What Is Procedure Code 97116?

by | Last updated on January 24, 2024

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97116 CPT Code Description:

Therapeutic procedure, one or more areas, each 15 minutes; gait training (includes stair climbing)

. The clinician instructs the patient in specific activities that will facilitate ambulation and stair climbing with or without an assistive device.

What is procedure code 92567?

92567

Tympanometry (impedance testing)

92568 Acoustic reflex testing, threshold. … 92570 Acoustic immittance testing, includes tympanometry (impedance testing), acoustic reflex threshold testing, and acoustic reflex decay testing.

Does CPT code 97116 need a modifier?

Some other therapy code combinations that require Modifier 59 to enable the codes to be billed individually on the same day are: 97530 (Therapeutic Activity) and 97116 (

Gait Training

) 97530 (Therapeutic Activity) and 97535 (ADL)

Is 97116 a timed code?

For example, a patient under a PT plan of care receives skilled treatment consisting of 20 minutes of therapeutic exercise (CPT 97110) and 20 minutes of

gait training

(CPT 97116). The total “Timed Code Treatment Minutes” documented will be 40 minutes.

What is the CPT code for gait training?

CPT Code Description Timed? 97110 Therapeutic Exercises Y 97112 Neuromuscular Re Education Y 97113 Aquatic Therapy/Exercises Y
97116

Gait Training Y

What is the difference between CPT code 92551 and 92552?

The medical billing CPT code 92552 means pure tone audiometry; air only. … The difference between 92551 and 92552 is

slight

, but very important when doing medical billing. 92552 changes both intensity and frequency while 92551 only changes frequency while the intensity stays the same.

Can 69210 and 92567 be billed together?

e. 69210 is not to be used for billing of removal of non-impacted cerumen – use an appropriate E&M code instead.

3 g. 69210 is allowed when billed in conjunction

with one of the following: 92550, 92552, 92553, 92556, 92567, 92570, 92579, 92582, 92587.

What does CPT code 64450 mean?

Looking at the lateral branch nerve is a peripheral nerve and would be reported with CPT code 64450,

Injection, anesthetic agent; other peripheral nerve or branch

, when a lateral branch nerve block is performed.

Can CPT code 97110 and 97140 be billed together?

Count the first 30 minutes of 97110 as two full units. Compare the remaining time for 97110 (33-30 = 3 minutes) to the time spent on 97140 (7 minutes) and bill the larger, which is 97140. 1. Restricted to one procedure per date of service (

cannot bill two together

for the same date of service.)

Can these CPT codes be billed together?


Many procedure codes should not be reported together because they are mutually exclusive of each other

. Mutually exclusive procedures cannot reasonably be performed at the same anatomic site or same beneficiary encounter.

What is a 59 modifier?

CPT modifier 59 is used to

identify procedures/services

, other than E/M services, that are not normally reported together but are appropriate under the circumstances.

Is 97014 a timed code?

CPT 97014/G0283 is appropriate for

pad-based e-stim

, which requires supervision only. Although this is not a time-based service, accepted protocols require 15 minutes to as much as 30 minutes of treatment. … This is a time-based service reported in 15-minute units.

What is a category code?

Remember that in ICD codes the ‘category’ refers to

the first three characters of the code

, which describe the injury or disease documented by the healthcare provider. With CPT, ‘Category’ refers to the division of the code set.

What does CPT code 97012 mean?

From a CPT® coding perspective, 97012 is a

physical medicine mechanical traction modality that does not require attendance

.

What is the code 90471?

Report codes 90471-90474 for

immunization administration of any vaccine

that is not accompanied by face-to-face physician or other qualified health care professional counseling the patient and/or family, or for patients over 18 years of age.

Can you bill an office visit with cerumen removal?

Payers typically will not cover simple, non-impacted earwax removal. This work is included in E/M services and should not be reported separately with E/M services when performed. If impacted earwax is removed by irrigation or lavage only, use

CPT 69209

.

Charlene Dyck
Author
Charlene Dyck
Charlene is a software developer and technology expert with a degree in computer science. She has worked for major tech companies and has a keen understanding of how computers and electronics work. Sarah is also an advocate for digital privacy and security.