Which statement about ICD-11 and CPT coding in OT plans is true?

• A. They document the need for and provision of OT services when included in the Plan of Care.
• B. They are optional and rarely used.
• C. They replace the need for narrative notes.
• D. They determine patient satisfaction scores.

Answer: (A)

In OT documentation, ICD-11 diagnosis codes identify the condition driving therapy, while CPT codes specify the services delivered. When these codes are included in the Plan of Care, they document the need for OT services and the actual interventions provided, supporting medical necessity and reimbursement. They aren’t optional and aren’t meant to replace narrative notes, which still describe clinical reasoning, goals, progress, and outcomes. They also don’t determine patient satisfaction scores, which come from patient experience measures rather than coding.