CPT Code 97168: Occupational Therapy Re-Evaluation

Use 97168 when there's a significant change in the patient's condition or when the physical therapy established plan or initial occupational profile requires revision based on new clinical findings or the patient’s expected progress.

No. 97168 is not time-based. It’s determined by clinical complexity and the need for a professional assessment to modify treatment goals.

Yes, you can report it more than once if medically necessary, with clear documentation supporting the need for re-evaluation within the physical therapy, therapeutic interventions, or occupational therapy plan of care.