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North Carolina Medicaid Sample PT/OT Rates

A sample of North Carolina Medicaid rates for physical and 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.  

Posted April 9, 2024

Description - Code


PT Evaluation - 97161


PT Reevaluation - 97164


OT Evaluation - 97165


OT Reevaluation - 97168


Therapeutic Exercise - 97110


Neuromuscular Reeducation - 97112


Manual Therapy - 97140


Therapeutic Activities - 97530


Mechanical Traction - 97012


Electrical Stimulation - 97014


Ultrasound - 97035


Orthotic Training - 97760


Prosthetic Training - 97761


Orthotic/Prosthetic Management - 97763


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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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