New Physical Therapist Evaluation Codes – Effective Jan 1, 2017

What you need to know

Effective Jan 1, 2017 the following CPT codes will no longer be used.
97001   Physical Therapy Evaluation
97002   Physical Therapy Re-Evaluation

The 2017 CMS physician fee schedule has introduced 3 new CPT physical-therapycodes for physical therapy evaluation and 1 new code for reevaluation. They are:
97161   Physical Therapy Evaluation low-complexity
97162   Physical Therapy Evaluation moderate-complexity
97163   Physical Therapy Evaluation high-complexity
97164   Physical Therapy Re-Evaluation

There is no difference in payment values for 97161-3, as CMS did not yet adopt different payment values.

For more information, please visit http://www.apta.org/PaymentReform/NewEvalReevalCPTCodes
You can also contact advocacy@apta.org with further questions about the background and how you can help with payment reform.

For a succinct breakdown of the decision making around which code to use in which situation, visit the WebPT blog.

 

Photo Credit: http://www.apexoregon.com

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