When reporting the Physical Medicine and Rehabilitation time-based codes ( 97110 -97548), is it appropriate to report these services with modifier 52, Reduced Services, if less than 15 minutes was spent treating the patient, or when the treatment lasts less than eight minutes? When taking into consideration the following statement published in the August 2005 issue of CPT Assistant, For the purpose of determining the total time of a service, incremental intervals of treatment at the same visit may be accumulated, how would the following scenario be reported: At 8 am, the therapist provides seven minutes of treatment described by code 97110 ; at 8:15 am, the therapist provides 23 minutes of treatment described by code 97112 ; and at 8:45 am, another eight minutes of treatment described by code 97110 was provided? ...

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Note:  The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.

Article Overview

This article explains a CPT time-reporting question in Physical Medicine and Rehabilitation. It focuses on how aggregate treatment time is considered across multiple intervals in the same visit, the relationship between timed service reporting and modifier use, and how the CPT time framework applies to common rehabilitation procedure codes. It is intended for coders, billers, and rehabilitation providers seeking clarification on general CPT time-based reporting concepts.

Why This Topic Matters

Accurate reporting of time-based rehabilitation services affects claim consistency and helps avoid incorrect use of modifiers or unit counts when therapy is delivered in multiple sessions during the same date of service.

Codes Discussed

• CPT: 97110
• CPT: 97112
• CPT: 97146
• CPT: 97148
• CPT: 97546
• CPT: 52

Code Ranges Discussed

• CPT: 97110-97548

Modifiers Discussed

• CPT: 52

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