CPT® code 97755, assistive technology assessment (for example, to restore, augment or compensate for an existing function, optimize functional tasks and/or maximize environmental accessibility), direct 1-on-1 contact with written report, each 15 minutes, is related to the following local coverage determinations (LCDs):
· Outpatient Physical Therapy (L34428)
· Outpatient Occupational Therapy (L34427)
· Home Health-Occupational Therapy (L34560)
· Home Health-Physical Therapy (L34564)
This is an assessment code, per each 15 minutes, and must be accompanied by a written report explaining the nature and complexity of the assistive technology needed by the patient. This can include: testing multiple components/systems to determine optimal interface between client and technology applications and determining the appropriateness of commercial (off the shelf) components/systems. If the service provided by a physical or occupational therapist is more clearly defined by another CPT® code (for example, 97535 self-care/home management training), it should be used instead.
It would be inappropriate to use the CPT® code 97755 for services other than for those who have lost the use of their limbs and who can benefit from new technology advancements. CPT® 97755 should only be billed by occupational and physical therapists that have the additional knowledge and expertise of the assistive technology that is required for these individuals.
For rationale, clinical example and description of CPT® 97755, please refer to CPT® 2004 Changes: An Insider's View, American Medical Association (2003©).