The 97112 CPT code represents a therapeutic approach to neuromuscular reeducation. This intervention aims to improve the body’s functional abilities by addressing movement, balance, coordination, posture, kinesthetic experience, and proprioception. Commonly used in physical treatment, this code demonstrates the critical role of rehabilitation in restoring optimal neuromuscular function.
The CPT 97112 code is a time-based, total medical billing code categorized below physical medicine and rehabilitation methods. Each unit accounts for 15 minutes of direct patient touch with a qualified healthcare company, along with a bodily therapist, occupational therapist, or chiropractor.
This healing manner particularly targets the neuromuscular system, addressing issues that include muscle weakness, nerve disorders, or injuries affecting motor management. Healthcare specialists help sufferers regain electricity, stability, and right motion styles by employing personalized physical activities and strategies.
The 97112 CPT code descriptions embody hundreds of restoration techniques aimed closer at neuromuscular reeducation. These interventions are essential for humans with disabilities or accidents affecting the neuromuscular system.
These interventions are medically essential for conditions like nerve palsy, neurological injuries, or other impairments affecting motor function.
Healthcare providers must adhere to specific guidelines when billing the 97112 CPT codes:
The CMS guideline specifies that at least 8 minutes of treatment are required for one unit of 97112 CPT to be billed. Here’s a breakdown of treatment time and corresponding billable units:
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Units | Treatment Time (Minutes) |
1 | 08–22 |
2 | 23–37 |
3 | 38–52 |
4 | 53–67 |
The AMA permits summing up incremental intervals of treatment performed during a single session to calculate total billable time. Each unique service must be counted separately.
When billing CPT code 97112, use the appropriate physical therapy modifiers to indicate the plan of care:
|
Modifier |
Plan of Care |
|
GP |
Outpatient Physical Therapy |
|
GO |
Outpatient Occupational Therapy |
|
GN |
Outpatient Speech-Language Pathology |
|
CQ |
Physical Therapy by a Therapy Assistant |
|
CO |
Occupational Therapy by a Therapy Assistant |
Modifiers ensure accurate coding and documentation for reimbursement.
For successful reimbursement, physical therapy notes must include the following elements:
Key Reimbursement Points:
The CPT 97112 code description highlights its versatility in addressing various conditions:
By focusing on customized interventions, 97112 CPT guarantees patients regain independence and mobility.
The 97112 CPT code is a cornerstone of neuromuscular reeducation, emphasizing the importance of personalized therapeutic techniques. Whether addressing neurological accidents, persistent conditions, or post-surgical recovery, this code permits healthcare vendors to supply powerful rehabilitation.
When billing CPT 97112, correct documentation, appropriate modifiers, and devotion to medical coding regulations are important for maximizing reimbursement and ensuring high-quality care.
CPT code 97112 is used for neuromuscular reeducation. This includes practices that help patients recover balance, coordination, position, kinesthetic logic, and movement. It’s typically used in physical therapy and rehabilitation settings.
It may include therapeutic activities like balance training, proprioceptive neuromuscular facilitation (PNF), gait training, or postural control exercises. These methods help reeducate the anxious system and muscles later injury, disease, or surgery.
Providers bill 97112 when they deliver one-on-one sessions aimed at improving neuromuscular function in patients with conditions like stroke, traumatic brain injury, spinal cord injury, balance disorders, or post-surgical complications.
One unit of CPT code 97112 typically represents 15 minutes of direct, one-on-one contact with the patient.
Yes, but attention be contingent on medical need and proper documentation. Always include objective findings, patient-specific goals, and progress notes to support reimbursement.
Yes, but not for the same time period. You must provide different therapeutic interventions during separate time blocks to avoid unbundling errors or denials.
Sometimes, especially if multiple therapy services are performed on the same day. For example:
Always check payer-specific rules.
ICD-10 codes that often support neuromuscular reeducation (97112) include:
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