CPT procedure code
CPT 97166: Occupational therapy evaluation, moderate complexity
Procedure code with common scenarios, denial patterns, and appeal guidance.
Code
97166
Category
medicine
Common scenarios
- OT eval moderate
- OT eval moderate
Common denial patterns
- Missing PA where required
- Wrong POS or modifier
Frequently asked questions
What is CPT 97166?
Occupational therapy evaluation, moderate complexity
When is it typically billed?
OT eval moderate; OT eval moderate.
What are common denial reasons?
Missing PA where required; Wrong POS or modifier.
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