Coding & Billing
UPDATED: New CPT Code for Cognitive Intervention Takes Effect in 2018
A new CPT® code for cognitive function intervention (97127) takes effect January 1, 2018, replacing CPT code 97532. While private insurance and Medicaid may cover this code, The Centers for Medicare & Medicaid Services (CMS) has created a separate code for use in Medicare.
New Occupational Therapy Evaluation and Re-Evaluation Codes (Effective January 1, 2017)
EDUCATIONAL RESOURCES AVAILABLE NOW
New occupational therapy CPT® evaluation and re-evaluation codes under the Physical Medicine and Rehabilitation section of the CPT® Manual have replaced existing CPT® codes 97003 and 97004. Get member educational resources associated with proper use of the new evaluation codes (more resources coming soon!).
VIEW CPT® EVALUATION CODES RESOURCES
The new ICD-10-CM (International Classification of Diseases, 10th Revision, Clinical Modification) system, replaced the ICD-9-CM (9th Revision) on October 1, 2015. AOTA developed the following resources to help occupational therapists prepare for the implementation deadline.
VIEW ICD-10 CODING RESOURCES
CPT Coding (Procedure Coding)
HCPCS Level II Coding (Coding for Orthotics, Prosthetics and Durable Medical Equipment)
Medicare Part B Functional Reporting Requirements (G-Codes)
For additional assistance with payment and reimbursement issues, contact AOTA’s Regulatory Affairs department at firstname.lastname@example.org.