CPT-97140

“MANUAL THERAPY TECHNIQUES, 1 OR MORE REGIONS, EACH 15 MINUTES (MOBILIZATION/ MANIPULATION, MANUAL LYMPHATIC DRAINAGE, MANUAL TRACTION)”

CODE TYPE

Timed based code
Billed in 15 minutes increment

ADD-ON CODE

No add-on code

MANUAL THERAPY

Manual Therapy is a type of specialized form of physical therapy in which a physical therapist uses advance hand-on techniques to produce a change in soft tissues, articular structures, neural or vascular systems in order to treat a wide variety conditions instead of modalities.

This CPT should be used when a qualified healthcare professional performs any manual therapy technique including manual traction, manual lymphatic drainage and mobilization and manipulation techniques in a clinical setting.

TYPES OF TECHNIQUES THAT ARE INCLUDED

Manual Therapy may include any of the following techniques:

LSoft Tissue Mobilization
Strain-Counter strain (designed to correct abnormal neuromuscular reflexes that cause structural and postural problems, resulting in painful ‘tender points)
Muscle Energy Technique (to mobilize restricted joint and shortened muscles)
Joint Mobilization
Joint Manipulation (high velocity and low amplitude thrust designed to regain lost range of joint motion)

CODING GUIDELINES

» 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

» Requires a therapy modifier (GP, GN, GO, CO, CQ)

» CMS 8-minute rule and AMA rule of Eights are applied

CMS 8-Minute Rule:

A minimum of 8 minutes of direct contact with the patient must be provided for a single unit of 97140 to be billed:

Units	Number of Minutes
1 unit	≥ 08 minutes through 22 minutes
2 units	≥ 23 minutes through 37 minutes
3 units	≥ 38 minutes through 52 minutes
4 units	≥ 53 minutes through 67 minutes
5 units	≥ 68 minutes through 82 minutes
6 units	≥ 83 minutes through 97 minutes
7 units	≥ 98 minutes through 112 minutes
8 units	≥ 113 minutes through 127 minutes

AMA RULE OF EIGHTS:

AMA guidelines state that incremental intervals of treatment performed on the same session may be added together when determining total time in direct contact of a qualified healthcare provider with the patient is necessary. Each unique timed service is counted separately instead of combining the time from multiple units

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)

TOTAL NO. OF BILLABLE UNITS

06 units are allowed to be billed per date of service by CMS but more units can be billed if justified by the medical notes.

MEDICAL NECESSITY

May be considered medically necessary if one of the following condition is present and documented:
» Cervical Radiculopathy
» Restricted joint motion of any region, peripheral or spinal
» As an adjunct to therapy exercises when a patient cannot perform these exercises due to loss of joint motions
» As an adjunct to other therapy (CPTs 97110, 97112, 97530)
» Myofascial release or soft tissue mobilization on 1 or more regions of the body
» Skilled manual techniques applied to soft tissue to treat conditions of soft tissues, articular structures, neural or vascular systems
» These techniques may be active or passive and include:

Nerve gliding techniques
Joint manipulation
Muscle and soft tissue stretching
Lymphatic drainage technique

06 units are allowed to be billed per date of service by CMS but more units can be billed if justified by the medical notes.

REIMBURSEMENT GUIDELINES

Nerve gliding techniques
Joint manipulation
Muscle and soft tissue stretching
Lymphatic drainage technique

06 units are allowed to be billed per date of service by CMS but more units can be billed if justified by the medical notes.

Streamline Your Practice with CareCloud

See CareCloud in Action

Discover how our platform can
transform your workflow.

Need Quick Support? Let’s Chat

Our experts are ready to assist
you in real-time.

Talk to an Expert Today

1-877-342-7517

CPT-97140

CATEGORY

CODE TYPE

ADD-ON CODE

MANUAL THERAPY

TYPES OF TECHNIQUES THAT ARE INCLUDED

CODING GUIDELINES

CMS 8-Minute Rule:

AMA RULE OF EIGHTS:

PHYSICAL THERAPY MODIFIERS

TOTAL NO. OF BILLABLE UNITS

MEDICAL NECESSITY

REIMBURSEMENT GUIDELINES

Streamline Your Practice with CareCloud

See CareCloud in Action

Need Quick Support? Let’s Chat

Talk to an Expert Today

CPT 97140

CPT-97140

CATEGORY

CODE TYPE

ADD-ON CODE

MANUAL THERAPY

TYPES OF TECHNIQUES THAT ARE INCLUDED

CODING GUIDELINES

CMS 8-Minute Rule:

AMA RULE OF EIGHTS:

PHYSICAL THERAPY MODIFIERS

TOTAL NO. OF BILLABLE UNITS

MEDICAL NECESSITY

REIMBURSEMENT GUIDELINES

Streamline Your Practice with CareCloud

See CareCloud in Action

Need Quick Support? Let’s Chat

Talk to an Expert Today

Choose your account below to login

CPT 97140

Choose your account
below to login