March 3, 2016
We have added physical therapy to our office practice and have hired two physical therapists. When the physician sees the patient to evaluate whether PT would be beneficial can he/she report 97001 for the physical therapy evaluation?
The physician should not report 97001 but instead report an Evaluation and Management (E/M) service when evaluating the patient for physical therapy. The E/M service could be a consultation, new or established patient visit (office setting) based on the intent of the visit. Once a treatment plan is developed and the patient is referred to the physical therapist, the therapist will perform the evaluation and report 97001.
*This response is based on the best information available as of 03/03/16.