We have heard recently that the physical therapy evaluation and reevaluation 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? ...
Subscribe or sign in to view the full article.
Article Overview
This article addresses a coding question about whether certain physical therapy evaluation and reevaluation services may be reported by athletic trainers who are not state-licensed for physical therapy. It is relevant to coders, billing staff, therapists, and compliance teams who need to understand the relationship between CPT service reporting and state licensure requirements. The discussion focuses on general CPT framework, who may report these services, and how state law affects eligibility.
Why This Topic Matters
Correct reporting of therapy evaluation services depends on aligning CPT use with state licensure requirements. The article helps prevent inappropriate reporting by non-licensed practitioners and supports compliant documentation and billing practices.
What You Will Learn
- How CPT frames reporting of physical therapy evaluation and reevaluation services
- Why state licensure matters when determining who may report therapy services
- How licensure requirements can vary by state and affect practitioner eligibility
- The general issue of whether non-licensed athletic trainers may report these services
Who Should Read This
- Medical coders
- Billing specialists
- Physical therapists
- Athletic trainers
- Compliance staff
- Practice managers
Codes Discussed
Code Ranges Discussed
Subscribe or sign in to view the full article.
Quick, Current, Complete - www.findacode.com