Report CPT 97530 in units of 15 minutes for one-on-one therapeutic activities that aim to improve the patient’s functional performance.
1. What Is CPT Code 97530?
CPT 97530 can be used for therapeutic activities. They are provided directly to the patient and aim to improve their functional performance.
This code can be billed for every 15 minutes of therapeutic activity.
The CPT book describes CPT 97530 as: “Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), every 15 minutes.”
The provider uses activities such as bending, lifting, catching, and other everyday movements in direct, one-on-one contact with the patient.
The provider chooses these activities to improve the patient’s functional performance, including physical mobility limitation, stability, strength, range of motion, and coordination.
These activities involve movement and are essential for medical rehabilitation. In addition, therapeutic activities provide several benefits for patients.
4. How To Use CPT 97530
Providers may use these activities not only in the restoration of function but also in the maintenance and prevention of dysfunction at various ability levels.
Report one unit of CPT 97530 for every 15 minutes of therapeutic activity.
For example, physical and occupational therapists collaborate for 30 minutes and provide therapeutic activities to a patient. Therefore, both PT and OT can bill one unit of CPT 97530.
The physical and occupational therapists can both bill one unit of 97530. Two distinct therapy assistants can also serve the same patient simultaneously, but the supervising therapist can only bill for one of the services.