What codes are used for physical therapy?

The Most Common Physical Therapy CPT codes:

What is the CPT code for physical therapy?

Physical Therapy CPT Codes 97161: Physical therapy evaluation, low complexity. 97162: Physical therapy evaluation, moderate complexity. 97163: Physical therapy evaluation, high complexity.

What CPT codes can physical therapists bill?

Physical Therapy Evaluation CPT Codes

• 97161 CPT Code Description. CPT 97161 can be used for physical therapy evaluation.
• 97162 CPT Code Description. CPT 97162 can can be reported for physical therapy evaluation.
• 97163 CPT Code Description.
• 97164 CPT Code Description.
• 97140 CPT Code Physical Therapy.

What does CPT code 97530 mean?

Therapeutic Activities
CPT 97530 Therapeutic Activities CPT code 97530 requires “use of dynamic activities to improve functional performance. Examples of such activities include lifting, pushing, pulling, reaching, throwing, etc.” Billing this code also requires direct, one on one contact, billed in 15-minute increments.

What is the CPT code for pelvic floor therapy?

In contrast, CPT Code 90911 is used to bill for Pelvic Floor Therapy training for the treatment of incontinence.

What is procedure code 97110?

CPT® code 97110: Therapy procedure using exercise to develop strength, endurance, range of motion and flexibility, each 15 minutes.

Is CPT code 97140 physical therapy?

CPT® code 97140: Manual therapy techniques, 1 or more regions, each 15 minutes (Mobilization/manipulation, manual lymphatic drainage, manual traction)

Is CPT 97110 PT or OT?

The 97110 CPT code describes therapeutic exercises that a patient participates in during an OT therapy session. These exercises help build strength or endurance to support a return to normal functioning. The 97530 CPT code describes therapeutic activities that are practiced during a session to improve functioning.

What is the difference between 97530 and 97535?

The Difference between Therapeutic Exercise, Therapeutic Activity & Self-Care/Home Management. Therapeutic exercises (CPT 97110), therapeutic activities (CPT 97530) and self-care/home management (CPT 97535) are rehabilitation interventions used to treat a variety of injuries and illnesses.

What is the difference between CPT code 97530 and 97110?

If only one outcome is intended by the exercise, CPT code 97110 should be used. Where more than one outcome is expected using balance boards, fitness balls, stretch bands, etc. where increased motion, flexibility, strength and/or improved proprioception is intended, CPT code 97530 should be used.

What does CPT code 97110 mean?

What does CPT code 97140 mean?

Manual therapy techniques
CPT® code 97140: Manual therapy techniques, 1 or more regions, each 15 minutes (Mobilization/manipulation, manual lymphatic drainage, manual traction)

Physical therapy has specific codes under rehabilitation therapists. Physical therapy CPT codes are in the 97000’s. Therapeutic procedure, one or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion, and flexibility.

What are CPT codes and how are they used in healthcare?

A healthcare provider encodes all of the services performed into a medical bill using these CPT codes. When the bill reaches the insurance provider, they decode these so that it makes sense in the insurance world. In essence, the codes describe what happened in the doctor’s office, making it a fundamental part of the billing process.

What is a physical therapy program?

(Generally describe a service aimed at improving a single parameter, such as strength, ROM, etc.) Therapeutic procedure, one or more areas, each 15 minutes; neuromuscular re-education of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities.

Why do CPT codes need to match the services provided?

The CPT codes must match the services provided so that the entire workflow and communication are coherent. Physical therapists receive compensation for their services depending on the coding in the medical bill. Some codes overlap, making it difficult to determine which one to use.