CPT Codes for Occupational Therapy: 2026 Reference
This resource is a pair of printable reference sheets that put every occupational therapy CPT code in one place. The first sheet, OT CPT and 8 Minute Rule, lists the codes by category — evaluation, tests and measurements, therapeutic procedures, active wound care management, and orthotic and prosthetic management — along with a unit chart for the Medicare 8-minute rule. The second sheet, 2026 OT CPT Reference, pairs those same codes with the Medicare payment rates from the 2026 Physician Fee Schedule.
Both sheets are built for the practitioner, not the client. Keep one at your desk or open on your phone when you are picking a code at the end of a session, checking how many units a treatment time supports, or getting a rough sense of what a service pays before you build out a caseload or a plan of care.
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These sheets are setting-agnostic. The code list covers services billed across outpatient clinics, home health, hospitals, inpatient rehab, skilled nursing, and private practice, so the same reference works whether you are documenting a self-care session, a wheelchair management visit, or a wound care treatment.
Both files are PDFs, so they work printed or on a screen. Practitioners who bill at the end of every visit tend to print the code list and post it where they document. Practitioners who move between sites often keep the PDF on a phone or tablet instead.
The two sheets answer different questions, and it helps to know which one you are reaching for:
OT CPT and 8 Minute Rule — you know what you did and need the right code, or you have a treatment time and need to know how many units it supports.
2026 OT CPT Reference — you are estimating revenue, comparing the relative value of services, or building a case for how a program is staffed.
The 8-minute rule chart is the piece most people use daily. It converts total timed-code minutes into billable units, starting at one unit for 8 to 22 minutes and running through seven units for 98 to 112 minutes.
Instructions and Tips
Treat the rates as ball-park figures. Medicare payment varies by geographic locality, and commercial payers set their own rates. The numbers on the sheet are national Physician Fee Schedule amounts, useful for relative comparison and rough planning — not a quote for what a specific visit will pay in a specific place.
Check the year before you rely on a number. These rates come from the 2026 Physician Fee Schedule. CMS releases a new schedule each January, so a sheet that was accurate in December may not be in February.
The code list gives short descriptors, not full definitions. Each line is a shorthand label to help you find the code. The complete descriptor for any code lives at CMS.gov, and that is what governs correct use.
These sheets support your judgment; they do not replace it. Code selection depends on what the documentation shows, your payer's rules, and your state's scope of practice.
For the fuller picture — how the codes fit together, what counts as a timed versus untimed service, and how the 8-minute rule plays out in real schedules — see the complete guide on Occupational Therapy and CPT Codes.
Rates are based on the U.S. Centers for Medicare & Medicaid Services 2026 Physician Fee Schedule.