Therapeutic activity CPT code

• 97530: Therapeutic activities, direct (one-on-one) patient contact by the provider (use of dynamic activities to improve functional performance).
• 97110: Therapeutic exercises to develop strength, endurance, range of motion, and flexibility.
• 97535: Self-care home management training (e.g., activities of daily living).
• 97150: Group therapeutic procedures (use of functional activities to improve functional performance)

What is CPT 97530 therapeutic activities?

CPT 97530 is a billing code used in physical therapy to describe therapeutic activities that focus on improving functional performance. This may include exercises, activities, and techniques designed to improve strength, endurance, flexibility, and coordination. The goal of these therapeutic activities is to help patients restore or improve their ability to perform daily tasks and activities.

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How to bill for therapeutic activities

• • Typically categorized under occupational therapy, physical therapy, or speech therapy services.
  • May include:
    • Exercises and functional tasks.
    • Sensory integration activities.
    • Cognitive activities.
    • Other interventions aimed at improving functional abilities and achieving therapeutic goals.
• When Billing for Therapeutic Activities:
  • Therapists must use the appropriate CPT codes to describe services accurately.
• Common CPT Codes:
  • Occupational Therapy:
    • 97530: Therapeutic activities.
    • 97535: Self-care/home management training.
  • Physical Therapy:
    • 97110: Therapeutic exercises.
    • 97112: Neuromuscular reeducation.
    • 97150: Group therapeutic procedures.

What is the difference between 97530 and 97535

• • Code 97530: Therapeutic Activities
    • Focuses on using functional activities to improve a patient’s functional performance.
    • Involves direct one-on-one contact between the therapist and the patient.
    • Examples include:
      • Range of motion exercises.
      • Balance and coordination activities.
      • Therapeutic exercises.
  • Code 97535: Self-care/Home Management Training
    • Involves teaching patients to perform activities of daily living (ADLs) and home management tasks.
    • Examples include:
      • Grooming, bathing, dressing, and feeding.
      • Meal preparation and household chores.
    • Typically provided with direct one-on-one contact between the therapist and the patient.

Note: Both codes are crucial for accurate documentation and reimbursement in medical billing, ensuring that therapeutic services are tailored to the patient’s specific needs.

Can cpt code 97530 and 97535 be billed together?

No, CPT codes 97530 and 97535 cannot be billed together. These codes are considered mutually exclusive by insurance payers and should not be reported on the same date of service for the same patient. Each code represents a distinct type of therapy service and should be billed separately based on the specific treatment and documentation provided.

What is the difference between CPT code 97014 and 97032

CPT code 97014 is used for electrical stimulation therapy, which involves the use of electrical currents to stimulate nerves and muscles. This therapy is often used to help relieve pain and improve muscle function. CPT code 97032 is used for electrical stimulation for wound care. This therapy uses electrical currents to help heal wounds, by promoting cell growth and improving circulation. In summary, the main difference between CPT code 97014 and 97032 is the specific purpose of the electrical stimulation therapy – 97014 is for general pain relief and muscle function, while 97032 is specifically for wound care.

What is the replacement code for 97014

The replacement code for 97014 is 97164.

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