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
You can also contact 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.


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