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Billing Operations

PT vs. OT Evaluation Codes: What a Therapy Billing Team Should Check

Medicare’s therapy evaluation code families distinguish physical therapy from occupational therapy: commonly, 97161–97163 are PT evaluations and 97165–97167 are OT evaluations. Confirm the code, discipline, documentation, and payer-specific billing rules for the service; a code family alone does not establish coverage or payment.

  • PT billing
  • OT billing
  • CPT codes

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