Therapy and Acupuncture CPT code list


Therapeutic Procedures

Physician or therapist required to have direct (one-on-one) patient contact. The therapeutic procedures, for one or more areas, each 15 minutes interval is as follows:

• 97110 Therapeutic exercises to develop strength and endurance, range of motion and flexibility

• 97112 Neuromuscular reeducation of movement, balance, coordination, kinesthetic senses, posture, and/or proprioception for sitting and/or standing activities

• 97113 Aquatic therapy with therapeutic exercises

• 97116 Gait training (includes stair climbing)

• 97124 Massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion)

• 97140 Manual therapy techniques, one or more regions, each 15 minutes

• 97150 Therapeutic procedure(s), group (2 or more individuals)

• 97530 Therapeutic activities, direct (one-on-one) patient contact by the provider (use of dynamic activities to improve functional performance), each 15 minutes

• 97535 Self-care/home management training (e.g., ADL), each 15 minutes


Tests and Measurements (Requires direct on-on-one patient contact)

• 97750 Physical performance test or measurement (e.g., musculoskeletal, functional capacity), with written report, each 15 minutes

• Orthotic Management and Prosthetic Management

• 97760 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

• 97762 Checkout for orthotic/prosthetic use, established patient, each 15 minutes


Acupuncture

• 97810 Without electrical stimulation, initial 15 minutes of personal one-on-one contact with the patient

• 97811 Without electrical stimulation, each additional 15 minutes of personal one-on-one contact with the patient, with re-insertion of needle(s)

• 97813 With electrical stimulation, initial 15 minutes of personal one-on-one contact with the patient

• 97814 With electrical stimulation, each additional 15 minutes of personal one-on-one contact with the patient, with re-insertion of needle(s)


Florida Blue reserves the right to change the contents of the listing in accordance with revisions to industry standards, AMA/CPT guidelines, and with normal annual fee schedule coding updates.

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