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  1. Home
  3. Billing For Occupational Therapy Services That Use Ayres Sensory Integration®.
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  3. Billing For Occupational Therapy Services That Use Ayres Sensory Integration®.

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Billing for Occupational Therapy Services That Use Ayres Sensory Integration®.

Tara J Glennon1, Stacey Reynolds2

  • 1Tara J. Glennon, EdD, OTR/L, FAOTA, is Professor, Department of Occupational Therapy, Quinnipiac University, Hamden, CT, and Owner, Center for Pediatric Therapy, Darien, Fairfield, and Wallingford, CT; tara.glennon@quinnipiac.edu.

The American Journal of Occupational Therapy : Official Publication of the American Occupational Therapy Association
|December 18, 2025

View abstract on PubMed

Summary
This summary is machine-generated.

Occupational therapy using Ayres Sensory Integration® (ASI) is effective for children with sensory challenges. Inconsistent reimbursement for CPT Code 97533 hinders access, necessitating clearer guidelines and advocacy for evidence-based care.

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Area of Science:

  • Pediatric Occupational Therapy
  • Sensory Integration Theory
  • Health Services Research

Background:

  • Children with sensory challenges often need occupational therapy.
  • Ayres Sensory Integration® (ASI) is an evidence-based intervention.
  • Reimbursement for CPT Code 97533 is inconsistent.

Purpose of the Study:

  • Clarify distinctions between ASI and sensory-based interventions.
  • Outline billing and documentation for CPT Code 97533.
  • Examine barriers to reimbursement and underutilization of the code.

Main Methods:

  • Analysis of current practices in ASI service delivery.
  • Review of billing and documentation requirements for CPT Code 97533.
  • Examination of reimbursement barriers and their impact.

Main Results:

  • Inconsistent reimbursement for CPT Code 97533 is a significant barrier.
  • Underutilization and inaccurate documentation of ASI services are prevalent.
  • Distinctions between ASI and other sensory interventions require clarification.

Conclusions:

  • CPT Code 97533 should be reserved for high-fidelity ASI by trained clinicians.
  • Code descriptor language changes are recommended for clarity and ethical documentation.
  • A multilevel strategy involving education and advocacy is essential for improved access and research.