New Evaluation Codes and Workers' Comp. Payors

Although the 3 new evaluation codes adopted by CMS for PT and OT in 2017 are specific to CMS, some Workers' Compensation payors may choose to use the new evaluation codes. If a payor adopts the new codes, your practice should receive notice directly from the payor(s) with whom you are contracted. If you have not received notice, you can verify which codes are being accepted for 2017 when your clinic calls for authorization. Although some payors are converting to the new codes for PT and OT, these codes do not reflect any changes in reimbursement. Contact with questions.

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