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What Is The CPT Code For Pelvic Floor Therapy?

What Is The CPT Code For Pelvic Floor Therapy?

Are you a healthcare professional or a patient searching for the proper CPT code for pelvic floor therapy? Understanding the right codes for therapy sessions is crucial for correct documentation and billing procedures. Delve into this informative guide as we unravel the world of CPT codes and see how they apply to pelvic floor therapy. Don't forget to share this valuable information with colleagues or fellow patients seeking guidance!

Current Procedural Terminology (CPT) codes are a vital part of the healthcare industry. The American Medical Association (AMA) develops and manages these codes, which are used universally for documenting and billing medical, surgical, and diagnostic procedures across the United States.

Pelvic floor therapy, a type of physical therapy specifically targeting the pelvic floor muscles, is an effective treatment for various pelvic floor disorders. Conditions like urinary incontinence, pelvic pain, and sexual dysfunction can significantly impact a person's quality of life, and pelvic floor therapy serves as a vital non-invasive treatment option.

While there isn't a specific standalone CPT code for pelvic floor therapy, several codes can be used by healthcare practitioners to document, track, and bill for pelvic floor therapy sessions. These codes encompass different aspects of a pelvic floor therapy program, such as evaluations, muscle-strengthening exercises, and biofeedback.

Physical Therapy Evaluation (CPT codes 97161, 97162, and 97163)

Before starting any therapy, the initial evaluation is critical in determining the course of treatment. The evaluation code depends on the patient's complexity levels—low, moderate, or high. CPT codes for physical therapy evaluations are as follows:

  • 97161 (PT Evaluation, low complexity)
  • 97162 (PT Evaluation, moderate complexity)
  • 97163 (PT Evaluation, high complexity)

Therapeutic Exercise (CPT code 97110)

Pelvic floor therapy often includes prescriptive exercises targeted at muscle strengthening and endurance. These therapeutic exercises may address range of motion, flexibility, balance, and muscle control. CPT code 97110 is utilized to document a session of therapeutic exercises, for each 15 minutes spent.

Neuromuscular Re-education (CPT code 97112)

Neuromuscular re-education involves retraining pelvic floor muscles and nerves for proper functioning. This type of therapy focuses specifically on enhancing muscle control, movement patterns, and posture. CPT code 97112 is used to document neuromuscular re-education therapy sessions, billed for every 15 minutes spent.

Biofeedback (CPT code 90911)

Biofeedback is a critical component of pelvic floor therapy, allowing patients to gain a better understanding and control of their pelvic floor muscle activity. Sensors are used to provide real-time information about muscle contractions, allowing patients to visualize pelvic floor muscle activity on a monitor. The CPT code for biofeedback therapy is 90911.

CPT Code For Pelvic Floor Therapy Example:

Gabrielle, a physical therapist, is treating Jane for urinary incontinence using pelvic floor therapy methods. The first session involves a moderate complexity evaluation using CPT code 97162. Gabrielle spends 30 minutes on therapeutic exercises and neuromuscular re-education with Jane, using CPT codes 97110 (two units) and 97112 (two units). Lastly, they spend 15 minutes on biofeedback, documented with CPT code 90911.

Understanding and using the appropriate CPT codes for pelvic floor therapy is essential for both healthcare providers and patients. With this comprehensive guide, you're now equipped with the knowledge needed to accurately document and submit billing information for pelvic floor therapy sessions. Be sure to share this informative article with your colleagues, fellow patients, and loved ones, and explore other topics on our Pelvic Floor Therapy blog for further guidance.

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