CPT^® 97112, Under Physical Medicine and Rehabilitation Therapeutic Procedures

The Current Procedural Terminology (CPT^®) code 97112 as maintained by American Medical Association, is a medical procedural code under the range - Physical Medicine and Rehabilitation Therapeutic Procedures.

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Summary

Neuromuscular reeducation is a therapeutic treatment (exercise) performed by a physician in an attempt to reduce impairments and restore function through the application of clinical skills and/or services. The use of these procedures is expected to result in improvement of the limitations/deficits in a reasonable and generally predictable period of time. The exercises increase the communication between the brain and the contracting muscles of issue. The proprioceptive system provides feedback on the status of the body internally. It is the sense that indicates whether the body is moving with required effort, as well as location of various parts of the body in relation to each other and external objects.

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Can Massage Therapist bill Physical Therapist Codes in IL

Can IL a massage therapist bills for these physical therapy codes. We need to validate if a massage therapist is allowed to bill these CPT codes. 97110 (therapeutic exercise) 97112 (neuromuscular r... [ Read More ]

99215 Included in global fee of another procedure- what to do?

I have a provider who bills 99215, 97112 and 90901 together, often with the same primary diagnosis. The E/M continues to not get paid as it is processing under global with other codes. Appealing has ... [ Read More ]

Biofeedback training only Fecal. Urge Incontinence

Code 90912 and `+90913 based on time spent. Diagnoses may include N39.3, R15.0, 1, 2, or N39.41. For EMG bill 51784 only when used for diagnosis and not with biofeedback. For a separate ano-rectal man... [ Read More ]

Ins denial, is patient responsible?

If insurance company denies claim due to coding, is the patient responsible or does the provider have to write off? Example 99215 w/ mod 25 and 97112. Insurance denied the E/M code, this was appeale... [ Read More ]

Trouble billing 99215 with other procedures

Hello, I am having a hard time getting info on why 99215 gets denied as incidental when billing it with 97112 and 90901. I am using modifier 25 on the E/M code. These are the denial codes: ... [ Read More ]

BCBS & ICD-10 Codes for PT

Hello, we recently started getting random denials from BCBS stating "the diagnosis code(s) submitted is inconsistent with ICD-10 CM coding guidelines. From what we can find, we are not seeing anythin... [ Read More ]

Therapy Time Documentation of Individual Timed CPT (Not total time, in/out total session time or minute duration) #97110 #physicaltherapy #therapy #time #units

Therapy auditors - does anyone have clear, official policy or guidelines (not Medicare) that clearly state a therapy provider must document the exact start and stop time (e.g. 8:00am-8:15am) for each ... [ Read More ]

OT/PT Home Visits

[QUOTE="Mdpaules8, post: 505582, member: 767461"] Speaking as a OT, I would bill the codes such as 97535, 97530, 97110, 97112, 97542 generally speaking. As far as modifiers I am not sure. I just got m... [ Read More ]

OT/PT Home Visits

Speaking as a OT, I would bill the codes such as 97535, 97530, 97110, 97112, 97542 generally speaking. As far as modifiers I am not sure. I just got my CPB so still learning, but I have been an OT wor... [ Read More ]

Ambetter denying 97112 for missing or invalid modifier with 99213-95

I have a patient who was seen for a virtual visit at our facility and the provider (or his MA) included coding for a handout of patient exercises (Neuromuscular Reeducation, apparently). I put the 95 ... [ Read More ]

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