Prior Auth Required

97166 - Occupational therapy evaluation; moderate complexity requiring components

This procedure appears on the selected insurer prior authorization source.

Check another codeExplore policy data
Prior authorizationPrior Auth Required
Procedure / ServiceOccupational therapy evaluation; moderate complexity requiring components
Procedure / Service Description

Group adaptive behavior treatment with protocol modification, administered by physician or - 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 97167 Occupational therapy evaluation; high complexity requiring components 97168 Reevaluation of occupational therapy care/established plan of care 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.