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Florida Medicaid Occupational Therapy Fee Schedule

Florida Medicaid's rates for occupational therapy services.  These are the fee-for-service rates and may be different from Medicaid managed care rates and rates may change based on the setting or patient category.  Members can ask questions or request information on any Medicaid issue at any time.  Please consider joining today if you need assistance.  

Code

Modifier

Description

Maximum Fee

Maximum Allowable Units

97156 - 97167

Occupational Therapy Evaluation

$51.41

1 per year

97168

Occupational Therapy Re-Evaluation

$51.41

1 per 5 months

97530

Occupational Therapy Treatment Visit 

$17.99

4 per day, 14 per week

97530

HM

Occupational Therapy Visit Provided by an Occupational Therapy Assistant

$14.40

4 per day, 14 per week

97542

GO

Wheelchair Evaluation and Fitting by an Occupational Therapist

$51.41

1 per 5 years

92597

GO

AAC Initial Evaluation Provided by an Occupational Therapist

$103.36

1 per 5 years

29799

HA

Application of Casting or Strapping

$19.70

2 per day

Reference

Occupational Therapy Services Fee Schedule

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Therapy Comply is a healthcare compliance firm that seeks to bring high quality web-based compliance guidance and one-on-one consulting services to small and medium size physical, occupational, and speech therapy practices.

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