CPT Code 97110: Therapeutic exercise, each 15 minutes

When to Use CPT 97110

Use CPT code 97110 when billing for therapeutic exercise, each 15 minutes. This code is used by licensed therapists (LCSW, LPC, MFT, Psychologist) for outpatient sessions.

Adding CPT 97110 to a Superbill

When generating a superbill with CPT 97110, include the ICD-10 diagnosis code, date of service, fee charged, amount paid, and your NPI number. Superbilled pre-fills common therapy CPT codes automatically.

Common ICD-10 Pairings

These diagnosis codes are frequently used alongside CPT 97110:

Documentation Requirements

Document total treatment time, the specific exercises performed, and measurable functional goals (e.g., range of motion or strength gains). Units billed must match documented minutes.

Common Denial Reasons

• ✗ Missing total treatment time for the visit
• ✗ Units billed exceed documented minutes under the 8-minute rule
• ✗ No measurable functional goals documented

Modifier Notes

Timed code — bill in 15-minute units under the 8-minute rule (a minimum of 8 minutes is required to bill one unit). The GP modifier is often required to indicate services delivered under a physical therapy plan of care.

Reimbursement Expectations

OON reimbursement is inconsistent and plan-dependent. Cash/self-pay rates typically run $40-$80 per unit; insured patients recover a portion after meeting their deductible when the superbill itemizes units and total minutes.