CPT procedure code
CPT 97163: Physical therapy evaluation, high complexity
Procedure code with common scenarios, denial patterns, and appeal guidance.
Code
97163
Category
medicine
Common scenarios
- PT eval high
- PT eval high
Common denial patterns
- Missing PA where required
- Wrong POS or modifier
Frequently asked questions
What is CPT 97163?
Physical therapy evaluation, high complexity
When is it typically billed?
PT eval high; PT eval high.
What are common denial reasons?
Missing PA where required; Wrong POS or modifier.
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