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97163 - of service as physical medicine and rehabilitation evaluation codes (

This procedure appears on the selected insurer prior authorization source.

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Procedure / Serviceof service as physical medicine and rehabilitation evaluation codes (
Procedure / Service Description

Physical Therapy - CDPHP will not administer benefits for G0245, G0246, and G0247 (initial, follow-up and routine foot care for diabetic patients with loss of protective sensation) when reported on the same day of service as physical medicine and rehabilitation evaluation codes (97161-97164, 97165- 97168, 97169-97172).

Likely documents
  • Confirm benefit details
  • Submit clinical notes if requested by the plan
Next actions
  • Confirm the current plan policy before submission.
  • Use the insurer authorization workflow for this listed code.