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Jan 01, 2020 · The most commonly used CPT codes for Physical Therapy are listed below. For example, the CPT code for physical therapy evaluation is 97001. The CPT code is listed on the left, the name of the code is in the middle and the description is in the right column.

Physical therapy evaluation cpt code

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Physical Therapy CPT Codes – Everything You Need to Know. Physical therapy billing and coding consists of diagnosis codes (ICD-10) and treatment codes (CPT). The ICD-10 selection tells the payer “here’s the diagnosis” and the CPT code tells the payer “Here’s the treatment – and what you need to pay for”.
 

 

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MedRisk looks for insight in new CPT code usage trends. Two familiar CPT codes for PT evaluation and re-evaluation were eliminated in January 2017 and replaced by new codes that indicate complexity. 97001 was replaced by the following codes: 97161 (low complexity), 97162 (moderate) or 97163 (high complexity). 97002 was replaced by 97164. MedRisk looks for insight in new CPT code usage trends. Two familiar CPT codes for PT evaluation and re-evaluation were eliminated in January 2017 and replaced by new codes that indicate complexity. 97001 was replaced by the following codes: 97161 (low complexity), 97162 (moderate) or 97163 (high complexity). 97002 was replaced by 97164. Aug 17, 2017 · Two very familiar CPT codes, 97001 Physical Therapy (PT) Evaluation and 97002 Physical Therapy Re-evaluation were deleted effective January 1, 2017. The change was brought about because these codes were felt to provide minimal detail regarding the severity of a patient’s condition and the complexity of medical decision making that is required for evaluation.
 
 

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PHYSICAL THERAPY EVALUATION REFERENCE TABLE CPT© Code 97161 97162 97163 Required Components (all are required in selecting evaluation level) History no personal factors and/or comorbidities X 1-2 personal factors and/or comorbidities X 3 or more personal factors and/or comorbidities X New Outpatient Therapy Evaluation and Intervention E&I Codes An introduction to the new policy and new claims coding requirements This document was prepared in 2010 under contract by the CSC to provide information in support of the STATS project. It does not represent CMS opinion or policy..

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PHYSICAL THERAPY EVALUATION REFERENCE TABLE CPT© Code 97161 97162 97163 Required Components (all are required in selecting evaluation level) History no personal factors and/or comorbidities X 1-2 personal factors and/or comorbidities X 3 or more personal factors and/or comorbidities X

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