Most Common CPT Codes for Physical Therapy

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.

 

   

 

 

97161

97162

97163

Physical Therapy Evaluation CPT  

 

Low complexity

Moderate complexity

High complexity

   

 

 

 

97165 

97166

97167

Occupational Therapy Evaluation CPT  

 

 

Low complexity

Moderate complexity

High complexity

 
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)
29530 Knee Strapping  
29540 Ankle Strapping  
29240 Shoulder Strapping  
     

Do you have any insight on CPT codes for new graduates or students? Share them in the comments!