The Current Procedural Terminology (CPT ® ) code 97164 as maintained by American Medical Association, is a medical procedural code under the range - Physical Therapy Evaluations.
The provider, typically a physical therapist, conducts a physical therapy re–evaluation that includes history review and standardized tests and measures to assess body structure and function; she revises the plan of care using standardized instrument and measurable functional outcome assessment tool, typically involving 20 minutes of face–to–face time with the patient or family or both.
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View matching HCPCS Level II codes and their definitions.. When both services are provided in the same encounter, PT Re-eval 97164 and OMT 98925, which CPT code should get modifier 59? (The provider is a Physical Therapist). [ Read More ]
Hi, Greetings! Can anyone assist on the coding/billing guidelines regarding the allowed time limit to bill initial physiotherapy codes(97161-97163), its related to presenting condition/disease or any . [ Read More ]
Hello, we billed Aetna commercial using 97164 and 97140:59. They denied for CO151 payer deems the information submitted does not support this many services. We asked for reconsideration with medica. [ Read More ]
So at the beginning of 2020, Medicare had the brilliant idea to say that you couldn't bill 97530 with ANY eval code AT ALL - no modifier allowed. They repealed that decision after everyone threw a fi. [ Read More ]
Hey all! I used to be able to bill a pt eval 97164 w/mod 59 and then also bill therapeutic exercise (97530) and get paid for both. Recently I have been getting paid only for the 97530 and denied the. [ Read More ]
[QUOTE="lexy1011@gmail.com, post: 479701, member: 306427"] I've been having a really hard time getting my physical therapy evaluations paid when any other form of therapy was provided during the same . [ Read More ]
Hi! I still consider myself a new coder, but I bill/code for a primary care office which also has a physical therapy dept. Around the begging of 2020 we were getting paid for a 97164 using modifier . [ Read More ]
Hi, This is my post in the forum and newly certified. I’m currently work in a physical therapy office. We were discussing utilizing the re-eval. code 97164. I understand that there are some guide. [ Read More ]
I've been having a really hard time getting my physical therapy evaluations paid when any other form of therapy was provided during the same session, and I'm hoping someone can help. Examples: 97162 a. [ Read More ]
Hello, I have come across a few office notes where our physical therapist is Re- evaluating the patient's initial problem while also doing a new eval on new problem that is NOT related to the initial. [ Read More ]
