Prior Auth Required

97164 - Reevaluation of physical therapy established plan of care requiring components

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceReevaluation of physical therapy established plan of care requiring components
Procedure / Service Description

Group adaptive behavior treatment with protocol modification, administered by physician or - 97162 Physical therapy evaluation; moderate complexity requiring components 97163 Physical therapy evaluation; high complexity requiring components 97164 Reevaluation of physical therapy established plan of care requiring components 97165 Occupational therapy evaluation; low complexity requiring components 97166 Occupational therapy evaluation; moderate complexity requiring components

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.