Revised OT Evaluation Codes: Educational Resources for CPT® Codes

Effective January 1, 2017: Updated Occupational Therapy CPT® Evaluation and Re-Evaluation Codes

Under the Physical Medicine and Rehabilitation section of the CPT® Manual, the CPT® codes 97003 and 97004 have been replaced. Get member educational resources associated with proper use of the evaluation codes below.

Update: Thanks to AOTA advocacy, CMS is increasing the payment for CPT® OT evaluation codes, which will be applied retroactively to January 1, 2017.

I Need to Learn How to Use the CPT® Codes!

Webcast: AOTA members can now download a free, pre-recorded  webcast on the evaluation codes. The educational webcast focuses on the occupational therapy CPT® evaluation and reevaluation codes that go into effect January 1, 2017. The webcast is also available to non AOTA members for $24.95

Descriptors of CPT® OT Evaluation Codes (pdf)

Occupational Therapy Evaluation and Re-Evaluation Code Overview Article (pdf, modified as of January 9, 2017)

Occupational Therapy Evaluation Codes (AMA, CPT® Assistant (Feb. 2017, Vol. 27, Issue 2)

Are You Using the OT Evaluation Codes Correctly? 

What are performance deficits in the evaluation codes?

Frequently Asked Questions (FAQs) for Correctly Choosing Evaluation Codes

Information about NCCI edits, G-codes, using time as a guide, and more.

Download and print the AOTA Occupational Profile Template to use during your OT evaluations.

Terms and definitions in the OT evaluation codes are grounded in the Occupational Therapy Practice Framework: Domain and Process (3rd ed.; AOTA, 2014). The Framework is a foundational document for the practice of occupational therapy. The tables below will assist you in understanding the assessment of occupational performance and how to identify performance deficits as part of your analysis of occupations and related physical, cognitive and psychosocial skills.

OT Practice Framework - Table 1 (Occupations) (pdf)
OT Practice Framework - Table 2 (Client Factors) & Table 3 (Performance Skills) (pdf)
AOTA members can access the Framework free here

Are You A Pediatric OT?

Webcast: AOTA members can now download a free,  pre-recorded webcast on the evaluation codes for $9.99. The educational webcast focuses on the occupational therapy CPT® evaluation and reevaluation codes in pediatric practice. The webcast is also available to non AOTA members for $24.95.

Note: Please review the previously recorded webinar titled “The Occupational Therapy Evaluation/ Re-evaluation Codes: Language and Components 2nd edition” before viewing. 

Frequently Asked Questions (FAQs) for Correctly Choosing Evaluation Codes for Pediatric OTs