APTA Payment Reform

The 2 familiar CPT codes for physical therapy evaluation and reevaluation will disappear beginning January 2017. In their place, PTs must begin using 3 new evaluation codes and a new reevaluation code. Now is the time to become familiar with them.

The final CMS physician fee schedule for 2017 introduced the 3 new CPT codes for physical therapy evaluation and 1 new code for reevaluation. The new evaluation codes reflect 3 levels of patient presentation: low-complexity (97161), moderate-complexity (97162), and high-complexity (97163), and will replace the current 97001 code. The new reevaluation code (97164) replaces the current 97002.

The new CPT evaluation and reevaluation codes are a step in the right direction toward overall payment reform, and APTA continues to work with AMA and other provider groups in seeing value-based payment evolve. For more information on APTA's efforts to reform payment, view our resources below or email advocacy@apta.org.

 

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