CPT Code 97165: Billing Rules, GO Modifier, and 2026 Medicare Rate for OT Low Complexity Evaluations
Quick Answer: CPT code 97165 is an untimed occupational therapy evaluation code. It covers low-complexity initial evaluations for patients with 1 to 3 performance deficits and no comorbidities affecting occupational performance. Providers bill it once per episode, never in 15-minute units. The 2026 Medicare non-facility rate is about $98.08. Every Medicare Part B claim needs the […]