10/07/2026
Sharing this PT Re-evaluation Authorization & Billing Guide for quick reference. 📋
This compares general guidance for TCHP, UHC Community Plan, and Community Health Choice regarding PT re-evaluations (CPT 97164).
IMPORTANT DISCLAIMER: This information is provided for educational and general reference purposes only and should not be relied upon as a guarantee of coverage, authorization, reimbursement, or payment. Health plan policies, member benefits, authorization requirements, and billing guidelines may change and may vary by patient and plan.
Providers are responsible for independently verifying all information directly with the patient’s health plan and reviewing the member-specific authorization before providing or billing services.
Sources: TCHP Provider Guidelines, UHC Community Plan Provider Guidelines, Community Health Choice Provider Resources, and Texas Medicaid/TMHP Provider Manuals. See comment for the useful links.