• How To Use The New PT And OT Evaluation Codes | WebPT

    Oct 12,  · This update also affects the codes for PT and OT re-evaluations. However, unlike the evaluation codes, the re-evaluation codes are not tiered to complexity. Instead, there is one replacement code for and one for , as shown below. the . Physical therapy evaluations require the components in the correct evaluation level—History, Examination, Clinical Presentation, and Clinical Decision Additional factors include coordination, consultation, and collaboration of care consistent with the nature of the problem and the needs of the patient. Complexity levels affect the number of elements that must be included in your evaluations. For example, a low complexity PT evaluation ) includes 1 to 2 elements. A moderate complexity PT evaluation ) includes 3 or more elements. And a high complexity PT evaluation ) includes 4 or more elements. PT Evaluation – High Complexity – PT Re-Evaluation – (was previously ) – will be replaced with the evaluation codes as of 1/1/ OT Evaluation – Low Complexity – Complexity *Relevant Co-morbidities *Prior Level of Function PT: Personal Factors/Co-Morb *Prior Treatment Approaches *Client goals OT: Profile and Hx *Significant Medications *Barriers to progress *Number of other significant providers *Musculoskeletal: ROM, strength, posture *Physical Skills *Integumentary: Skin integrity, scar formation. PT and OT Evaluation Code Decision Chart – Complexity January 1, By Montero Therapy Services 4 Comments Well, January 1st is here already and if you are well prepared for the new PT and OT Evaluation Codes that just went into effect, we applaud you!

    Download your evaluation complexity quick guide. Examination The OT completes an assessment s identifying performance deficits i. Click here to read about the new evaluation codes for PTs and OTs in Physical therapists will no longer use the same evaluation code for every single patient. Remember, clinical judgment plays a huge role in code selection, and your documentation should always clearly support your coding choices. He saw that Tom was going to throw a Hail Mary and he knocked the ball out of his hand with a swift but thunderous blow. Search for:. Minimal to moderate modification of tasks or assistance e. If you were to perform an evaluation on this patient, it would be considered a high complexity evaluation. Clinical Presentation The clinical presentation is evolving with changing characteristics. The patient presents with comorbidities that affect occupational performance. Complexity levels affect the number of elements that must be included in your evaluations. For more helpful billing FAQs, be sure to check out this post. The OT completes an assessment s identifying performance deficits i.

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