When billing 3rd party payers for exercise therapy, matching documentation descriptions to the Current Procedural Terminology (CPT®) codes can be confusing. There are numerous exercise therapy services, including stretching, and some seem similar and overlap. Yet insurance companies do not think so when processing your claims. In this blog, I’ll show you how to differentiate between them with proper coding.
Exercise Billing: 97110, 97112, or 97530?
Let’s take a deeper look into the proper CPT® coding for exercise therapies. These codes are similar, and it is important to understand how the context and documentation define the differences between them. The details of these codes are dependent on the documentation of each, so providers must recognize the distinctions between these codes as they relate to the intent behind the prescription of the exercise.