What is CPT® 97112?
CPT® 97112 is used to report therapeutic procedures involving neuromuscular reeducation, performed by a qualified healthcare professional. This code covers interventions aimed at improving coordination, balance, posture, proprioception, and muscle control. It is billed in 15-minute increments and may address one or more body areas during each session.
When to Use CPT® 97112
This code should be reported when:
- The patient receives neuromuscular reeducation after injury, surgery, or due to neurological conditions such as stroke, multiple sclerosis, or traumatic brain injury.
- The therapy involves retraining muscle groups to improve motor function, posture, or coordination.
- Techniques may include proprioceptive neuromuscular facilitation (PNF), balance training, or coordination exercises.
Common clinical scenarios include:
- Post-stroke rehabilitation to restore motor control
- Recovery from orthopedic surgery requiring gait or balance retraining
- Treatment for patients with vestibular disorders to improve stability
Key Billing Information
- CPT® 97112 is timed in 15-minute units; total time spent directly affects billing.
- It covers direct one-on-one therapeutic interaction with the patient.
- Can be billed multiple times per session if treatment time exceeds 15 minutes.
- Documentation must support the time spent on the procedure and the specific therapeutic interventions performed.
Documentation Requirements
To properly bill CPT® 97112, documentation should include:
- Description of the neuromuscular reeducation techniques used
- Specific areas treated during the session
- Duration of therapy in 15-minute increments
- Patient’s response and progress toward therapeutic goals
- Date and provider credentials
Why Accurate Coding Matters
Correct use of CPT® 97112 ensures appropriate reimbursement for therapeutic services that require specialized skills and time investment. Clear documentation helps avoid claim denials and supports medical necessity in rehabilitative care.
How OptiMantra Supports Therapy Documentation and Billing
OptiMantra enhances neuromuscular reeducation workflows by providing:
- Customizable therapy templates tailored for CPT® 97112 and related codes
- Manual coding selection supported by integrated billing tools
- Integrated scheduling and progress tracking to monitor patient improvement over time
- Simplified superbill and claims management to streamline revenue cycle processes
With OptiMantra, therapists can focus on delivering effective care while the platform handles accurate documentation and billing, reducing administrative workload and improving practice revenue.
Try OptiMantra for free here!
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