Billing code 97112 is a CPT procedure code for therapeutic procedures. This billing code means neuromuscular re-education of movement, balance, coordination, and kinesthetic sense. It also includes posture and/or proprioception for sitting and/or standing activities.
What does 97112 stand for?
The definition of 97112: Therapeutic procedure, one or more areas, each 15 minutes – Neuromuscular Reeducation of movement, balance, coordination, kinesthetic sense, posture and/or proprioception for sitting and/or standing activities.
What constitutes CPT 97110?
The 97110 CPT code describes foundational occupational therapy exercises that are designed to improve a patient’s strength, range of motion, endurance, or flexibility. They address issues with muscle weakness, stiffness, or a decreased range of motion.
What is the difference between CPT codes 97110?
If only one outcome is intended by the exercise, CPT code 97110 should be used. Where more than one outcome is expected using balance boards, fitness balls, stretch bands, etc. where increased motion, flexibility, strength and/or improved proprioception is intended, CPT code 97530 should be used.
Is 97112 a timed code?
The correct coding is 2 units of code 97112 and one unit of code 97110, assigning more timed units to the service that took the most time. 20 minutes of neuromuscular reeducation (97112) 20 minutes therapeutic exercise (97110), 40 Total timed code minutes. Appropriate billing for 40 minutes is for 3 units. Click to see full answer.
Who can Bill 97112 CPT code?
The CPT code 97112 assists patients in regaining their normal range of motion. Other BAP Boards treatments include Feldenkreis, Bobath, and Proprioceptive Neuromuscular Facilitation (PNF). CPT 97112 is available to stroke sufferers and others with neuromuscular transmission problems and muscle diseases.
Can CPT codes 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 CPT code for neuromuscular reeducation?
CPT 97112 – Neuromuscular Re-education: Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities.
Is CPT code 97112 A timed code?
The correct coding is 2 units of code 97112 and one unit of code 97110, assigning more timed units to the service that took the most time. 20 minutes of neuromuscular reeducation (97112) 20 minutes therapeutic exercise (97110), 40 Total timed code minutes. Appropriate billing for 40 minutes is for 3 units.
Does CPT 97112 need a modifier?
Neuromuscular re-education (97112), massage (97124), and joint mobilization (97140), require a 59 modifier on the preceding codes if done on separate regions from the chiropractic manipulation.
What qualifies as neuromuscular reeducation?
Introduction. Neuromuscular re-education is a technique used by rehabilitation therapists to restore normal movement. Together, your nerves and muscles work to produce movements. Nerves send signals between your muscles and your brain about when, where, and how fast to move.
Is CPT code 97112 physical therapy?
CPT® 97112, Under Physical Medicine and Rehabilitation Therapeutic Procedures. The Current Procedural Terminology (CPT®) code 97112 as maintained by American Medical Association, is a medical procedural code under the range - Physical Medicine and Rehabilitation Therapeutic Procedures.
What is neuromuscular reeducation used for?
Neuromuscular reeducation represents a series of therapeutic techniques to restore normal function of nerves and muscles, to include movement, balance, coordination, decreased kinesthetic sense, and impaired proprioception.
What is the difference between therapeutic exercise and therapeutic activities?
When a patient is expected to reach multiple outcomes by performing their therapeutic movements, they are engaging in an therapeutic activity. When only one outcome is expected, they are performing a therapeutic exercise.
How do you bill a physical therapy unit?
To calculate the number of billable units for a date of service, providers must add up the total minutes of skilled, one-on-one therapy and divide that total by 15. If eight or more minutes remain, you can bill one more unit.
What is the 8 minute rule?
The 8-minute rule states that to receive Medicare reimbursement, you must provide treatment for at least eight minutes. Using the “rule of eights,” billing units that are normally based on 15-minute increments spent with a patient can be standardized.
Can 97112 and 97530 be billed together?
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.