Dec 19, 2016. What are the new codes for PT and OT evaluations?. .. themselves (for example,
you will not be able to bill a low complexity PT evaluation with . Dec 5, 2016. With the rollout of new CPT codes, rehab therapists must now accurately code for
the correct level of a patient's evaluation complexity. Mar 28, 2017. Understand definitions of new PT and OT evaluation codes. • Learn the
components. Moderate complexity. 30 minutes. 97163. High. Complexity. Eval.
3 or more. 4 or more. . Max. 60 minutes. 16. For example: physical or. CPT Code Changes. ◦ New PT & OT evaluation codes and reevaluation codes
will be effective Jan.. Evaluation codes will be based on patient complexity. Oct 12, 2016. There are now three levels of complexity for PT and OT evaluations. Which one. Physical therapists will no longer use the same evaluation code for every single
patient. Instead, they. Past medical history (examples below). Dec 28, 2016. With that in mind, here are two examples of how to accurately code for the correct
level. Correct Code: 97161 (Low-Complexity PT Evaluation).. NOTE: For the reporting of services provided by hospital outpatient departments, off-site provider departments, and provider-based entities, all references in the code descriptors to "physician" are to be disregarded. - For performing diagnostic or therapeutic procedures (especially when the procedure is otherwise usually not covered/not reimbursed or payment is bundled with payment for another service), whether or not the procedure code is submitted on the claim separately. Who Typically Uses 99211? Employed staff members as follows: RNs LPNs MAs CNAs The above clinical staff's must bill CPT 99211 under supervising Physician or NPP under ''incident to'' billing guidelines..