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CPT® 97110, Under Physical Medicine and Rehabilitation Therapeutic Procedures

The Current Procedural Terminology (CPT®) code 97110 as maintained by American Medical Association, is a medical procedural code under the range - Physical Medicine and Rehabilitation Therapeutic Procedures.

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Summary

Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with injury–related disabilities, it can also be utilized on normally active and healthy persons to improve their overall health. Therapeutic exercises can be helpful to people recovering from surgery, to improve overall health during pregnancy and to provide relief to people with osteoporosis. The exercise program is designed specifically to suit each person and involves physical as well breathing exercises.

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Have a question about CPT Code 97110 ? Start a discussion here
Humana denied code 98943 because of inappropriate modifier
Humana has been denying charges for inappropriate modifiers for PT charges codes like 97110 or 97140 and now also for 98943 (chiropractic extraspinal adjustment). For the PT charge codes, I was able t... [ Read More ]
Can Massage Therapist bill Physical Therapist Codes in IL
Can IL a massage therapist bills for these physical therapy codes. We need to validate if a massage therapist is allowed to bill these CPT codes. 97110 (therapeutic exercise) 97112 (neuromuscular r... [ Read More ]
Ambetter procedure codes 97140 and 97110 denials
[QUOTE="tammygiessregen, post: 476031, member: 73320"] I am getting lots of denials from Ambetter for procedure code 97140 and 97110. According to encoder pro, it is not bundled yet they still deny? A... [ Read More ]
Biofeedback training only Fecal. Urge Incontinence
Code 90912 and `+90913 based on time spent. Diagnoses may include N39.3, R15.0, 1, 2, or N39.41. For EMG bill 51784 only when used for diagnosis and not with biofeedback. For a separate ano-rectal man... [ Read More ]
BCBS & ICD-10 Codes for PT
Hello, we recently started getting random denials from BCBS stating "the diagnosis code(s) submitted is inconsistent with ICD-10 CM coding guidelines. From what we can find, we are not seeing anythin... [ Read More ]
Therapy Time Documentation of Individual Timed CPT (Not total time, in/out total session time or minute duration) #97110 #physicaltherapy #therapy #time #units
Therapy auditors - does anyone have clear, official policy or guidelines (not Medicare) that clearly state a therapy provider must document the exact start and stop time (e.g. 8:00am-8:15am) for each ... [ Read More ]
OT/PT Home Visits
[QUOTE="Mdpaules8, post: 505582, member: 767461"] Speaking as a OT, I would bill the codes such as 97535, 97530, 97110, 97112, 97542 generally speaking. As far as modifiers I am not sure. I just got m... [ Read More ]
OT/PT Home Visits
Speaking as a OT, I would bill the codes such as 97535, 97530, 97110, 97112, 97542 generally speaking. As far as modifiers I am not sure. I just got my CPB so still learning, but I have been an OT wor... [ Read More ]
Documentation of Time for each timed CPT code for therapy
Hello - I am confused with CMS guidance about documentation of time for timed [URL='https://www.aapc.com/codes/cpt-codes-range/']CPT codes[/URL] and the 8-min rule. CMS says - "Documentation of each T... [ Read More ]
U5 modifer
[QUOTE="poojatkadhane@gmail.com, post: 502605, member: 327764"] Can anyone guide on U5 modifier use? Need to know if Medicare accepts U5 modifer when billed on physiotherapy code. For Medicare of Texa... [ Read More ]
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