Holistic home health care makes a speciality of treating the patient as complete beings by addressing their physical, mental, emotional, and religious needs. Unlike conventional approaches that more often than not target signs and symptoms, holistic well-being in home health care emphasizes overall being and preventive measures.
Physical Performance Testing Made Simple with 97750 CPT Code
Physical Performance Testing Made Simple with 97750 CPT Code Call Us Leave a Message Overall performance testing plays an important role in comparing a patient’s capacity to carry out daily obligations after accidents, surgeries, or illnesses. One of the largest pieces of equipment for this motive is the 97750 CPT code, also called the Functional Capacity Evaluation (FCE) CPT code. This blog post explores its use of hints and blessings in the element, presenting a complete guide for healthcare providers. What is CPT Code 97750? The 97750 CPT code represents a physical overall performance check conducted in 15-minute increments to evaluate a patient’s musculoskeletal and purposeful potential. These checks are essential for patients undergoing rehabilitation or making ready to return to work after an injury or illness. The results are compiled into an in-depth written record that enables healthcare provider’s layout personalized treatment plans. Key Features of 97750 CPT Code Timed-based code, billed in 15-minute increments. Requires direct patient-provider contact. It includes tasks we do every day, like personal care (ADLs) and more complex activities like managing household duties (IADLs). These activities are commonly addressed in physical therapy, occupational therapy, and chiropractic care. Areas of Assessment When making use of the CPT 97750, healthcare provider’s assess many areas of a patient’s functional capacity, such as: Activities of Daily Living (ADLs): Basic responsibilities include eating, bathing, and dressing. Complex duties like dealing with price range or cooking. Aerobic Capacity Instrumental Activities of Daily Living (IADLs): Assessing cardiovascular endurance. Balance and Equilibrium: Tests like the Timetabled Up and Go (TUG) test. Cognition: Evaluating mental abilities associated with bodily overall performance. Dexterity: Measuring great motor competencies. Functional Mobility: Ability to transport and perform bodily duties efficiently. What Tests Are Covered Under 97750 CPT Code? A sort of check falls beneath the 97750 CPT code descriptions, consisting of: 6-Minute Walk Test: Measures aerobic ability and residing power. Manual Muscle Testing (MMT): Evaluates strength. Range of Motion (ROM) Testing: Checks how well joints can move. Balance Evaluations: Includes dynamic and static balance exams. Special Musculoskeletal Tests: Focus on specific frame regions. About Us Our goal is to streamline your healthcare revenue cycle management, give you the financial freedom your practice deserves, and take control with a partner specializing in provider RCM optimization and services excellence. Our Services Medical Billing Services Credentialing & Enrollment Services Eligibility & Benefit Verification Services Prior & Authorization Services Denial Management Account Receivable Services Patient Statements & Inquires Revenue Cycle Management Services Management of EOBs & ERAs Financial Reporting HIPAA Compliant Out Of Network Negotiation Services Recent Blogs All Post Medical Uncategorised Uncategorized Physical Performance Testing Made Simple with 97750 CPT Code December 9, 2024 CPT Code 97124 Guides to Massage Therapy Billing and Coding December 6, 2024 What Are Personal Care Services? December 5, 2024 Company Info Access essential company data with a simple click through the ‘Download Company Info’ feature. Download Info Let’s Talk +1 (917) 994-9941 3811 Ditmars Blvd# 1124, Astoria, NY 11105 Contact Us Our Info! Coding Guidelines for CPT Code 97750 Healthcare providers need to comply with strict pointers while billing CPT 97750 to make certain accurate repayments: Direct Contact: The issuer should spend a minimum of eight minutes in direct patient touch for one unit of 97750 to be billed. Modifier Requirements: Appropriate modifiers (e.g., GP, GO, GN) must be used primarily based on the plan of care. Documentation: The report must include: Tests performed. Data collected. Influences on the patient’s plan of care. CMS 8-Minute Rule: A unit is billed for every 15 minutes, starting from 8 minutes of service. Bill in 15-Minute Increments The 97750 CPT code is scheduled and is billed in 15-minute blocks. Providers must report one unit when the performance test lasts up to 22 minutes, with additional units added based on the total time spent with the patient. Billing Units Test Duration Details 1 unit 8-22 minutes Direct contact testing lasts at least 8 minutes and can go up to 22 2 units 23-37 minutes Direct contact testing lasts at least 23 minutes and can go up to 37 minutes. 3 units 38-52 minutes Direct contact testing lasts at least 38 minutes and can go up to 52 minutes 4 units 53-67 minutes Direct contact testing lasts at least 53 minutes and can go up to 67 minutes. 5 units 68-82 minutes Direct contact testing lasts at least 68 minutes and can go up to 82 minutes. 6 units 83-97 minutes Direct contact testing lasts at least 83 minutes and can go up to 97 minutes. 7 units 98-112 minutes Direct contact testing lasts at least 98 minutes and can go up to 112 minutes. 8 units 113-127 minutes Direct contact testing lasts at least 113 minutes and can go up to 127 minutes. Append Appropriate Physical Therapy Modifiers Modifiers are essential for accurately billing the 97750 CPT code and providing additional information about the service. Below are some common modifiers used with this code: GO: Used for services at an outpatient occupational therapy centre. GP: Used for services at an outpatient physical therapy centre. 76: The same procedure was repeated by the same doctor. 77: The same procedure was repeated by a different doctor. KX: The therapy is medically necessary and exceeds the annual threshold set by Medicare (e.g., $2,330 for 2025). 59: Used when another separate service was performed on the same day. Common Applications of 97750 CPT Code The 97750 CPT code definitions include several scenarios where physical performance tests are necessary: Pre-Employment ScreeningUsed by employers to assess candidates’ physical readiness for demanding roles, such as law enforcement or healthcare workers. Workers’ Compensation CasesEvaluate whether injured employees can resume work and identify potential limitations. Rehabilitation Progress EvaluationTracks recovery milestones during physical rehabilitation to refine treatment plans. Disability AssessmentsSupports disability claims by documenting the patient’s inability to perform work-related tasks. Common Applications of 97750 CPT Code The 97750 CPT code definitions include several scenarios where physical performance tests are necessary: Pre-Employment ScreeningUsed by employers to assess
CPT Code 97124 Guides to Massage Therapy Billing and Coding
CPT 97124 Guides to Massage Therapy Billing and Coding Call Us Leave a Message CPT code 97124 is specifically designed for billing therapeutic massage procedures conducted by qualified healthcare professionals. Understanding the nuances of this code is essential for proper reimbursement and compliance with medical billing standards. This guide will break down everything you need about CPT 97124, including its definition, applications, and documentation requirements. What is CPT Code 97124? CPT 97124 refers to a time-based therapeutic procedure for massage therapy. Each session includes 15-minute increments and encompasses techniques such as effleurage, petrissage, Tapotement, and deep friction massage. Key Details: Category: Physical and Rehabilitation Therapy Code Type: Time-based (15-minute increments) Add-on Code: Not applicable This code is primarily used when a qualified healthcare professional administers massage therapy to address specific medical conditions in a clinical setting. For example, CPT code 97124 may improve muscle function and circulation through targeted therapeutic techniques. Who Can Perform CPT 97124 Services? The following professionals are eligible to perform and bill for services under CPT 97124: Physical Therapists Occupational Therapists Chiropractors Physical Therapy Assistants (PTA) Occupational Therapy Assistants (OTA) Massage Therapists Physicians Important: CPT 97124 does not cover myofascial release techniques, which should instead be billed under CPT 97140. Types of Massage Therapy Techniques Included in CPT 97124 Massage therapy billed under CPT 97124 includes Swedish massage techniques aimed at improving muscle relaxation, circulation, and function. Here are the core techniques: Effleurage (Stroking) Effleurage involves smooth, flowing strokes that promote relaxation and increase blood and lymphatic circulation. This technique is typically used at the beginning or end of a massage session. Benefits: Enhances muscle relaxation Reduces stress in stiff joints Improves lymphatic drainage post-surgery or injury Tapotement (Percussion) Tapotement delivers rhythmic, percussive taps using cupped hands, fingertips, or the edge of the hand. It targets larger muscle groups like the gluteus maximus while avoiding bony areas. Benefits: Stimulates skin and muscle reflexes Improves circulation by flushing toxins Petrissage (Compression) This kneading technique applies deep pressure to release muscle tension, reduce soreness, and improve circulation. Benefits: Loosens tight muscle fibers Reduces delayed-onset muscle soreness (DOMS) Breaks down adhesions from injury or surgery Deep Friction Massage Deep friction massage applies firm pressure to underlying tissues, mobilizing adhesions and improving range of motion (ROM). Goal: Prevent or release scar tissue to restore functional movement. About Us Our goal is to streamline your healthcare revenue cycle management, give you the financial freedom your practice deserves, and take control with a partner specializing in provider RCM optimization and services excellence. Our Services Medical Billing Services Credentialing & Enrollment Services Eligibility & Benefit Verification Services Prior & Authorization Services Denial Management Account Receivable Services Patient Statements & Inquires Revenue Cycle Management Services Management of EOBs & ERAs Financial Reporting HIPAA Compliant Out Of Network Negotiation Services Recent Blogs All Post Medical Uncategorised CPT Code 72148 – MRI Lumbar Spine without Contrast – Comprehensive Billing Guide July 29, 2025 CPT Code 72146 – MRI of Lumbar Spine Without Dye July 25, 2025 CPT Code 72141 Guide – Cervical Spine MRI without Contrast July 23, 2025 Let’s Talk +1 (917) 994-9941 3811 Ditmars Blvd# 1124, Astoria, NY 11105 Contact Us Coding Guidelines for CPT 97124 Proper coding is essential for accurate reimbursement and compliance. Here are the main guidelines: Timed Procedure Code CPT 97124 is billed in 15-minute increments. CMS 8-Minute Rule: At least 8 minutes of direct contact must be provided to bill a single unit. Unit Calculation Units Minutes 1 8-22 2 23-37 3 38-52 4 53-67 Physical Therapy Modifiers Certain modifiers are required to specify the type of service provider: GP: Physical Therapy GO: Occupational Therapy GN: Speech-Language Pathology CQ: Services by a PTA CO: Services by an OTA Documentation Requirements To ensure successful reimbursement, the following must be documented: Medical Necessity: Evidence that the therapy addresses a specific condition (e.g., muscle contracture, decreased ROM, soft tissue adhesions). Direct Contact Time: Start and end times for each session. Therapeutic Goals: How massage therapy contributes to the patient’s overall treatment plan. Common Restrictions for CPT 97124 Myofascial release (CPT 97140) cannot be billed under CPT 97124. Services like massage chairs and water massage beds are not covered. Percussion techniques for postural drainage must be billed under alternative codes. Medical Necessity and Reimbursement Guidelines Massage therapy under CPT 97124 is considered medically necessary if it addresses conditions such as: Muscle spasticity and tightness Soft tissue adhesions Post-injury or post-surgery recovery Lymphatic drainage to reduce oedema To qualify for reimbursement: The therapy must be part of a certified treatment plan. Improvement in the patient’s condition must be measurable and documented. Maintenance therapy must demonstrate a need for professional assistance. Tip: For myofascial release or manual lymphedema drainage, use the appropriate 97140 CPT code to avoid claim denials. Aligning your documentation with the 97124 CPT code description ensures accuracy. Conclusion CPT code 97124 offers an invaluable tool for billing therapeutic massage techniques, but it requires meticulous documentation and adherence to coding guidelines. If you’re navigating the complexities of massage therapy billing, partnering with a professional billing company like Cures Medical Billing can ensure accurate claims, reduce denials, and maximize reimbursements. Contact us today to simplify your medical billing process. Frequently Asked Questions (FAQs) What is CPT 97124 used for? For therapeutic massage to treat pain, stiffness, or improve circulation, using techniques like effleurage, Petrissage, or Tapotement. Is CPT 97124 a timed code? Yes. Each unit represents 15 minutes of one-on-one therapy. Can CPT 97124 be billed with 97140? Yes, but only if the services are distinct, medically necessary, and properly documented. Who can bill CPT 97124? Licensed physical therapists, occupational therapists, or other qualified healthcare providers. Does insurance cover CPT 97124? Many payers do, but only when it’s medically necessary and supported by documentation. What are common modifiers used with CPT 97124? Modifier 59 (distinct procedural service) and GP/GO for therapy plan of care requirements. States We Serve Discover Cures Medical Billing Services Across Different States Florida FL New York NY Maryland ML
