Harmony Healthcare Blog

Decoding the CPT Codes: Physical Therapy and Occupational Therapy Evaluation (Part 2)

Posted by Melissa Fox on Tue, Dec 27, 2016

C.A.R.E.

Compliance • Audits/Analysis • Reimbursement/Regulatory • Education/Efficiency


Therapy Providers seek clinical guidance on how to define the new CPT Codes for Occupational Therapy and Physical Therapy evaluations.  The guidelines indicate that the Clinician must consider: 

  • the presenting problem(s)
  • the reason(s) for referral
  • and the patient’s goals 

as a determining factor in which code will be selected.  (Missed Part 1? You can read Part 1 of the CPT Code series by clicking here.)

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Topics: CPT Codes

Decoding the CPT Codes: Physical Therapy and Occupational Therapy Evaluation (Part 1)

Posted by Melissa Fox on Wed, Dec 21, 2016

C.A.R.E.

Compliance • Audits/Analysis • Reimbursement/Regulatory • Education/Efficiency


As we approach January 1, 2017, therapy providers are preparing for the New CPT Code for Physical Therapy and Occupational Therapy Evaluations. Many therapists are reviewing the recent American Medical Association Common Procedural Terminology for 2017 manual and questioning the comparison of OT versus PT Evaluation codes. However, the development of each CPT codes was not to parallel the reported outcomes between PT and OT, but to reflect specific elements that reflect the discipline specific role of either a PT or an OT.

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Topics: CPT Codes

New Evaluation CPT Codes

Posted by The Harmony Team on Tue, Nov 22, 2016

C.A.R.E.

Compliance • Audits/Analysis • Reimbursement/Regulatory • Education/Efficiency


Center for Medicare and Medicaid Services (CMS) has proposed new evaluation codes for Physical and Occupational Therapy for 2017. The new codes are part of the Medicare Physician Fee Schedule Proposed Rule 2017. The new evaluation codes are stratified by complexity and time.  Changes are going to implemented on January 1, 2017.

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Topics: CPT Codes

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