By now, you’ve probably heard the news. January 1, 2017 marks the end of physical therapy evaluation codes 97001 and 97002, and the beginning of brand new evaluation codes based on patient complexity. The two old codes, established in 1998, are being replaced by four new codes: 97161 for low complexity evaluation, 97162 for moderate complexity evaluation, 97163 for high complexity evaluation, and 97164 for re-evaluation. For the first time, physical therapists will have a coding system that reflects on the variation in the treatment provided for a patient based on how complex the patient’s needs are. There will be new Occupational Therapy evaluation codes as well following the same design, however the codes themselves and the relative values differ.
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