CPT 97112 code falls under the category of “Neuromuscular Re-education” and is used to describe a specific type of physical therapy or rehabilitation service.
Let’s break down its description
CPT 97112 code description
The CPT code 97112 is used for “Neuromuscular Re-education,” a therapeutic process that aims to enhance a patient’s neuromuscular function. This procedure typically consists of activities that help to retrain the muscles, nerves, and sensory receptors (proprioceptors) to restore or improve motor skills and coordination.
The length of a session can vary, but healthcare providers typically recommend sessions of 15 minutes or more, depending on the patient’s needs. If the session extends beyond the initial 15 minutes, additional units of the 97112 code can be billed accordingly.
Insurance coverage for this procedure depends on the patient’s insurance plan. Many insurance providers cover this code when it is deemed medically necessary.
There are no specific age restrictions for billing under the 97112 CPT code, and it can be used for patients of all ages.
Both inpatient and outpatient rehabilitation services can use the 97112 CPT code.
Common uses of the 97112 CPT code
Understanding when and why the 97112 CPT code is used is vital for healthcare providers, medical coders, and patients alike. Here are some common scenarios where this code is applied:
- Rehabilitation after injury: It may be used when a patient requires neuromuscular re-education following an injury, such as a muscle strain or ligament tear.
- Post-surgical rehabilitation: Rehabilitation sessions after surgeries like joint replacements.
- Neurological conditions: Patients with neurological disorders, such as stroke or Parkinson’s disease.
- Sports injuries: Athletes who have suffered sports-related injuries may undergo sessions.
- Balance and gait training: Patients with balance issues or difficulties walking may receive treatment with this code.