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CPT Code 97162: Documentation, Billing & Compliance Guide for Healthcare Providers [2026]

CPT code 97162 billing guide showing documentation requirements, modifiers, and compliance for physical therapy evaluation

CPT code 97162 is the AMA-designated billing code for a moderate-complexity physical therapy evaluation, requiring documented assessment of three or more body systems, one to two comorbidities affecting the plan of care, and moderate-level clinical decision-making for an evolving clinical presentation. But here’s what most coding guides miss: billing 97162 correctly isn’t just about knowing […]

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