CPT Code 97112: Neuromuscular reeducation, each 15 minutes

When to Use CPT 97112

Use CPT code 97112 when billing for neuromuscular reeducation, each 15 minutes. This code is used by licensed therapists (LCSW, LPC, MFT, Psychologist) for outpatient sessions.

Adding CPT 97112 to a Superbill

When generating a superbill with CPT 97112, 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 97112:

Documentation Requirements

Document the specific neuromuscular reeducation techniques used (balance, proprioception, posture), total treatment time, and progress toward documented functional goals.

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

Got one of these on a remittance? Decode the denial code.

Modifier Notes

Timed code — bill in 15-minute units under the 8-minute rule. 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-$85 per unit.