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.