Prior Auth Required
97168 - Reevaluation of occupational therapy care/established plan of care requiring components
This procedure appears on the selected insurer prior authorization source.
Prior authorizationPrior Auth Required
Procedure / ServiceReevaluation of occupational therapy care/established plan of care requiring components
Procedure / Service Description
Group adaptive behavior treatment with protocol modification, administered by physician or - 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 Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to 97530 improve functional performance), each 15 minutes
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.