The Current Procedural Terminology (CPT ®) code 97167 as maintained by American Medical Association, is a medical procedural code under the range - Occupational Therapy Evaluations. Have a question about CPT® Code 97167? Get instant expert-level answers from CasePilot, our coding assistant.
CPT Code 97167 is central to high complexity occupational therapy evaluations. It is essential for documenting services when the evaluation involves several complex factors. This code is part of a broader set of occupational therapy evaluation and re-evaluation codes. CPT code 97167 represents an “occupational therapy evaluation, high complexity,” which involves a thorough assessment of the patient’s ability to engage in everyday activities.
97167 cpt code, How to Code Occupational Therapy Evaluations (CPT 97167): A Guide for ... CPT Code 97166 (Moderate Complexity): 45 minutes, expanded medical history, 3-5 performance deficits. CPT Code 97167 (High Complexity): 60 minutes, detailed medical history, 5+ performance deficits. 97167 - CPT® Code in category: Occupational Therapy Evaluations... CPT Code information is available to subscribers and includes the CPT code number, short description, long description, guidelines and more.
97167 cpt code, CPT code information is copyright by the AMA. Under Medicare, time spent in documentation of services (medical record production) is part of the coverage of the respective CPT code; there is no separate coverage for time spent on documentation (except for CPT Code 96125). Is 97167 covered by Medicare? Coverage depends on medical necessity, setting, and Medicare policy. Some codes may be bundled, contractor-priced, or restricted. Verify final coverage guidance through CMS or your local MAC when applicable.
