PT Evaluation – Moderate Complexity History – A history of present problem with personal factors and/or comorbidities that impact the plan of care Examination – An examination of body systems standardized tests and measures in a total of 3 or more elements from any of the body structures and functions. Download: PT and OT Evaluation Codes Cheat Sheet As of January 1, , PTs and OTs must use a new set of codes to bill for patient evaluations and re-evaluations. But, it’s not a simple swap-out across the instead, when for initial evaluations, therapists must now select one of three codes, which are tiered to the.
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