Neuromuscular Reeducation CPT Code
The CPT code for neuromuscular reeducation is CPT code 97112. This is used to bill skilled therapies that are meant to improve motor function through neuromuscular reeducation. This includes a number of therapies including balance reeducation, kinesthetic sense training, and movement training.
Therapists help to improve communication between the body and the brain by stimulation of the nervous system and targeting neural pathways. This will ultimately enhance motor function for those that have been injured in some way. This can help many patients to learn to do things with their motor system, including walking, sitting, and standing.
There are many codes used in medical billing so that medical agencies get the money they need for performing necessary procedures. The neuromuscular reeducation cpt code is 97112, and medical billing professionals need to know this. This allows them to be compensated for the work that is done.
This article will help you to learn more about this and why it is important. It will give you some tips that you should know about it. You can also do more research to find the information that you are seeking.
Tips for Neuromuscular Reeducation CPT Code
The following interventions are covered in CPT code 97112:
- Teaching patients how to use specific muscles that will help to improve posture and reach after a brain injury.
- Assisting the body with positioning and balance reeducation.
- Providing training for coordination that will enhance movement control.
- Utilizing assistance and cuing for activities that involve sitting and standing.
It is important to remember that neuromuscular training is different than therapeutic exercise. Therapeutic exercises focus on physical conditioning and strengthening while neuromuscular reeducation will focus on the neuromuscular systems and promote functional movement through assistance and cuing. To make sure that you are getting proper reimbursement and alignment with goals for treatment plans, coverage criteria for each patient, accurate determination of medical necessity is needed.
Billing and Documentation
Billing for this follows the 8-minute rule – each treatment should have at least 8 minutes of direct, one-on-one intervention: https://www.medicarefaq.com/faqs/medicare-8-minute-rule/. The documentation should include a detailed description of the skilled nature of the treatment, a detailed explanation of treatment goals, comments from the patient that include information about pain, outcomes of treatment, education that is provided and information about other therapists that have assisted you. It is very important that you follow the billing guidelines that are set by the Centers for Medicare and Medicaid Services, or CMS, and all respective insurance companies.
Occupational Therapy
This plays an essential role in occupational therapy because of its crucial role in facilitating muscle contractions in arms for ADLs, activities of daily living. It also focuses on improving balance and posture during things such as functional tasks and ergonomic principles that will reduce the risk of injury. OT uses different techniques that fall under neuromuscular reeducation such as proprioceptive neuromuscular facilitation or PNF, kinesthetic training, and desensitizing techniques.
It is essential to document all these treatments accurately to make sure that you are aligned with the specific goals and objectives that are outlined in the occupational therapy plan of care. OTs need to tailor their interventions to meet the individual needs of the patient, making sure that the exercises and the techniques used will target those individual needs. Therapists will help patients regain and improve their ability to perform daily tasks by addressing range of motion exercises.
Maximizing Reimbursement
To receive proper compensation for the services provided, it is essential to use CPT code 97112. Accurate documentation and alignment of treatment time with the number of units billed is essential for reimbursement. The key strategies for optimizing reimbursement for this are as follows:
- Divide Treatment Time – You need to divide the total treatment time into 15-minute increments. In each unit there needs to be 8 minutes of direct, one-on-one intervention.
- Calculate Units – You will need to charge units based on the minimum requirements of 8 minutes per unit. You need to make sure that the total treatment time matches the number of units that are billed.
- Document Volume of Exercise – You will need to give detailed information about the volume of exercise in the documentation. You will need to include sets, repetitions, durations, and resistance.
Compliance
Compliance with this is important for accurate billing and making sure that you get the proper reimbursement. See more here. You must stick to the specific guidelines and the requirements so that you can maintain compliance and avoid denials or other potential problems.
Conclusion
CPT code 97112 is an important code for you to use for neuromuscular reeducation. Using this code will ensure that you get reimbursed for the treatment of patients with specific brain injuries. You need to be careful and give comprehensive information about the billing and make sure that it is billed in 8 minute increments.
