Table of Contents
Is 97110 a PT or OT?
The 97110 CPT code describes foundational occupational therapy exercises that are designed to improve a patient’s strength, range of motion, endurance, or flexibility.
How many units can be billed 97110?
three units
Per Medicare rules, you could bill one of two ways: three units of 97110 (therapeutic exercise) and one unit of 97112 (neuromuscular reeducation), or. two units of 97110 and two units of 97112.
Can 97530 be billed with 97110?
You will not be able to use a 59 modifier to charge 97530 with an initial evaluation. Note that you can continue to bill other timed codes, such as 97110, 97112 and 97140 with an initial evaluation. However, you will now be required to use a 59 modifier if you bill 97140 (manual therapy) with an initial evaluation.
How Much Does Medicare pay for CPT 97110?
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| Rank | CPT Code | National Payment Amounts |
|---|---|---|
| 1 | 97110 | $31.40 |
| 2 | 97140 | $28.87 |
| 3 | 97112 | $36.09 |
| 4 | 97530 | $40.42 |
What is the 97110 CPT code for physical therapy?
Another requirement to bill using the 97110 CPT code is that you must be actively working with the client one-on-one during the entire session. 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.
What is the CPT code for Occupational Therapy?
This analogy can help us make sense of when to use each of the two most common occupational therapy CPT codes: 97110 and 97530. The 97110 CPT code describes therapeutic exercises that a patient participates in during an OT therapy session.
What is the CPT code for exercise therapy?
CPT® code 97110: Therapy procedure using exercise to develop strength, endurance, range of motion and flexibility, each 15 minutes As the authority on the CPT® code set, the AMA is providing the top-searched codes to help remove obstacles and burdens that interfere with patient care.
What is the CPT code for CPT 97530?
The 97530 CPT code is a very similar billing code, but it has some important distinctions. In some cases, this code may be a more accurate descriptor of your actual work with your patient.