Does CPT code 97116 need a modifier?
Some other therapy code combinations that require Modifier 59 to enable the codes to be billed individually on the same day are: 97530 (Therapeutic Activity) and 97116 (Gait Training) 97530 (Therapeutic Activity) and 97535 (ADL)
Is 97116 a timed code?
For example, a patient under a PT plan of care receives skilled treatment consisting of 20 minutes of therapeutic exercise (CPT 97110) and 20 minutes of gait training (CPT 97116). The total “Timed Code Treatment Minutes” documented will be 40 minutes.
What can be billed under therapeutic exercise?
Therapeutic exercise includes activities related to strengthening, endurance training, range of motion, and flexibility. These activities can include use of free weights, exercise machines such as treadmills and range of motion exercises (passive and active).
What does CPT code 97116 mean?
gait training
97116 CPT Code Description: Therapeutic procedure, one or more areas, each 15 minutes; gait training (includes stair climbing). The clinician instructs the patient in specific activities that will facilitate ambulation and stair climbing with or without an assistive device.
Can 97116 and 97140 be billed together?
Yes. It’s possible to bypass the edit by using the 59 modifier/X modifier when billing 97140 with the physical therapy evaluation codes (97161, 97162, or 97163). If you don’t use the modifier for this combination of codes, CMS will deny the manual therapy code.
Who can Bill 97116?
Basic Guidelines for 97116 This procedure may be medically necessary for training patients whose walking abilities have been impaired by neurological, muscular or skeletal abnormalities or trauma.
What is procedure code 97116?
97116 CPT Code Description: Therapeutic procedure, one or more areas, each 15 minutes; gait training (includes stair climbing). The clinician instructs the patient in specific activities that will facilitate ambulation and stair climbing with or without an assistive device.
Can you bill therapeutic activity and therapeutic exercise?
Therapeutic exercises often contribute to an improved ability to perform real-life movements, such as ADLs, work related tasks and sports activities. However, when working directly on improving real-life movements, then it falls under CPT code 97530 (see below), and should be billed as such.
What is Procedure Code 97116?
The Current Procedural Terminology (CPT) code 97116 as maintained by American Medical Association, is a medical procedural code under the range – Physical Medicine and Rehabilitation Therapeutic Procedures.
What is 97112 CPT code?
The Current Procedural Terminology (CPT) code 97112 as maintained by American Medical Association, is a medical procedural code under the range-Physical Medicine and Rehabilitation Therapeutic Procedures.
What is a CPT Procedure Code?
Current Procedural Terminology (CPT) is a medical code set that is used to report medical, surgical, and diagnostic procedures and services to entities such as physicians, health insurance companies and accreditation organizations. CPT codes are used in conjunction with ICD-9-CM or ICD-10-CM numerical…
What is the CPT code for therapeutic procedure?
Answer: CPT code 97110 is a therapeutic procedure, on one or more areas, each lasting 15 minutes.