CPT Code 97162: Modifiers, Reimbursement & Billing Rules for Physical Therapy [2026]
![CPT Code 97162: Modifiers, Reimbursement & Billing Rules for Physical Therapy [2026]](https://oneosevenrcm.com/wp-content/uploads/2026/03/cpt-code-97162-billing-guide-2026_11zon-1024x536.webp 1024w, https://oneosevenrcm.com/wp-content/uploads/2026/03/cpt-code-97162-billing-guide-2026_11zon-300x157.webp 300w, https://oneosevenrcm.com/wp-content/uploads/2026/03/cpt-code-97162-billing-guide-2026_11zon-768x402.webp 768w, https://oneosevenrcm.com/wp-content/uploads/2026/03/cpt-code-97162-billing-guide-2026_11zon.webp 1200w)
Every denied 97162 claim costs your physical therapy practice more than the $101 reimbursement you lost. Factor in the staff time to investigate, appeal, and resubmit, and a single preventable denial can run $30 to $50 in administrative overhead on top of the lost revenue. Multiply that across a month of evaluation claims, and the […]