Occupational Therapy
Medicare Benefit Policy Manual (CMS Pub. 100-02, Ch. 7 §40.2.4) ![]()
Visits by an occupational therapist to assess and reassess a beneficiary's rehabilitation needs and potential, or to develop and/or implement an occupational therapy program, are covered when reasonable and necessary because of the beneficiary's condition.
It should be clear in the documentation that the occupational therapist is working on functional limitations and tasks with the beneficiary.
- Four Principles for Medical Necessity of Therapy
— Medicare Benefit Policy Manual (CMS Pub. 100-02, Ch. 7 §40.2.1) - Documenting Medical Necessity of Therapy
- When Occupational and Physical Therapist Both Provide Services
Page last updated: April 3, 2008