BC Advantage - 2018 Issue 5

Auditing Therapy Evaluation Codes Not So Quick

New evaluation codes for physical therapy (PT) and occupational therapy (OT) codes were made effective 1/1/2017. Three new physical therapy evaluation codes replaced 97001, and three new occupational evaluation codes replaced 97003. Chart 1 - Short Code Descriptors The PT and OT reevaluation codes remain the same but were renumbered in the sequence with the new PT and OT evaluation codes as 97164 and 97168. The change from a single evaluation code for both PT and OT to tiered codes that are somewhat similar in nature to Evaluation & Management codes (E&M) may be confusing. Therapists and coders...

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