How Specialized Billing Improves Revenue for Physical Therapy Clinics

Introduction

Physical therapy billing revolves around accurate use of CPT codes and modifiers. Understanding which codes apply and how to document them is critical for timely reimbursement. This blog is your guide to the most common codes and how to use them correctly.

1. Timed vs. Untimed Codes

Timed codes (e.g., 97110, 97140) require tracking time spent on each procedure. Untimed codes (e.g., 97014) are billed once per session, regardless of duration.

2. Common CPT Codes in PT:

97110: Therapeutic exercise
97112: Neuromuscular reeducation
97140: Manual therapy
97530: Therapeutic activities
97014: Electrical stimulation (unattended

3. Modifiers Explained:

GP: Services under a physical therapy plan
59: Distinct procedural service
25: Separate evaluation on the same day

Conclusion

Accurate coding and clear documentation are the keys to full reimbursement and audit protection. Train your team and consider support from billing experts to stay compliant and profitable.

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