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97140 CPT Code Physical Therapy - Manual Treatment Guide

97140 cpt code physical therapy

The American Medical Association (AMA) defines CPT code 97140 as a manual therapy technique. It involves hands-on methods like manipulation and mobilization. Physical therapists and occupational therapists use this code for billing.

They apply these techniques to improve function or manage pain. Therapists need to have specific goals for each body region. This is to show the medical need for 97140 CPT code physical therapy.

It's important to document each session well. This includes the techniques used, where they were applied, and how long they lasted. This code is often used for musculoskeletal pain caused by mechanical issues.

For detailed information on CPT acupuncture codes, explore our comprehensive guide here.

Key Takeaways

  • 97140 CPT code physical therapy is a key part of manual therapy for physical therapists, used in almost every practice.
  • The 97140 code is a timed code, where each unit requires 15 minutes of direct patient care from a qualified professional.
  • Manual therapy techniques, described by CPT code 97140, aim to improve functional performance and manage pain in various body regions.
  • Therapists must focus on documentation to provide high-quality care and receive appropriate reimbursement for 97140 services.
  • Compliance with regulations is crucial when using 97140 CPT code physical therapy to ensure necessary certifications for manual therapy techniques.

Understanding 97140 CPT Code Physical Therapy Essentials

Getting the right CPT codes is key for billing and getting paid for physical therapy. The 97140 cpt code physical therapy is used for manual therapy techniques. Healthcare pros need to know the rules for using this code to get the best financial results.

Medical Necessity Requirements

The 97140 CPT code physical therapy for manual therapy needs solid reasons for use. Providers must show how the therapy helps the patient. This proves the therapy is needed.

Documentation Guidelines for Reimbursement

Good documentation is vital for getting paid with 97140 CPT code physical therapy. Clinicians should detail the therapy, where it's done, and how long it takes. Important details include how the patient is doing, progress, and the therapy's success.

Time Requirements and Units Calculation

The 97140 code uses an 8-minute rule for billing. For example, 35 minutes of therapy is billed as 2 units. 38 minutes is billed as 3 units. Providers must track time to bill correctly and follow payer rules.

Knowing the basics of CPT code 97140 is crucial for physical therapy to get paid well, follow rules, and give great care.

Manual Therapy Techniques and Applications

Physical therapists use many manual therapy techniques covered by 97140 CPT code physical therapy. These include soft-tissue manipulation and joint mobilization. They also use manual trigger point therapy and joint manipulation/thrust.

Other techniques include transverse frictional massage and muscle energy techniques. Soft tissue mobilization, mobilizations with movement, and functional mobilization are also used. Post-isometric relaxation, scar mobilization, and myofascial release are part of the toolkit. Strain-counter-strain, craniosacral therapy, Active Release Technique (ART), Feldenkrais, and augmented soft-tissue mobilization (e.g., Graston) round out the list.

These hands-on methods aim to improve tissue extensibility and joint range of motion. They also help reduce soft tissue swelling. This enhances functional mobility and manages pain.

Unlike therapeutic exercises (97140 CPT code physical therapy), manual therapy directly manipulates the musculoskeletal system. It aims to restore proper alignment and function for overall well-being.

Accurate documentation and time-tracking are key when billing for manual therapy services under CPT code 97140. Reimbursement is based on 15-minute increments. Working with a billing service that specializes in physical therapy coding can help. It ensures proper billing and frees up therapists to focus on patient care.

FAQ

What is CPT code 97140?

CPT code 97140 is a code from the American Medical Association (AMA). It covers manual therapy techniques for 15 minutes or more. This includes manipulation, mobilization, and more. It's for billing procedures that help improve function or manage pain.

What are the medical necessity requirements for using CPT code 97140?

To use CPT code 97140, you need to show it's medically necessary. This means explaining why skilled therapy is needed. Therapists must have goals for improving function in specific areas.

What are the documentation guidelines for billing CPT code 97140?

When billing CPT code 97140, you must document several things. This includes the clinical reasons, the techniques used, and where they were applied. You also need to show progress toward goals and how the patient responded.

How are the time requirements and units calculated for CPT code 97140?

Billing for CPT code 97140 follows the 8-minute rule. For example, 35 minutes of treatment is billed as 2 units. 38 minutes is billed as 3 units. CMS also requires more documentation every ten visits.

What manual therapy techniques are covered under CPT code 97140?

CPT code 97140 covers many manual therapy techniques. These include soft-tissue techniques, joint mobilization, and more. It also includes muscle energy techniques and functional mobilization. Other techniques like myofascial release and strain-counter-strain are also covered.

November 15, 2024
 - by Sebastian Orozco

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