OT Evaluation Codes: Case Scenarios

Presented by Rick Gawenda

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Video Runtime: 67 Minutes; Learning Assessment Time: 20 Minutes

This course will teach participants the three components that must be met and documented in the medical record to report the appropriate occupational therapy evaluation complexity level. The course will teach participants how patient comorbidities may impact occupational performance. It will also discuss the importance of documenting the amount of assistance and/or modification that the occupational therapist provides during the initial evaluation in order for the patient to complete the task. Finally, this course will use case scenarios in orthopedics, pediatrics, and neurology to teach participants how to determine the appropriate complexity level and the documentation that must be present in the medical record to support their choice.

Learning Objectives
  • Recognize the applicable history complexity level
  • List examples of occupational performance deficits that are present due to impairments
  • Compare the three occupational therapy evaluation codes
  • Identify the correct evaluation code based on evaluation findings and documentation

Meet your instructor

Rick Gawenda

Rick Gawenda is founder and president of Gawenda Seminars & Consulting, Inc. He graduated in 1991 with a Bachelor of Science in physical therapy from Wayne State University in Detroit. Rick is director of finance for a physical therapist–owned private practice with multiple offices located in Southern California. In addition,…

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Chapters & learning objectives

Definitions Associated With the Occupational Therapy Evaluation Codes

1. Definitions Associated With the Occupational Therapy Evaluation Codes

This chapter will explain the three complexity levels of history. In addition, the chapter will teach participants examples of performance deficits.

Occupational Therapy Evaluation Codes

2. Occupational Therapy Evaluation Codes

This chapter will teach the participants the three components for each of the three OT evaluation CPT codes.

Evaluation Case Scenarios: Pediatrics and Neurology

3. Evaluation Case Scenarios: Pediatrics and Neurology

This chapter will provide case scenarios that will teach occupational therapists how to select the appropriate evaluation complexity level based on their documentation. Examples will include pediatrics and neurology.

Occupational Therapy Evaluation Case Scenarios: Orthopedics

4. Occupational Therapy Evaluation Case Scenarios: Orthopedics

This chapter will provide case scenarios that will teach occupational therapists how to select the appropriate evaluation complexity level based on their documentation. Examples will include orthopedics.