Demystifying Physical Therapy CPT Codes: A Guide for Patients and Providers

Physical therapy can be a powerful tool for regaining mobility, managing pain, and improving overall well-being. But for patients navigating the healthcare system, understanding the world of medical billing codes can be confusing. Here our aim is to shed light on Physical Therapy Current Procedural Terminology (CPT) codes, empowering both patients and healthcare providers in the USA.

What are CPT Codes?

CPT codes are a standardized system used by healthcare providers to report services rendered to patients. These codes categorize specific medical procedures, evaluations, and treatments. Physical therapy has its own designated set of CPT codes within the 97000 series.

Common Physical Therapy CPT Codes

Here's a glimpse into some frequently used CPT codes in physical therapy:

Evaluation Codes (97161-97164): These codes represent the initial assessment and evaluation performed by a physical therapist. The complexity of the evaluation determines the specific code used.

Therapeutic Exercise (97110): This code covers exercises designed to improve strength, flexibility, and range of motion.

Manual Therapy (97140): This code encompasses techniques like joint mobilization and manipulation performed by the therapist.

Gait Training (97116): This code addresses improving walking patterns and balance.

Modalities (97010-97039): These codes represent various physical agents used in therapy, such as hot/cold packs, electrical stimulation, and ultrasound.

Why are CPT Codes Important?

Understanding CPT codes is crucial for several reasons:

For Patients: Knowing the codes associated with your physical therapy plan allows you to better understand the services being provided and facilitates discussions with your therapist and insurance company.

For Providers: Accurate CPT coding ensures proper reimbursement for services rendered. Incorrect coding can lead to delays or denials in payment.

Working Together for Optimal Care

Clear communication between patients and physical therapists is essential. Don't hesitate to ask your therapist about the CPT codes associated with your treatment plan. They can explain the rationale behind the codes and answer any questions you may have. By working together and understanding CPT codes, patients can navigate their physical therapy journey with greater confidence, and providers can ensure efficient and accurate billing practices.

Therapist-Trusted Billing and Coding Company: Physical Therapy Certified Coders in Stars Pro

For over 15 years, Stars Pro has been a leading provider of physical therapy medical billing & coding services. Our team consists of physical therapy certified coders (PTCs) with extensive experience in PT billing and reimbursement. Our medical coders understand the unique challenges faced by physical therapy practices, and our expertise ensures accurate and efficient coding that maximizes your revenue potential.

Stars Pro goes beyond simply generating codes. We take pride in building trust with therapists. Our PTCs collaborate with you to ensure a deep understanding of your practice and treatment methods. This personalized approach translates to accurate coding that reflects the valuable services you provide. Partner with Stars Pro and experience the peace of mind that comes with knowing your billing is in the hands of trusted experts. For more information contact us, our team will assist you in your practice coding and billing matters.