We are going to discuss the list of frequently used CPT and HCPCS codes to report skilled services. Not all codes are accepted by all payers. Always review state rules, consult the CPT manual, and confirm payment policies with insurers prior to billing.
These codes are effective as of January 1, 2026.
Take a look at the following list of occupational therapy CPT codes to ensure accurate billing, maximize reimbursement potential, and contribute to your practice’s financial stability.
CPT Codes for Occupational Therapy
Here are the most commonly used CPT codes in occupational therapy practices, including codes for evaluation, modalities, therapeutic procedures, tests, remote therapeutic monitoring, and more.
Physical Medicine and Rehabilitation
Occupational therapy evaluations include an occupational profile, medical and therapy history, relevant assessments, and development of a plan of care, which reflects the therapist’s clinical reasoning and interpretation of the data.
| 97165 | Occupational therapy evaluation, low complexity |
| 97166 | Occupational therapy evaluation, moderate complexity |
| 97167 | Occupational therapy evaluation, high complexity |
| 97168 | Occupational therapy re-evaluation |
( 97168 for performance of a re-evaluation that is based on an established and ongoing plan of care). Refer to the CPT coding book for guidance on selecting and documenting the appropriate complexity level.
Modalities
Application of modality does not require (one-on-one) patient contact.
| 97010 | Application of a modality to one or more areas: hot or cold packs |
| 97018 | Paraffin bath |
| 97022 | whirlpool |
| 97024 | Diathermy (e.g., microwave) |
| G0281 | Electrical stimulation for wound care |
| G0283 | Electrical stimulation ( unattended), to 1 or more areas for indication(s) other than wound care, as part of a therapy plan of care |
| G0329 | electromagnetic therapy, to 1 or more areas for chronic Stage III and Stage IV pressure ulcers, arterial ulcers, diabetic ulcers and venous stasis ulcers not demonstrating measurable signs of healing after 30 days of conventional care as part of a therapy plan of care |
| 97035 | Ultrasound, every 15 minutes |
Constant Attendance: Application of modality requires direct (one-on-one) patient contact.
Therapeutic Procedures
A manner of effecting change through the application of clinical skills and /or services that attempt to improve function.
| 97110 | Therapeutic procedures, one or more areas, every 15 minutes: therapeutic exercises to develop strength and endurance, range of motion, and flexibility |
| 97112 | Neuromuscular reduction of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities |
| 97113 | Aquatic therapy with therapeutic exercises |
| 97116 | Gait training includes stair climbing |
| 97124 | massage, including effleurage, petrissage, and/or tapotement (stroking, compression, percussion) (Note: For myofascial release, use 97140) |
| 97129 | Therapeutic interventions that focus on cognitive function (e.g., attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (e.g., managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; initial 15 minutes |
| ✚97130 | ✚97130 each additional 15 minutes (List separately in addition to primary procedure) (Use in conjunction with 97129) |
| 97140 | Manual therapy techniques (e.g., mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes |
| 97150 | Therapeutic procedure(s), group (2 or more), untimed (Report for each member of the group) (Group therapy procedures involve constant attendance by the therapy practitioner but do not require one-on- one patient contact) |
| 97530 | Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes |
| 97533 | Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes |
| 97535 | Self-care/home management training (e.g., activities of daily living [ADLs] and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptive equipment), direct one-on-one contact, each 15 minutes |
| 97537 | Community/work reintegration training (e.g., shopping, transportation, money management, avocational activities and/or work environment/modification analysis, work task analysis, use of assistive technology device/adaptive equipment), direct one-on-one contact, each 15 minutes |
| 97542 | Wheelchair management (e.g., assessment, fitting, training), each 15 minutes |
| 97545 | Work hardening/conditioning; initial 2 hours |
| ✚97546 | Each additional hour (List separately in addition to primary procedure) (Use in conjunction with 97545) |
| 97550 | Caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [IADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face-to-face; initial 30 minutes |
| ✚97551 | Each additional 15 minutes (List separately in addition to primary service) (Use in conjunction with 97550) |
| 97552 | Group caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (eg, activities of daily living [ADLs], instrumental ADLs [IADLs], transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face-to-face with multiple sets of caregivers |
| G0541 | Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face; initial 30 minutes |
| ✚G0542 | Each additional 15 minutes (list separately in addition to primary service) (Use in conjunction with G0541) |
| G0543 | Group caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face with multiple sets of caregivers, untimed |
Active Wound Care Management
| 97597 | Debridement (e.g., high pressure water jet with/without suction, sharp selective debridement with scissors, scalpel, and forceps), open wound (e.g., fibrin, devitalized epidermis and/or dermis, exudate, debris, biofilm) including topical application(s), wound assessment, use of a whirlpool, when performed and instruction(s) for ongoing care, per session, total wound(s) surface area: first 20 sq. cm. or less |
| ✚97598 | rt thereof (list separately in addition to primary procedure) (Use in conjunction with 97597) |
| 97602 | Removal of devitalized tissue from wound(s), non-selective debridement, without anesthesia (e.g., wet-to-moist dressings, enzymatic, abrasion, larval therapy), including topical application(s), wound assessment, and instructions(s) for ongoing care, per session |
| 97610 | Low frequency, non-contact, non-thermal ultrasound, including topical application(s), when performed, wound assessment, and instruction(s) for ongoing care, per day |
TEST AND MEASUREMENTS
97750: Physical performance test or measurement (e.g., musculoskeletal, functional capacity), with written report, each 15 minutes
97755: Assistive technology assessment (e.g., to restore, augment, or compensate for existing function, optimize functional tasks, and/or maximize environmental accessibility), direct one-on-one contact, with written report, each 15 minutes
ORTHOTIC MANAGEMENT AND TRAINING AND PROSTHETIC MANAGEMENT
97760: Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minutes
97761: Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes
97763: Orthotic(s)/prosthetic(s) management and/or training, upper extremity(ies), lower extremity(ies), and/or trunk, subsequent orthotic(s)/prosthetic(s) encounter, each 15 minutes
SPECIAL OTORHINOLARYNGOLOGIC SERVICES
92526:
Treatment of swallowing dysfunction and/or oral function for feeding
EVALUATIVE AND THERAPEUTIC SERVICES
92605:
Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face with the patient, first hour
✚92618:
Each additional 30 minutes (List separately in addition to primary procedure) (Use in conjunction with 92605)
92606:
Therapeutic service(s) for the use of non-speech-generating device, including programming and modification
92610:
Evaluation of oral and pharyngeal swallowing function
92611:
Motion fluoroscopic evaluation of swallowing function by cine or video recording
NEUROLOGY AND NEUROMUSCULAR PROCEDURES
MUSCLE AND RANGE OF MOTION TESTING
95851:
Range of motion measurements and report (separate procedure); each extremity (excluding hand) or each trunk section (spine).
95852:
hand, with or without comparison with normal side
OTHER PROCEDURES
95992:
Canalith repositioning procedure(s) (e.g., Epley maneuver, Semont maneuver), per day
CENTRAL NERVOUS SYSTEM ASSESSMENT/TESTS
96110;
Developmental screening (e.g., developmental milestone survey, speech and language delay screen) with scoring and documentation, per standardized instrument
96112:
Developmental test administration (including assessment of fine and/or gross motor, language, cognitive level, social, memory, and/or executive functions by standardized developmental instruments when performed) by physician or other qualified health care professional, with interpretation and report, first hour
✚96113:
Each additional 30 minutes (List separately in addition to primary procedure) (Use in conjunction with 96112)
96125:
Standardized cognitive performance testing (e.g., Ross Information Processing Assessment) per hour of a qualified health care professional’s time, both face-to-face time administering tests to the patient and time interpreting these test results and preparing the report
96127:
Brief emotional/behavioral assessment (e.g., depression inventory, attention-deficit/ hyperactivity disorder [ADHD] scale), with scoring and documentation, per standardized instrument
HEALTH AND BEHAVIOR ASSESSMENT AND INTERVENTION
96156:
Health behavior assessment, or re-assessment (i.e., health-focused clinical interview, behavioral observation, clinical decision-making).
96158:
Health behavior intervention, individual, face-to-face; initial 30 minutes
✚96159:
Each additional 15 minutes (List separately in addition to primary procedure) (use in conjunction with 96158)
96161:
Administration of a caregiver-focused health risk assessment instrument (eg, depression inventory) for the benefit of the patient, with scoring and documentation, per standardized instrument
96164:
Health behavior intervention, group (2 or more patients) face-to-face; initial 30 minutes
✚96165:
Each additional 15 minutes (List separately in addition to primary procedure) (use in conjunction with 96164) 96167 Health behavior intervention, family (with the patient present), face-to-face; initial 30 minutes
✚96168:
Each additional 15 minutes (List separately in addition to primary procedure) (use in conjunction with 96167) 96170 Health behavior intervention, family (without the patient present), face-to-face; initial 30 minutes
✚96171:
Each additional 15 minutes (List separately in addition to primary procedure) (use
Conclusion
CPT codes are crucial to obtaining the full reimbursement we have rightfully earned for each encounter. Staying informed and up to date ensures your billing practices remain accurate, efficient, and compliant. Consider adopting specialized billing software built with Ots in mind to streamline your processes and minimize errors.
At RevenueES our goal is to help other therapists with engaging patient-centered activities and documentation!
