CPT® Code 97168

Official Description

Re-evaluation of occupational therapy established plan of care, requiring these components:

An assessment of changes in patient functional or medical status with revised plan of care; An update to the initial occupational profile to reflect changes in condition or environment that affect future interventions and/or goals; and
A revised plan of care. A formal reevaluation is performed when there is a documented change in functional status or a significant change to the plan of care is required.

Typically, 30 minutes are spent face-to-face with the patient and/or family.

Common Language Description

The CPT® Code 97168 refers to the re-evaluation of an established occupational therapy plan of care. This procedure is essential for assessing any changes in a patient's functional or medical status, which may necessitate updates to their treatment plan. During this re-evaluation, the occupational therapist conducts a comprehensive assessment that includes an updated occupational profile, reflecting any alterations in the patient's condition or environment that could influence future therapeutic interventions and goals. A formal re-evaluation is warranted when there is a documented change in the patient's functional status or when significant modifications to the plan of care are required. Typically, this process involves approximately 30 minutes of face-to-face interaction with the patient and/or their family, ensuring that the therapist can gather pertinent information and provide personalized care. The overall aim of this re-evaluation is to enhance the patient's ability to function independently and improve their overall health and well-being through targeted occupational therapy interventions.