Using the wrong occupational therapy CPT code is a simple mistake to make — but it can have significant consequences. Inaccurate coding can result in over- or under-billing, and it can cause your claim to be denied. While there are a host of benefits to accurate coding, there are just as many common barriers. Let’s look at each and how you can reduce your rejections and denials with correct coding. We’ll close with an extensive list of the most commonly used CPT codes for evaluations, therapeutic procedures, and modalities.
It’s always easier to do things right the first time. This certainly holds true when billing for occupational therapy services. Here are four valuable benefits of accurate coding.
It’s easy to make mistakes with occupational therapy coding because there’s only one way to do it right but many ways to get it wrong. Here are a few of the most common CPT coding mistakes.
Below is a current list of CPT codes for the most common occupational therapy services. We’ve grouped the codes into three categories for easier navigation: occupational therapy evaluations, therapeutic procedures, and modalities.
97165 — Occupational therapy evaluation, low complexity, requiring these components:
97166 — Occupational therapy evaluation, moderate complexity, requiring these components:
97167 — Occupational therapy evaluation, high complexity, requiring these components:
97168 — Re-evaluation of occupational therapy established plan of care, requiring these components:
If you’re new to billing, CPT coding can be overwhelming. But accurate CPT coding is essential for a healthy occupational therapy practice. Using the right codes ensures you receive timely reimbursement for your services and reduces your chances of an audit. You'll also spend less time resubmitting claims rejections and more time working with clients.
Fusion Web Clinic helps making billing easier. You can see a list of current codes and auto-create claims to speed the process. Try a demo today!
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