Preventive Medicine: 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