Is 97012 physical therapy?

Asked by: Prof. Kariane Kutch MD  |  Last update: November 2, 2025
Score: 5/5 (6 votes)

CPT code 97012 is a code used in the physical therapy and rehabilitation industry. It covers therapeutic exercises, manual therapy, range of motion (ROM), massage therapy, modalities, and neuromuscular re-education.

Is 97012 a physical therapy code?

As compared to all the chiropractic billing codes, CPT code 97012 is a complex one. It covers a wide range of rehabilitation services, such as therapeutic exercises, manual therapy, range of motion (ROM), massage therapy, and modalities.

What falls under physical therapy?

Physical therapy, or physiotherapy, is treatment that helps you improve how your body performs physical movements. It can be part of a generalized pain management plan or a specific treatment for an injury or health condition. It's common to need physical therapy after many types of surgery, too.

Is spinal decompression considered physical therapy?

Decompression uses gentle traction to relieve pressure on spinal nerves, while physical therapy involves exercises and manual therapy to improve strength and mobility. Consult with a healthcare provider to determine the best option for you.

What are physical therapy CPT codes?

The 11 Most Common Physical Therapy CPT Codes
  • 97110: Therapeutic Exercise.
  • 97112: Neuromuscular Re-education.
  • 97116: Gait Training.
  • 97140: Manual Therapy.
  • 97150: Group Therapy.
  • 97530: Therapeutic Activities.
  • 97535: Self-Care/Home Management Training.
  • 97750: Physical Performance Test or Measurement.

Physical Therapy Evaluation plus 4 Units of Direct 1 to 1 Treatment in 60 minutes

37 related questions found

Can 97012 and 97140 be billed together?

Yes, you can bill 97140 and 97012 together. However, it's important to note that billing these codes together requires the use of modifier 59 to indicate that the services were separate and distinct.

What are the new CPT codes for physical therapy 2024?

Physical Therapy CPT Codes – Management and Treatment
  • CPT Code 97032 – Electrical Stimulation. ...
  • CPT Code 97110 – Therapeutic Exercise. ...
  • CPT Code 97112 – Neuromuscular Re-education. ...
  • CPT Code 97116 – Gait Training. ...
  • CPT Code 97140 – Manual Therapy. ...
  • CPT Code 97150 – Group Therapy. ...
  • CPT Code 97530 – Therapeutic Activities.

Why doesn t insurance cover spinal decompression therapy?

Despite nearly two decades of use, insurers consistently classify this treatment as experimental, which is why they generally do not offer reimbursement. The reluctance of insurance companies to cover spinal decompression therapy appears to be more financially driven than based on the health benefits of the procedure.

What is spinal physical therapy?

Physical Therapy Programs to Address Back Pain

The general goals of spinal physical therapy are to decrease pain, increase back function, and empower patients with the information they need about back health in order to prevent future injuries.

What is the average cost of spinal decompression therapy?

Average Cost of Spinal Decompression Therapy

The typical cost of non-surgical spinal decompression therapy ranges from $50 to $250 per session. Most patients require between 15 and 30 sessions for effective treatment, bringing the total cost to approximately $750 to $7,500.

What are the 4 main types of physical therapy?

What are the different types of physical therapy?
  • Pediatric physical therapy.
  • Neurological physical therapy.
  • Geriatric physical therapy.
  • Vestibular rehabilitation.
  • Orthopedic physical therapy.
  • Cardiovascular and pulmonary physical therapy.

Does insurance cover physical therapy?

Most health insurers, including Medicare and Medicaid, will cover all or part of the cost of physical therapy services. Private health insurers will often cover a portion of the cost for PT as well. You may have cost-sharing for PT, like meeting your insurance deductible or copays.

What major falls under physical therapy?

Some common undergraduate majors for DPT programs are:
  • Kinesiology. Kinesiology is the study of bodily movement and behavior, making it highly relevant to the physical therapy field. ...
  • Exercise science. ...
  • Biology. ...
  • Psychology. ...
  • Health science. ...
  • Athletic training.

What is the code for spinal decompression?

HCPCS code S9090 is the code that is used to report Vertebral axial non surgical spinal decompression and is used per session as a global reporting.

Is 97140 physical therapy?

CPT code 97140, also known as "Manual therapy techniques," is essential in the healthcare industry. Any healthcare professional can use this code to describe their manual techniques to improve functional performance and manage pain in various body regions.

What is CPT code 97039 for physical therapy?

CPT® 97039, Under Constant Attendance Physical Medicine and Rehabilitation Modalities. The Current Procedural Terminology (CPT®) code 97039 as maintained by American Medical Association, is a medical procedural code under the range - Constant Attendance Physical Medicine and Rehabilitation Modalities.

What is the best therapy for lower back pain?

Acupuncture, massage, biofeedback therapy, laser therapy, electrical nerve stimulation and other nonsurgical spine treatments can make a difference for chronic back pain. Overall, the potential benefits of these strategies far outweigh their potential risks, so they are worth exploring.

Can a physical therapist align your spine?

Physical therapists use spinal manipulation and other manual therapy techniques to get your spine back where it's supposed to be. These techniques, combined with exercise, help get your bones moving properly and your muscles functioning correctly. This may also help relieve pain related to the spinal misalignment.

What is the pain between L5 and S1?

Common Symptoms of L5-S1 Disc Herniation

The most common symptom is sciatica, which is pain that radiates down the leg. Other L5-S1 disc herniation symptoms include: Numbness or tingling in the affected area. Weakness in the muscles innervated by the affected nerve.

What is CPT code 97012 for physical therapy?

CPT Code 97012 refers to mechanical traction, a therapeutic procedure that involves the use of mechanical force to stretch and mobilize specific body parts, typically the spine, to relieve pain, improve mobility, and enhance the flexibility of connective tissues.

Does physical therapy include spinal decompression?

Physical therapy treatment may be increased or reduced in frequency depending on the response to treatment. The physical therapy phase may include additional spinal decompression treatments using the Triton DTS coupled with therapeutic exercise, stretching, and spinal manipulation to enhance the response to treatment.

Is back pain covered under insurance?

The cost of spine surgery is covered by almost all insurance policies in India, as it comes under the category of medically necessary treatments. If you suffer from severe back pain which is unmanageable through medicines and physical therapy, then your doctor may suggest spine surgery.

What is the difference between 97032 and 97014?

Solution – Use the 97014 Chiropractic CPT code when it is an unsupervised modality (unattended). Use the 97032 CPT code when providing attended electrical stimulation. Remember, the 97032 CPT code for chiropractic services is billed in units of 15 minutes each.

What is the Medicare cap for physical therapy in 2024?

For CY 2024 this KX modifier threshold amount is: $2,330 for PT and SLP services combined, and. $2,330 for OT services.

Can 97110 and 97112 be billed together?

You would need the mod-59 on 97112 so that they know it is a different 15-minute time period than the 97110, otherwise they will bundle the codes.