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Documentation of time for CPT 97167

Kelly Posted Wed 22nd of May, 2019 08:44:27 AM
Should the documentation reflect the actual time spent with the patient to be able to charge CPT 97167-OCCUPATIONAL THERAPY EVAL HIGH COMPLEX 60 MINS? I know what other components need to be documented for this code, so my question is only if the time must be documented. Thank you!
SuperCoder Answered Thu 23rd of May, 2019 03:55:32 AM



The occupational therapy evaluation CPT codes are service codes and not time-based codes. Although typical times are included with each code descriptor, time is not the determining factor in code selection. Instead, it is only a general guideline about the typical face-to-face time with the patient and/or family.


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