Medical Billing and Coding Resources
Medical Billing and Coding Resources
97150 CPT Code Basics 97150 CPT Code Description: Therapeutic procedure(s), group (2 or more individuals), untimed. When the therapist is working with several patients at the same time, then CPT code 97150 should be reported. 97150 is not a timed (untimed) code. This means that each individual patient in the group is going to be […]
97140 CPT Code: Manual Therapy 97140 CPT Code Description: Manual therapy techniques (e.g., mobilization/manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes. It’s also been further described to include things like manual trigger point therapy and myofascial release. Manual therapy techniques are used to treat the restricted motion of soft tissues […]
97139 CPT Code: Unlisted Therapeutic Procedure (specify) If an existing CPT code does not describe the service performed, an unlisted CPT code may be used. When an existing HCPCS/CPT code does not accurately describe the services performed, the provider submits information, for the payer’s review, to describe the ‘unspecified’ modality(s) or therapeutic procedure(s) performed. The […]
New Cognitive Function Intervention Code Effective January 1, 2020, CPT code 97127 (cognitive function intervention, per day) and Healthcare Common Procedure Coding System (HCPCS) code G0515 are deleted and replaced with two new timed codes: a base code for the initial 15 minutes of cognitive function intervention (97129 CPT Code) and an add-on code for […]
97124 CPT Code: Massage Therapy 97124 CPT Code Description: Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage, and/or tapotement (stroking, compression, percussion). Massage is classified as a therapeutic procedure which is a time-based service. A therapeutic procedure is defined as a manner of effecting change through the application of clinical […]
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. Proper sequencing and safety instructions are included when appropriate. This code requires direct contact and may […]
97113 CPT Code Description: Therapeutic procedure, one or more areas, each 15 minutes; aquatic therapy with therapeutic exercises. This procedure uses the therapeutic properties of water (e.g., buoyancy, resistance). Hydrotherapy is useful in post-operative extremity (joint) rehabilitation (e.g., total hip or knee arthroplasty, total shoulder, elbow, and wrist arthroplasty). Most Payers will consider aquatic therapy […]
97112 CPT Code Description 97112 CPT Code: Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular re-education of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities. Examples include Proprioceptive Neuromuscular Facilitation (PNF), Feldenkreis, Bobath, BAP’S Boards, and desensitization techniques. Neuromuscular re-education may be considered medically necessary if at least […]
Basics of 97110 CPT Code CPT code 97110 is a therapeutic procedure, on one or more areas, each lasting 15 minutes. Therapeutic exercises are performed in either an active, active-assisted or passive (e.g., treadmill, isokinetic exercise, lumbar stabilization, stretching, strengthening) approach. The exercises may be reasonable and medically necessary for a loss or restriction of […]
Fixing claim rejections is not difficult once you know the reasons behind it. Note that since each payer/clearinghouse words the rejection message differently, there may be multiple messages listed for one entry. Payer ID Missing or Invalid This rejection is stating that the payer ID that was used on the claim is not valid for […]
