Coding and Billing

FAQs for coding pediatric OT evaluations

The OT evaluation CPT ® codes describe evaluation complexity of low, moderate, or high, based on criteria under three evaluation components, including the level of occupational/medical history, patient assessment, and clinical decision making. Many occupational therapists, especially those in pediatric settings, struggle with how to best utilize these codes to accurately report their evaluation process. This resource is designed to help occupational therapy practitioners in pediatric settings more accurately determine evaluation complexity for the OT evaluations they deliver.

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