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New Occupational Therapy Evaluation Coding Overview

Montgomery Lane, Bethesda, MD 20814-3425 Phone: 301-652-2682 TDD: 800-377-8555 Fax: 301-652-7711 CELEBRATING1917 20171 CPT copyright 2016 American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Occupational Therapy Evaluation Coding Overview On January 1, 2017, new codes will go into effect for Occupational Therapy evaluations. The American Medical Association (AMA) Common Procedural Terminology (CPT ) 2017 manual will list three levels of Occupational thera-py Evaluation and one level of re- Evaluation under the Physical Medicine and Rehabilitation (PM&R) section of the manual (or codebook). The previous codes have been redefined and assigned new numbers with new requirements.

Low Complexity (97165) A assessment(s) that identifies 1–3 performance deficits (i.e., relating to physical cognitive or psychosocial skills) that result in activity limitations and/or participating restrictions Moderate Complexity (97166) A assessment(s) that identifies 3–5 performance deficits (i.e., relating to physical cognitive or

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