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
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.
Preventive Medicine: Therapy for Fall Prevention. (2018, May 9). Find-A-Code Articles. Retrieved from https://www.findacode.com/articles/preventive-medicine-therapy-for-fall-prevention-34098.html
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