CPT Code 97116 (Gait Training) Description
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.
What is the CPT code for gait training first 30 minutes?
You count the first 30 minutes of CPT code 97110 as two full units.
What is CPT code for gait analysis?
Background and Rationale: CPT® 96004 is a procedure code used for clinical motion (gait) analysis.
What is the CPT code 97140?
CPT® code 97140: Manual therapy techniques, 1 or more regions, each 15 minutes (Mobilization/manipulation, manual lymphatic drainage, manual traction)
What is the CPT code for pelvic floor therapy?
Two procedural codes (CPT Code 90901 and CPT Code 90911), are primarily used to code for biofeedback therapy. CPT Code 90901 is a non-specific code that can be used for any modality of biofeedback therapy. In contrast, CPT Code 90911 is used to bill for Pelvic Floor Therapy training for the treatment of incontinence.
What does CPT code 97110 mean?
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. You must include the body part/s treated, specifying the muscles and/or joints.
What is procedure code 97165?
CPT® Code. CPT® Description. Low Complexity (97165) An occupational profile and medical and therapy history, which includes a brief history including review of medical and/or therapy records relating to the presenting problem.
What does CPT code 97139 mean?
97139 CPT Code: Unlisted Therapeutic Procedure (specify)
If unlisted codes are billed, the medical record must clearly state what modality or procedure is billed as an unlisted code. CPT code 97139 remain designated as always therapy and require the use of the GP or GO modifier, as appropriate.
Is gait training 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.
Can 97110 and 97150 be billed together?
Group and Individual CPT Codes Billed on Same Day:
The group therapy CPT code (97150) and the direct one-on-one 15-minute CPT Codes for therapeutic procedures (97110 – 97542) are subject to Medicare’s National Correct Coding Initiative (NCCI).
Is gait analysis covered by insurance?
Gait analysis is covered with a diagnosis of cerebral palsy only. It is not medically necessary for all other diagnoses as there is insufficient peer reviewed published literature regarding efficacy. Coverage: Benefits may vary between groups/contracts.
What is procedure code 97161?
97161 – Physical therapy evaluation: low complexity, requiring these components: • A history with no personal factors and/or comorbidities that impact the plan of care; • An examination of body system(s) using standardized tests and measures addressing 1-2 elements.
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)
What is CPT code G0283?
G0283 – Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care.”
What does CPT code 97014 mean?
CPT 97014 – Electrical stimulation (unattended) (to one or more areas)
What does CPT code 97012 mean?
From a CPT® coding perspective, 97012 is a physical medicine mechanical traction modality that does not require attendance. Various other modalities might also assist in accomplishing and/or complementing some of the same objectives as the CMT codes or 97012.
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