Orthotic Management and Prosthetic Management (February 2007)

February 2007 pages 8-9 Coding Communication: Orthotic Management and Prosthetic Management In 2006, the CPT code set introduced a new subsection to the Physical Medicine and Rehabilitation 97000 series of codes called Orthotic Management and Prosthetic Management. The three codes in the subsection are used for reporting orthotic and prosthetic management. Prior to 2006, codes related to orthotic and prosthetic management did not describe fully the services associated with these types of interventions. The previous 97504 code was revised and renumbered. Two other code narratives remained the same, however, the numbering changed. Orthotic management includes assessing the patient; determining...

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Note:  The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.

Article Overview

This February 2007 CPT Assistant article reviews the orthotic and prosthetic management subsection in CPT’s physical medicine and rehabilitation area. It is aimed at coding professionals, therapists, and other healthcare staff who need a high-level understanding of the service categories, related documentation themes, and where these services fit within broader coding guidance. The article also touches on adjacent coding references and distinctions from other service types.

Why This Topic Matters

Orthotic and prosthetic care often involves assessment, fitting, training, and follow-up activities that are reported differently from other rehabilitation services. Understanding the article helps readers identify the scope of the CPT subsection and recognize the broader documentation and reporting issues discussed in this area.

Article Sections

  1. Coding Communication: Orthotic Management and Prosthetic Management

    Introduces the CPT subsection and describes the general topics covered in the article. It provides context for the coding update and the service categories discussed.

  2. Coding Tip

    Summarizes general reporting themes, including time-based reporting, supplies, and related code-set references. It also discusses broader considerations around service timing and patient presence.

  3. Clinical Example: 97760 / Description of Procedure: 97760

    Presents an example tied to orthotic management and a matching procedure description section. The material illustrates the type of clinical scenario and follow-up therapy setting discussed in the article.

  4. Prosthetic training and follow-up care

    Explains the prosthetic management topic and the follow-up checkout discussion. It covers the broader rehabilitation context for prosthetic use and ongoing patient care.

  5. Coding Tip

    Discusses distinctions between orthosis application and other musculoskeletal procedures. It also references related code families and where readers are directed for additional guidance.

What You Will Learn

  • How the article frames the orthotic and prosthetic management subsection in CPT.
  • What broad service categories are associated with orthotic management, prosthetic training, and checkout visits.
  • Which types of supplementary coding topics are mentioned alongside these services.
  • How the article uses clinical examples to illustrate the general context of these rehabilitation services.

Who Should Read This

  • Medical coders
  • Rehabilitation therapists
  • Billing staff
  • Clinical documentation specialists
  • Orthopedic and physical medicine practices

Codes Discussed

Code Ranges Discussed


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