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42.6.5 Occupational Therapy
In order for a student to receive OT through SHARS, the name and complete address or the provider identifier of the licensed physician who prescribed the OT must be provided.
OT evaluation services include determining what services, assistive technology, and environmental modifications a student requires for participation in the special education program.
OT includes:
• Improving, developing, maintaining, or restoring functions impaired or lost through illness, injury, or deprivation.
•Improving the ability to perform tasks for independent functioning when functions are impaired or lost.
•Preventing, through early intervention, initial or further impairment or loss of function.
OT must be provided by a professional who is licensed by the Texas Board of Occupational Therapy Examiners or a certified occupational therapist assistant (COTA) acting under the supervision of a qualified occupational therapist.
OT evaluation is billable on an individual (1-97003) basis only. OT is billable on an individual (1-97530) or group (1-97150) basis. The occupational therapist or COTA can only bill for time spent with the student present, including time spent assisting the student with learning to use adaptive equipment and assistive technology. Time spent without the student present, such as training teachers or aides to work with the student (unless the student is present during the training time), report writing, and time spent manipulating or modifying the adaptive equipment, is not billable. Session notes are not required for procedure code 1-97003; however, documentation must include the billable start time, billable stop time, total billable minutes, and must note the activity that was performed (e.g., OT evaluation). Session notes are required for procedure codes 1-97530 and 1-97150. Session notes must include the billable start time, billable stop time, total billable minutes, activity performed during the session, student observation, and the related IEP objective.
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