CPT Code 97110 is used to bill for therapeutic exercise services provided to improve a patient’s strength, endurance, flexibility, or range of motion. This code is commonly used in physical therapy settings.

Each unit of 97110 represents 15 minutes of one-on-one time spent with the patient performing prescribed exercises. These exercises are part of a treatment plan designed to address specific impairments.

What Is CPT Code 97110?

97110 covers individualized therapeutic exercises that are goal-directed and medically necessary. The activities must be documented and must show progress toward the patient’s rehabilitation goals.

Examples include:

• Strength training for post-operative recovery

• Stretching to regain joint mobility

• Balance training to reduce fall risk

The therapist must remain in constant attendance with the patient during the exercises.

Documentation and Coding

Each 15-minute segment of exercise counts as one billable unit. If a session lasts 45 minutes, three units may be billed. It’s important to track time accurately and describe the specific exercises performed.

Documentation should include:

• Time spent

• Type of exercises performed

• Goals of treatment

• Patient response to intervention

Reimbursement and Usage

CPT 97110 typically reimburses between $25 and $45 per unit, depending on the payer. It is a foundational code in outpatient rehab and physical therapy billing.

Some payers may require a treatment plan or prior authorization. Always verify payer requirements to ensure full reimbursement.

FAQ: CPT Code 97110

What does CPT 97110 cover?
It covers therapeutic exercises to improve physical function, billed in 15-minute units.

Can assistants perform 97110?
Yes, under supervision and depending on state laws and payer rules.

Is 97110 covered by Medicare?
Yes, when medically necessary and properly documented.

How many units can I bill?
You can bill based on total one-on-one time. Four units = 60 minutes.