Covered CPT Codes for Physical Therapists (PT)

Covered Codes for Physical Therapy Providers

Code	Description	Session Limit	Other Instructions
Covered Codes for Physical Therapists (PT) - Use modifier “GP” when billing these codes.
97001	Physical therapy initial evaluation	1 unit	Limited to 1 evaluation per provider, per condition, per calendar year.
97002	Physical therapy re-evaluation	1 unit	Limited to once every 3 months.
97010	Application of a modality to one or more areas: hot or cold packs	4 units
97012	Application of a modality to one or more areas; traction, mechanical	4 units
97014	Application of a modality to one or more areas; electrical stimulation (unattended)	4 units
97016	Application of a modality to one or more areas: vasopneumatic devices	4 units
97018	Application of a modality to one or more areas: paraffin bath	4 units
97022	Application of a modality to one or more areas; whirlpool	4 units
97024	Application of a modality to one or more areas; diathermy	4 units
97026	Application of a modality to one or more areas; infrared	4 units
97028	Application of a modality to one or more areas; ultraviolet	4 units
97032	Application of a modality to one or more areas; electrical stimulation (manual), each 15 min.	4 units
97033	Application of a modality to one or more areas; iontophoresis, each 15 min.	4 units
97034	Application of a modality to one or more areas; contrast baths, each 15 min.	4 units
97035	Application of a modality to one or more areas; ultrasound, each 15 min.	4 units
97036	Application of a modality to one or more areas; Hubbard tank, each 15 min.	4 units
97110	Therapeutic procedure, one or more areas, each 15 min.; therapeutic exercises	4 units	Prior authorization is required when used with code 97140. See “Other Instructions” for code 97140.
97112	Therapeutic procedure, one or more areas, each 15 min.; neuromuscular reeducation	4 units
97113	Therapeutic procedure, one or more areas, each 15 min.; aquatic therapy with therapeutic exercises	4 units
97116	Therapeutic procedure, one or more areas, each 15 min.; gait training	4 units
97124	Therapeutic procedure, one or more areas, each 15 min.; massage, including effleurage, pertrissage and/or tapotement	4 units	See “Other Instructions” for 92507.
97140	Manual therapy techniques (e.g., mobilization/manipulation, manual lymphatic drainage, manual traction) one or more regions, each 15 min.	6 units of code 97140 OR 6 combined units of codes 97140, 97110 and/or 97535	Prior authorization is always required. One prior authorization is issued for ICD-9 codes 457.0, 457.1 and 757.0 for use with a combination of codes 97140, 97110 and/or 97535 for a maximum of 15 sessions (6 units per session) for a total of 90 units to be completed in approximately 3 weeks.
97150	Therapeutic procedure(s), group (A group is 2 or more individuals.)	1 unit	Bill 1 unit for each recipient in the group.
97530	Therapeutic activities, direct (one-on-one) patient contact by the provider (use of dynamic activities to improve functional performance), each 15 min.	4 units
97532	Development of cognitive skills to improve attention, memory, problem solving (includes compensatory training), direct (one-on-one) patient contact by the provider, each 15 min.	4 units	See “Other Instructions” for 92507.
97533	Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) contact by the provider, each 15 min.	4 units	See “Other Instructions” for 92507.
97535	Self-care/home management training (e.g., ADLs) direct (one-on-one) contact by provider, each 15 min.	4 units	Prior authorization is required when used with code 97140. See “Other Instructions” for code 97140.
97542	Wheelchair management/ propulsion training, each 15 min.	4 units
97760	Orthotic(s) fitting and training, upper extremity(ies), lower extremity(ies), and/or trunk, each 15 min.	4 units
97761	Prosthetic training, upper and/or lower extremities, each 15 min	4 units
97762	Checkout for orthotic/prosthetic use, established patient, each 15 min.	4 units