2017 Physical Therapy and Occupational Therapy CPT® Code Changes & Challenges

Event Information
Product Format
Prerecorded Event
Presenter(s)
Margie Scalley Vaught, CPC, CPC-H, CPC-I, CCS-P, PCE, MCS-P, ACS-EM, ACS-OR
Length
60 minutes
Product Description

The New PT/OT Codes and Meeting Documentation Requirements in 2017


CPT® has deleted the Physical Therapy (PT) evaluation codes and added new codes. There are several updates and changes to physical therapy coding in 2017. Physical therapy billing has caught the attention of the OIG and other payers because of an increase in billing dollars, with new codes, more time will need to be spent on documentation.

So, will your therapy department be able to stand up to a payer/carrier audit? Can you determine who provided the therapy services in your current documentation?

Join this session by expert speaker Margie S. Vaught to receive insights and strengthen your therapy departments. Learn how the new codes will be used and how to meet documentation requirements for your PT/OT practice. This 60-minute presentation is geared totally towards PT/OT coding and documentation with official sources from CPT® and CMS/CCI.

Session Highlights

  • The new CPT® codes initial evaluation codes for physical therapy and occupational therapy
  • The new CPT® codes for re-evaluations for physical therapy and occupational therapy
  • How these new codes are reported
  • How to determine what is needed for the different levels of evaluations?
  • What does the OIG 2017 Work Plan say about issues for therapy and concerns the government has?
  • 2017 CPT® code additions for Physical therapy
    • 97161 - Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using standardized tests and measures addressing 1-2 elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; A clinical presentation with stable and/or uncomplicated characteristics; and Clinical decision making of low complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 20 minutes are spent face-to-face with the patient and/or family.
    • 97162 - Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized tests and measures in addressing a total of 3 or more elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; An evolving clinical presentation with changing characteristics; and § Clinical decision making of moderate complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome.Typically, 30 minutes are spent face-to-face with the patient and/or family.
    • 97163 - Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized tests and measures addressing a total of 4 or more elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; A clinical presentation with unstable and unpredictable characteristics; and Clinical decision making of high complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 45 minutes are spent face-to-face with the patient and/or family.
  • 2017 CPT® code revisions for Physical therapy
  • 2017 CPT® code deletions for Physical therapy
    • 97001 - Physical therapy evaluation
    • 97002 - Physical therapy re-evaluation

 Session Snapshots:

  • Physical Therapy components and history
  • Personal factors new codes
    • 97161- Low Complexity
    • 97162 – Moderate Complexity
    • 97163 – High Complexity
    • Re-Evaluation 97164
  • Guidelines for Occupational Evaluations
  • Occupational Therapy new codes
    • 97165 – Low Complexity
    • 97166 – Moderate Complexity
    • 97167 – High Complexity
    • Re-Evaluation 97168
  • Athletic Training (AT) evaluation – CPT guidelines and factors
  • Athletic Training new codes
    • 97169 – Low Complexity
    • 97170 – Moderate Complexity
    • 97171 – High Complexity
    • 97172 - Re-Evaluations
  • RUC valuation 2017
  • Functional reporting – CMS
  • Time based codes
  • Chapter One NCCI guidelines

Who should attend?

  • Coders
  • Billers
  • Office Managers
  • Practice Manager
  • Therapist

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About Our Speaker

Margie Scalley Vaught - Wound Care Coding Expert

With over 30+ years’ experience in the Healthcare arena, in positions from nurse’s aide to ward clerk and medical transcriptionist to office manager, Margie Scalley Vaught, CPC, CPC-H, CPC-I, CCS-P, PCE, MCS-P, ACS-EM, ACS-OR, understands how offices are structured.  Margie spent twenty years in the field of Orthopedics.  She obtained Certified Professional Coder (CPC) designation in 1995 from the American Academy of Professional Coders (AAPC), where she served...   More Info
More Events By The Speaker

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