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Wiki Re-Eval PT Code 97164.59

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carrie.leeman@pehp.org

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Would it be appropriate for a provider to bill code 97164.59 when discharging a patient? NCCI says: "The re-evaluation services shall not be routinely reported during a planned course of physical or occupational therapy. However, if the patient’s status should change and a re-evaluation is medically reasonable and necessary, it may be reported with modifier 59 appended to CPT code 97164 or 97168 as appropriate." Would discharging the patient be considered a "change in status'?
 
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