Can CPT code 97110 and 97112 be billed together?

You would need the mod-59 on 97112 so that they know it is a different 15-minute time period than the 97110, otherwise they will bundle the codes.

What is the difference between CPT 97110 and 97112?

The CPT code 97112 procedure requires direct one- on -one patient contact by a physician or therapist. While CPT code 97110 Therapeutic Exercise includes exercises for strengthening, ROM, endurance, and flexibility and must be direct contact time with the patient.

What CPT code is 97112?

Neuromuscular reeducation
CPT® 97112: Neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and proprioception. Examples include, Proprioceptive Neuromuscular Facilitation (PNF), Feldenkreis, Bobath, BAP’S Boards, and desensitization techniques.

Can 97110 and 97162 be billed together?

What happens if I bill 97530 (therapeutic activities) and 97161, 97162, or 97163 (physical therapy evaluations) together on same day for same patient? This is at the heart of the recent edit. Under the new rules, the use of both codes is prohibited, and there’s no modifier that you can use to bypass the denial.

Who can bill for 97110?

CPT code 97110 is defined as “therapeutic exercises to develop strength, endurance, range of motion and flexibility.” It applies to a single or multiple body parts, and requires direct contact with a qualified healthcare professional.

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.

Is CPT 97530 PT or OT?

The following discussion is intended to help PT/OT providers choose when using 97530 is appropriate with documentation examples. The CPT definition of 97530 is “[t]herapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes.”

Does 97110 need a modifier?

Per CPT guidelines, “A minimum of eight minutes of therapeutic exercises is required to report code 97110. Services of less than eight minutes would not be reported.” This means that this code cannot be reported with modifier 52 (reduced services) if less than eight minutes was performed.

Is 97110 an add on code?

CPT code 97110 is defined as “therapeutic exercises to develop strength, endurance, range of motion and flexibility.” It applies to a single or multiple body parts, and requires direct contact with a qualified healthcare professional. active, active assistive, or passive range of motion to improve joint motion.

Is 97110 a timed code?

It’s a timed code, with each unit lasting 15 minutes. The 97110 CPT code describes exercises that address one deficit area across one or more areas of the body.