Can you bill 97110 and 97530 together?

Name: Chiropractic Billing for Therapeutic Exercises (97110) and Therapeutic Activities (97530)
Uploaded: 2025-01-09T20:54:17+00:00
Duration: 3 min 11 s
Description: Watch this insightful video from Dr. Evan Gwilliam of Practicsync, where he expertly explains the differences between these two codes. Gain valuable tips on billing and documentation to help ensure accurate reimbursement for these services.

Editorial team InsuredAndMore.com Published on October 17, 2026

Yes, you can bill CPT code 97110 (therapeutic exercise) and CPT code 97530 (therapeutic activity) together during the same session, provided each service is distinct and supported by proper documentation.

Key Billing Requirements

Separate Time Blocks: Both 97110 and 97530 are timed codes billed in 15-minute increments following the 8-minute rule. You must document separate, non-overlapping start and stop times for each code.
Distinct Clinical Rationale: The documentation must show two different goals. Use 97110 to address isolated musculoskeletal impairments like specific muscle weakness or joint range of motion. Use 97530 for dynamic, multi-outcome functional tasks that simulate real-world activities like lifting, bending, or transfers.
Payer Modifiers: Under standard CMS NCCI rules, this specific code pair does not inherently require a distinct-service modifier for Medicare. However, many commercial insurance and regional plans have proprietary edits requiring modifier 59 (or an X-subset modifier like XS) to demonstrate the services were separate. Always verify specific payer guidelines before final submission.