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Procedure Codes
97110: Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility
97112: Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities
97116: Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing)
97530: Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes
ICD-10-CM
97110, 97112, 97116, 97530: Z91.81 should be the primary diagnosis, no specified secondary diagnoses
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Frequency
97110, 97112, 97116, 97530: No specific frequency guidelines
Additional Information
97110, 97112, 97116, 97530
- Not covered as preventive by all payers or payer plans
- Limited to ages 65 and older who have higher risk of falls
- May be subject to cost shares and limits
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