United States

Senior Living Health Care Connection: 2017 therapy code changes

SENIOR LIVING HEALTH CARE CONNECTION  | 

The new year brings new billing codes that providers need to be aware of. Changes to therapy codes are effective Jan. 1, 2017 to be implemented Jan. 3, 2017. Eight new codes will replace calendar year 2016 evaluative codes for physical therapy (PT) and occupational therapy (OT). The new evaluation codes describe patient complexity and level of decision-making. The re-evaluation codes for PT and OT have also been changed. The changes are depicted below.

Physical therapy codes

New

Delete old

Evaluation

 

97161 – PT evaluation low complexity, 20 minutes

97001 -  PT evaluation

97162 – PT evaluation moderate complexity, 30 minutes

 

97163 – PT evaluation high complexity, 45 minutes

 

Re-evaluation

 

97164 – PT re-evaluation

97002 – PT re-evaluation

 

Occupational therapy codes

New

Delete old

Evaluation

97003 -  OT evaluation

97165 – OT evaluation low complexity, 30 minutes

 

97166 – OT evaluation moderate complexity, 45 minutes

 

97167 – OT evaluation high complexity, 60 minutes

 

Re-evaluation

 

97168 – OT re-evaluation

97004 – OT re-evaluation

 

Please refer to this CMS resource for additional information. For more information, contact Joan McCarthy at +1 312 634 3479.

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