering and the general shift in the coding structure.

2. Common Questions About PT and OT Evaluation Codes

   Addresses the most frequent points of confusion raised by therapists, coders, and auditors. The discussion focuses on general concerns about code structure, documentation review, and the relationship between therapy evaluation coding and broader coding frameworks.

3. Physical Therapy Evaluation Reference Table

   Summarizes broad considerations used in physical therapy evaluation coding education materials. The section describes general categories of assessment elements and body-system review topics.

4. Occupational Therapy Evaluation Reference Table

   Introduces occupational therapy evaluation reference material used for coding education and comparison. The section is presented as a companion to the physical therapy reference table.

5. External References and Resources

   Lists professional organizations and reference sources cited for additional guidance. These references support further study of therapy evaluation coding and compliance topics.