CPT Code 97164: Re-evaluation of Physical Therapy Established Plan of Care

CPT Code 97164: Re-evaluation of Physical Therapy Established Plan of Care

Understand CPT code 97164 for physical therapy evaluations, including billing, documentation guidelines, modifiers, and frequently asked questions.

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Frequently asked questions

No. CPT 97164 specifically applies to significant changes requiring re-evaluation, not routine progress notes or standard follow-up assessments.

No, CPT 97164 isn't strictly time-based, though typical duration is around 20 minutes of face-to-face time per AMA and CMS guidelines.

Usually, CPT 97164 can be reported once per therapy episode. However, if another significant change occurs that requires a separate re-evaluation, it can be reported again with appropriate documentation.

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