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Preventive Medicine: Therapy for Fall Prevention

By:  Find-A-Codeā„¢
Published:  May 9th, 2018

Therapy for Fall Prevention

Procedure Codes
97110: Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility
97112: Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities
97116: Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing)
97530: Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes

ICD-10-CM
97110, 97112, 97116, 97530: Z91.81 should be the primary diagnosis, no specified secondary diagnoses

Frequency
97110, 97112, 97116, 97530: No specific frequency guidelines

Additional Information

97110, 97112, 97116, 97530

  • Not covered as preventive by all payers or payer plans
  • Limited to ages 65 and older who have higher risk of falls
  • May be subject to cost shares and limits

Find-A-Code™ - Preventive Services - The information in this document does not guarantee payment or that included codes meet applicable qualifications as preventive services for all insurances and insurance plans, please consult your payer.



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