
CPT Code 97162 – Face-to-Face Physical Therapy Evaluation, 30 Minutes

CPT Code 97162 is a billing code that documents a face-to-face physical therapy evaluation lasting approximately 30 minutes. This code applies to patients requiring a moderate complexity evaluation, typically involving moderate impairments, functional limitations, or participation restrictions.
Understanding CPT Code 97162
- Duration: 30 minutes of direct interaction with the patient.
- Purpose: Evaluation for individuals with moderate therapeutic needs.
- Scope: Includes a medical history review, examination of body systems, and development of a treatment plan addressing moderate impairments.
Related Physical Therapy CPT Codes
While 97162 CPT codes are specific to moderate complexity evaluations, other physical therapy CPT codes help document different services in therapy:
- CPT Code 97161: Face-to-face evaluation for mild complexity (20 minutes).
- CPT Code 97163: Evaluation for high complexity (45 minutes).
- CPT Code 97110: Therapeutic exercise to improve strength, endurance, and range of motion.
- CPT Code 97116: Gait training for improving walking mechanics.
- CPT Code 97140: Manual therapy techniques for joint mobilization or soft tissue manipulation.
Each of these pt. CPT codes ensure accurate reporting and billing for therapy services.
Why is CPT Code 97162 Important?
- Accurate Diagnosis: A comprehensive evaluation helps ensure an accurate diagnosis and appropriate treatment plan.
- Improved Outcomes: A well-defined treatment plan increases the likelihood of positive outcomes.
- Reimbursement: Accurate coding is essential for proper reimbursement from insurance companies.
Choosing the Right Physical Therapy Evaluation CPT Code
Selecting the correct physical therapy evaluation CPT code is essential for compliance and billing accuracy:
- Use CPT Code 97161 for mild complexity evaluations.
- Apply CPT Code 97162 for moderate complexity evaluations (30 minutes).
- Opt for CPT Code 97163 when handling cases of high complexity.
Final Thoughts
The correct application of CPT Code 97162 ensures proper documentation, effective treatment planning, and timely reimbursements. By staying informed about physical therapy CPT codes, practitioners can streamline medical billing and focus on delivering quality patient care.
For assistance with therapy billing or clarification of physical therapy procedure codes, reach out to experienced billing professionals to ensure accuracy and compliance.
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