CPT® 97166, Under Occupational Therapy Evaluations

The Current Procedural Terminology (CPT®) code 97166 as maintained by American Medical Association, is a medical procedural code under the range - Occupational Therapy Evaluations.

Subscribe to Codify by AAPC and get the code details in a flash.

Tabs
Summary

The occupational therapist (OT) performs an evaluation requiring clinical decision–making of moderate analytic complexity, which includes analysis of occupational profile, problem–focused assessment data, and consideration of several treatment options, on a patient who presents with health issues that affect occupational performance. The evaluation includes an occupational profile, expanded medical and therapy history including therapy relating to a current problem, and evaluation of three to five physical, cognitive, or psychosocial performance factors that limit activity or restrict participation. Evaluation components can be completed with minimal to moderate modification of tasks or assistance, such as physical or verbal, resulting in several treatment options, and typically in 45 minutes of face–to–face time with the patient or family or both.

For clinical responsibility, terminology, tips and additional info
start codify free trial.

View any code changes for 2024 as well as historical information on code creation and revision.
Tabs
Combat the #1 denial reason - mismatched CPT-ICD-9 codes - with top Medicare carrier and private payer accepted diagnoses for the chosen CPT® code.
View the CPT® code's corresponding procedural code and DRG. In a click, check the DRG's IPPS allowable, length of stay, and more. To plug inpatient facility revenue drains, subscribe to DRG Coder today.
Crosswalk to an anesthesia code and its base units, and calculate payments in a snap! Subscribe to Anesthesia Coder today.
View matching HCPCS Level II codes and their definitions.

Forum

Have a question about CPT Code 97166 ? Start a discussion here