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The most common physical therapy CPT codes are 97110 (Therapeutic Exercises), 97140 (Manual Therapy), and 97010 (hot and cold pack).
As of January 1, 2017, PTs and OTs should no longer use the CPT codes 97001, 97002, 97003, and 97004 to bill for initial evaluations and re-evaluations. That’s because these codes have been replaced by a new set of eight evaluative codes: two for re-evaluations and six for evaluations.
The information in this article contains billing, coding or other guidelines that complement the Local Coverage Determination (LCD) for the Outpatient Physical Therapy L34428 LCD. Electrical Stimulation (CPT ® code 97032 and HCPCS codes G0281 and G0283) and Electromagnetic Therapy (HCPCS code G0329)
The 11 Most Common Physical Therapy CPT Codes. 97110: Therapeutic Exercise. 97112: Neuromuscular Re-education. 97116: Gait Training. 97140: Manual Therapy. 97150: Group Therapy. 97530: Therapeutic Activities. 97535: Self-Care/Home Management Training. 97750: Physical Performance Test or Measurement. 97761: Prosthetic Training.
The correct coding is 2 units 97112 + 1 unit 97110. The first step when billing timed CPT codes is to total the minutes for all timed modalities and procedures provided to the patient on a single date of service for a single discipline.
Each CPT code consists of five digits and describes a specific service. For example, 97110 refers to therapeutic exercise, while 97035 represents ultrasound therapy. A physical therapist will choose the appropriate code based on the interventions performed during the appointment with their patient.
Procedures marked N/A are considered “non-timed” services and should be billed per service unit. For instance, if you perform an ultrasound, you will mark code 97035 only one time, regardless of how long it takes. Common CPT Codes for Physical Therapy. Lists of CPT codes are harder to find for free than ICD codes.
Any CPT code for modalities requiring constant attendance (CPT codes 97032-97039) with the group therapy CPT code (97150) for example, group therapy (97150) with ultrasound (97035)
When billing most third parties for physical therapist services, CPT codes are needed to describe the services that were rendered. ICD-10 Resources. Review resources to help you with ICD-10 coding, guidelines, answers to most frequently asked questions, and case studies. Medicare Coding and Billing.
CPT code 97035 is Ultrasound. Ultrasound can either be pulsed or continuous and again this should be used in conjunction with other therapeutic procedures, not as an isolated treatment. Indication for use includes limited joint movement, symptomatic soft tissue calcification, and neuromas.