CPT code 97535 can be used for self-care and home management training services and may be billed every 15 minutes.
What Is CPT Code 97535?
CPT 97535 describes self-care and home management training services and can be billed for every 15 minutes of provided care.
CPT code 97535 covers training for activities of daily living (ADLs) and compensatory training.
ADLs are tasks and actions that are performed daily, such as walking, eating, dressing, and grooming, that are essential for maintaining physical and mental well-being.
Compensatory training refers to techniques or strategies used to compensate for or compensate for the loss of function resulting from an illness, injury, or disability.
CPT 97535 also covers meal preparation, safety procedures, and assistive technology devices/adaptive equipment instructions.
Assistive technology devices and adaptive equipment are specialized tools that can help individuals with disabilities perform tasks they would otherwise be unable to.
This could include wheelchairs, walkers, prosthetic devices, and specialized software or equipment to aid communication or mobility.
The CPT book describes CPT code 97535 as: “Self-care/home management training (e.g., activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in the use of assistive technology devices/adaptive equipment) direct one-on-one contact, every 15 minutes.”
Providing clear and comprehensive guidance can significantly aid the recovery process and help the patient regain independence and return to their regular daily routine.
One aspect of this instruction focuses on the Activities of Daily Living (ADLs). These are tasks and actions that are commonly performed daily. For example, walking, eating, dressing, and grooming.
They are essential for maintaining physical and mental well-being and are often used to measure a person’s functional abilities.
It is the provider’s responsibility to evaluate a patient’s current ability to perform ADLs and provide them with the necessary instruction and support to help them improve and regain their independence in these areas.
This may involve providing guidance on proper technique, offering adaptive equipment or devices, and creating a customized exercise and rehabilitation program to help the patient build strength and improve their overall function.
The healthcare provider can also educate the patient and their caregivers on how to safely perform ADLs at home and provide tips on maintaining their progress once they are discharged from care.
This can include providing written instruction, demonstration, and practice to ensure the patient understands how to perform the tasks safely and effectively.