How To Use CPT Code 97110

CPT 97110 describes a therapeutic procedure that involves the use of therapeutic exercises to develop strength and endurance, range of motion, and flexibility. This article will cover the official description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, similar codes and billing examples.

1. What is CPT Code 97110?

CPT 97110 is a code used to describe a therapeutic procedure that utilizes therapeutic exercises to improve strength, endurance, range of motion, and flexibility. These exercises are specifically designed to meet the needs of each individual patient and can be used for rehabilitation purposes or to enhance overall health and well-being.

2. Official Description

The official description of CPT code 97110 is: ‘Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility.’

3. Procedure

1. The healthcare provider spends 15 minutes with the patient, guiding them through therapeutic exercises tailored to their specific needs.

4. Qualifying circumstances

CPT 97110 is appropriate for patients who require therapeutic exercises to improve strength, endurance, range of motion, and flexibility. This code can be used for patients with injury-related disabilities, those recovering from surgery, pregnant individuals looking to maintain overall health, and individuals with conditions such as osteoporosis. The exercises are designed to suit each patient’s needs and are typically performed under the guidance of a physical therapist or healthcare provider.

5. When to use CPT code 97110

CPT code 97110 should be used when a patient undergoes a therapeutic procedure involving therapeutic exercises to develop strength and endurance, range of motion, and flexibility. It is important to note that this code should not be used for other types of therapeutic procedures or interventions.

6. Documentation requirements

To support a claim for CPT code 97110, the healthcare provider must document the following information:

• Patient’s diagnosis or condition necessitating therapeutic exercises
• Specific therapeutic exercises performed during the session
• Date and duration of the session
• Progress made by the patient
• Signature of the healthcare provider

7. Billing guidelines

When billing for CPT code 97110, ensure that the therapeutic procedure involves therapeutic exercises to develop strength and endurance, range of motion, and flexibility. It is important to follow the specific guidelines provided by the payer and accurately report the duration of the session. Additionally, be aware of any bundling or unbundling rules that may apply to this code.

8. Historical information

CPT code 97110 was added to the Current Procedural Terminology system on January 1, 1990. The code underwent a change on January 1, 2010, with an updated description that reflects the therapeutic exercises involved in the procedure.

9. Examples

1. A physical therapist guiding a patient through therapeutic exercises to improve strength and flexibility in their injured shoulder.
2. A healthcare provider leading a pregnant individual through exercises to maintain overall health and prepare for childbirth.
3. A physical therapist working with a patient recovering from knee surgery, focusing on exercises to regain range of motion and strength.
4. A healthcare provider guiding an individual with osteoporosis through exercises to improve bone density and reduce the risk of fractures.
5. A physical therapist assisting a patient with a chronic condition in performing exercises to manage pain and improve mobility.
6. A healthcare provider leading a group exercise class for individuals with arthritis, focusing on exercises to improve joint flexibility and reduce pain.
7. A physical therapist guiding a patient through exercises to improve balance and coordination after a stroke.
8. A healthcare provider working with an individual recovering from a sports injury, focusing on exercises to regain strength and agility.
9. A physical therapist assisting a patient with multiple sclerosis in performing exercises to maintain mobility and manage symptoms.
10. A healthcare provider guiding an individual with Parkinson’s disease through exercises to improve motor function and balance.