CPT^® 97012, Under Supervised Physical Medicine and Rehabilitation Modalities

The Current Procedural Terminology (CPT^®) code 97012 as maintained by American Medical Association, is a medical procedural code under the range - Supervised Physical Medicine and Rehabilitation Modalities.

Additional/Related Information

Tabs

Summary

Mechanical traction is a highly successful alternative to surgery. Techniques applied in mechanical traction are dependent on the patient's condition, disorder, tolerance level, and the spinal level to be treated. Traction may be applied intermittently or as a continuous force. The gentle traction force or weight helps in pulling away the vertebrae, thereby relieving pain, widening intervertebral foramen to relieve nerve root impingement, and increasing circulation and fluid movement within spinal discs. This treatment is very effective for patients suffering from DJD, herniated disc, general neck, arm, leg and back pain, carpal tunnel syndrome, etc.

For clinical responsibility, terminology, tips and additional info
start codify free trial.

View any code changes for 2024 as well as historical information on code creation and revision.

Crosswalks

Tabs

Combat the #1 denial reason - mismatched CPT-ICD-9 codes - with top Medicare carrier and private payer accepted diagnoses for the chosen CPT® code.

View the CPT® code's corresponding procedural code and DRG. In a click, check the DRG's IPPS allowable, length of stay, and more. To plug inpatient facility revenue drains, subscribe to DRG Coder today.

Crosswalk to an anesthesia code and its base units, and calculate payments in a snap! Subscribe to Anesthesia Coder today.

View matching HCPCS Level II codes and their definitions.

Forum

Have a question about CPT Code 97012 ? Start a discussion here

Use of ABN for Non-covered services with a CO denial

[USER=762881]@lorettah[/USER] Yes we have tried GA, GY and GP. These are other modalities codes bill with the manipulation codes for chiro. Example - 98940, 98941, or 98942 billed with 97012. Some pay... [ Read More ]

Coding for Physical Therapy.

I am also having issues billing 97012 and 97140-59 and being denied on 97140 that it cannot be done to the same anatomical site. I found coding/billing allowances in the link below. But in this parti... [ Read More ]

Coding for Physical Therapy.

I'm having issues with Anthem requesting modifiers and denying for modifiers on 97012,97110,97112. 97140. They are paying on 97012 code only. Any help would be greatly appreciated... [ Read More ]

UHC

UHC is killing me with denials for 97012, 97530, and 97110. I have always used mod -59, they have stated these are wrong modifiers now as of last month. I added GP now with a -59 and they are still de... [ Read More ]

Humana Denials

[QUOTE="nat0786, post: 467764, member: 567873"] I have noticed and increase in denials for Humana. The most common is do to inappropriate or missing modifier. Most common codes I bill out are 98941; ... [ Read More ]

Humana Denials

I am having issues with Humana as well. The patient is over 65, but is still working and has her insurance through her spouse. Humana is applying the 98941 to her deductible, but the 97012 and 97010 a... [ Read More ]

Humana Denials

I have noticed and increase in denials for Humana. The most common is do to inappropriate or missing modifier. Most common codes I bill out are 98941; 97110 and 97012. What modifiers do your practic... [ Read More ]

Chiropractic

Is there a way to bill adjustment codes ( 98941, 98942, 98942, 97012, etc) with Manual Therapy Codes ( 97140) or Massage therapy and get them covered in the same date of service?... [ Read More ]

Question / qustion urgent

Can someone advise if CPT 97012 for WC und OWCP and if it's okay to bill Traction/Mechanical Modality ([B]CPT code 97012[/B]) Please advise... [ Read More ]

View All