We have heard recently that the physical therapy evaluation and re-evaluation codes 97001 and 97002 may now be reported by athletic trainers who are not state-licensed to perform physical therapy. It was our understanding that the therapist has to be state-licensed in physical therapy to use these codes. How should these codes be used? ...
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Article Overview
This short Find-A-Code article addresses a CPT coding question about physical therapy evaluation and re-evaluation services and whether they may be reported by certain non-physically licensed practitioners. It focuses on the relationship between CPT usage and state licensure requirements, and it is useful for coders, billing staff, therapists, and compliance teams who need to understand who may report these services under applicable state laws.
Why This Topic Matters
Correct reporting of therapy evaluation services depends on aligning CPT usage with state licensure rules. The article helps readers understand the scope of professional eligibility and avoid reporting issues tied to practitioner credentials.
What You Will Learn
- How CPT reporting relates to state licensure for therapy services
- Why practitioner eligibility matters for physical therapy evaluation reporting
- How applicable state laws influence whether a professional may report these services
- The general reporting considerations for evaluation and re-evaluation services in therapy settings
Who Should Read This
- Medical coders
- Billing staff
- Compliance professionals
- Physical therapists
- Athletic trainers
- Practice administrators
Codes Discussed
Code Ranges Discussed
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