BillingCPT

CPT Codes

Current Procedural Terminology codes — a standardized system of 5-digit codes used to describe medical, surgical, and diagnostic services for billing purposes.

In Detail

Physical therapy commonly uses CPT codes in the 97000 series: 97110 (therapeutic exercises), 97140 (manual therapy), 97530 (therapeutic activities), 97112 (neuromuscular re-education), and 97116 (gait training). Evaluation codes include 97161-97163 (low, moderate, high complexity). Correct code selection and unit calculation (8-minute rule) are critical for proper reimbursement. PRACTIS automatically suggests CPT codes based on SOAP note content and calculates timed units using the 8-minute rule.

Related Search Terms

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Related Terms

Clean Claim Rate

The percentage of claims submitted that are accepted by the payer on the first submission without errors or additional information required.

Eight-Minute Rule

The CMS billing guideline that determines how many timed units a therapist can bill based on the total minutes of direct one-on-one treatment provided.

ICD-10 Codes

ICD-10

International Classification of Diseases, 10th Revision — the standardized coding system used to describe diagnoses and medical conditions on insurance claims.

Clean Claim RateCredentialing
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