Physical therapy billing is built on timed codes, units and payer therapy caps. Documenting minutes correctly and applying the right modifiers keeps claims accurate and protects your clinic from underpayment and audits.
Back and neck pain
Post-surgical rehabilitation
Sports injuries
Arthritis and joint pain
Balance and fall prevention
Stroke and neurological rehabilitation
Work-related injuries
Chronic pain
| CPT Code | Description |
|---|---|
| 97161–97163 | Physical therapy evaluation, low / moderate / high complexity |
| 97110 | Therapeutic exercise, each 15 minutes |
| 97140 | Manual therapy techniques, each 15 minutes |
| 97530 | Therapeutic activities, each 15 minutes |
| 97112 | Neuromuscular re-education, each 15 minutes |
Timed-unit rules, the GP modifier and therapy threshold requirements are among the most audited areas in therapy billing. Our team reviews coding, submits clean claims, follows up on denials and recovers unpaid accounts receivable for physical therapy practices.