A Quick Review of CPT Codes and ICD-10 Codes
CPT stands for Current Procedural Terminology and are published by the American Medical Association. Ranging from 00100 to 99499, the CPT codes are used to describe medical, surgical, and diagnostic services and procedures.
Medical professionals like Physical Therapists use CPT codes to classify the treatment of diagnoses. ICD-9 Codes (International Classification of Diseases 9th edition) are used to classify signs, symptoms, injuries, diseases, and conditions.
The idea is that the CPT code (treatment, service, procedure) matches up logically with the ICD-10 code (the symptom, injury, etc.). If the CPT code doesn’t support the ICD-10 code, you’ll have a problem – and you’ll likely have trouble getting reimbursed.
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Common Physical Therapy CPT Codes
The most commonly used CPT codes for Physical Therapy are listed below. For example, the CPT code for therapeutic exercise is 97110. The CPT code is listed on the left, the name of the code is in the middle and the description is in the right column.
|Physical Therapy Evaluation CPT
|Occupational Therapy Evaluation CPT
|97164||Physical Therapy Re-evaluation|
|97168||Occupational Therapy Re-evaluation|
|97010||Hot or Cold Packs Application of a modality to one or more areas; hot or cold packs|
|97012||Mechanical Traction||Application of a modality to one or more areas; traction, mechanical|
|97014||Electrical Stimulation (unattended)||Application of a modality to one or more areas; electrical stimulation (unattended)|
|97016||Vasopneumatic Device||Application of a modality to one or more areas; vasopneumatic devices|
|97018||Paraffin bath||Application of a modality to one or more areas; paraffin bath|
|97022||Whirlpool||Application of a modality to one or more areas; whirlpool|
|97024||Diathermy||Application of a modality to one or more areas; diathermy (eg, microwave)|
|97026||Infrared||Application of a modality to one or more areas; infrared|
|97028||Ultraviolet||Application of a modality to one or more areas; ultraviolet|
|97032||Electrical Stimulation (manual)||Application of a modality to one or more areas; electrical stimulation (manual), each 15 minutes|
|97033||Iontophoresis||Application of a modality to one or more areas; iontophoresis, each 15 minutes|
|97034||Contrast Bath||Application of a modality to one or more areas; contrast baths, each 15 minutes|
|97035||Ultrasound||Application of a modality to one or more areas; ultrasound, each 15 minutes|
|97036||Hubbard Tank||Application of a modality to one or more areas; Hubbard tank, each 15 minutes|
|97110||Therapeutic Exercise||Therapeutic procedure, one or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion, and flexibility. (Generally describes a service aimed at improving a single parameter, such as strength, ROM, etc.)|
|97112||Neuromuscular Re-education||Therapeutic procedure, one or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities|
|97113||Aquatic Therapy||Therapeutic procedure, one or more areas, each 15 minutes; aquatic therapy with therapeutic exercise|
|97116||Gait Training||Skilled improvement of gait, includes stair climbing|
|97124||Massage Therapeutic||procedure, one or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion)|
|97140||Manual Therapy Techniques||Skilled manual therapy techniques (mobilization, manual lymphatic drainage, manual traction), one or more regions, each 15 minutes. ( PROM is NOT manual therapy)|
|97530||Therapeutic Activity||Use of dynamic activities to improve functional performance. Describes the activities that use multiple parameters (strength, ROM, balance, etc) together and focus and achieving functional activity.|
|97535||Self Care / Home Management||Self care/home management training (ADL and compensatory training, meal preparation, safety procedures and instructions in the use of assistive technology devices/adaptive equipment)|
|97542||Wheelchair Management||Wheelchair Management (eg, assessment, fitting, training), each 15 minutes|
|97760||Orthotic Management||Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(s), lower extremity(s) and/or trunk, each 15 minutes|
|97761||Prosthetic Management||Prosthetic training, upper and/or lower extremity(s), each 15 minutes|
|97762||Orthotic/Prosthetic Checkout||Checkout for orthotic/prosthetic use, established patient, each 15 minutes|
|97150||Group Therapeutic||procedure(s), group (2 or more individuals)|