97755
: Complex control systems for wheelchairs, custom seating, and adaptive switches.
: It is typically billed by occupational therapists (OTs) or physical therapists (PTs) with specialized expertise in assistive technology.
In medical and administrative contexts, refers to a specific CPT (Current Procedural Terminology) code used by healthcare providers for Assistive Technology Assessment . This code is essential for evaluating patients who require advanced mobility or control devices due to complex medical conditions. Understanding CPT Code 97755 : Complex control systems for wheelchairs, custom seating,
: The code covers the assessment itself, but time spent writing the final report is generally included in the service value and not billed separately. Key Clinical and Administrative Rules
: In some states, such as Colorado, Medicaid requires a physician's prescription and may only allow one active authorization for this code per member at a time. Common Distinctions This code is essential for evaluating patients who
The American Medical Association (AMA) maintains code 97755 under the "Physical Medicine and Rehabilitation Tests and Measurements" section. It is used to report a direct, one-on-one assessment of a patient's functional capacity and their ability to use specific assistive technologies.
: Payers like Medicare require documentation showing the patient has lost significant limb function and would benefit from these technological advancements. such as Colorado
: Code 97755 is billed in 15-minute increments based on face-to-face time with the patient.