CPT-97113

“Therapeutic procedure, 1 or more areas, each 15 minutes aquatic therapy with therapeutic exercises”

CODE TYPE

Timed-based code
BILLED IN 15 MINUTES INCREMENT

ADD-ON CODE

NO ADD-ON CODE

THERAPEUTIC PROCEDURE

CPT is used when the patient performs therapeutic exercises in the water. This treatment uses the therapeutic effects of water (such as buoyancy and resistance), to help ease the symptoms. The treatment may be reasonable and necessary for a loss or restriction of joint motion, strength, mobility, or function that has resulted from a specific condition.

MEDICINAL PROPERTIES OF WATER:

Increase in muscle strength and endurance
Improve cardiovascular endurance
Decreased joint effusion
Improve ROM and flexibility
Relaxes mind

TYPES OF EXERCISES THAT ARE INCLUDED:

Strengthening exercises
Endurance Exercises
Back leg Lift
Side Leg lift
Runner’s stretch
Deep water walking with hand web
Arm exercises using water heights

Conditions in which aquatic therapy is beneficial:

Osteoarthritis and Rheumatoid arthritis
Low back pain
Obesity
Pregnancy
Paralysis or paresis
Neurological conditions causing muscle weakness, spasticity like stroke and cerebral palsy
Orthopedic injuries and trauma
Pain
Post-operative joint rehabilitation for example after THA, TKA etc

CODING GUIDELINES:

» This code should be used when exercise is being performed in the water and hydrotherapy is used only for wound debridement
» Require the professional skills of qualified healthcare professionals that includes:

Physical Therapist
Occupational Therapist
Chiropractors
Physical Therapist Assistant
Occupational Therapy Assistant

» Billed in 15 minutes increment
» Require therapy modifiers (GP, GN, GO, CO, CQ)
» CMS 8-minute rule and AMA rule of Eights are applied

PHYSICAL THERAPY MODIFIERS

Below mentioned modifiers are used when services are provided for the respective plan of care:

MODIFIERS	PLAN OF CARE
GP	Outpatient Physical Therapy
GO	Outpatient Occupational Therapy
GN	Outpatient Speech-Language Pathology
CQ	Outpatient Physical Therapy by a Physical Therapist Assistant (completely or partially)
CO	Outpatient Occupational Therapy by an Occupational Therapy Assistant (completely or partially)

REIMBURSEMENT GUIDELINES

For reimbursement following elements must be documented the Physical Therapy Notes:

Physical Therapy diagnosis such as muscle weakness, impaired mobility etc. to justify medical necessity.
Aquatic aerobics increase strength and endurance that helps to improve or maintain range of motion and flexibility .
Total direct time spent by the provider with patient.

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CPT-97113

CATEGORY

CODE TYPE

ADD-ON CODE

THERAPEUTIC PROCEDURE

MEDICINAL PROPERTIES OF WATER:

TYPES OF EXERCISES THAT ARE INCLUDED:

Conditions in which aquatic therapy is beneficial:

CODING GUIDELINES:

PHYSICAL THERAPY MODIFIERS

REIMBURSEMENT GUIDELINES

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CPT-97113

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