Back in March 2015, I wrote about the new CPT codes that were supposedly coming in 2017.
Here is the latest news…. there are not going to be major changes in the CPT codes this year. The codes 97124, 97140 will remain in place. The creation of new codes was dropped unexpectedly early last year. We are lacking any reports/updates from the AMTA representative or AMTA on what exactly happened with the proposed changes.
What is happening is that there ARE new evaluation codes that will replace the current evaluation codes – 97001, 97002, 97003 and 97004 (these will be deleted).
97001 Physical Therapy Evaluation, will be replaced by 3 different codes – 97161, 97162, 97163
97003 Occupational Therapy Evaluation, will be replaced by 3 different codes -97165, 97166, 97167
97002 -physical therapy re-evaluation deleted 01/01/2017, replaced with 97164
(__) “Evaluation” means the assessment of soft tissue in order to facilitate decision making regarding effective forms and techniques of massage, and identifying cautions and contraindications to ensure client/patient safety.Evaluationdoes not mean diagnosis.(While LMPsare prohibited from diagnosing, evaluation is a distinct function,necessary prior to providing any independently delivered health care service.)
If you want to learn more about how to use the codes, you will really want to take a class and start with reading these two sites listed below. Currently, there are no classes, articles or other information on how to use these codes, whether we can use these codes or how to get these codes accepted or if new codes are being created or WTH is going on with codes.
American Physical Therapy Association. New Physical Therapy Evaluation and Reevaluation CPT Codes