Reimbursement Codes

ICD-10 (ICD-10-CM) | On October 1, 2015, ICD-10-CM code sets replaced ICD-9-CM to report diagnoses and inpatient procedures.  The transition affected all entities and providers covered by Health Insurance Portability Accountability Act (HIPAA).

Read more on the APTA website  

CPT Codes | The following codes may apply:

97110 Therapeutic procedure, one or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility.
97112 Neuromuscular re-education of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities.
97116 Gait Training (includes stair climbing).
97530 Therapeutic activities, direct (one-on-one) patient contact by the provider (use of dynamic activities to improve functional performance), each 15 minutes.
97750 Physical performance test or measurement (E.g. Musculoskeletal, functional capacity) with written report, each 15 minutes.

NOTE: Reimbursement amounts vary among plans and states.


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