CPT code 97116 refers to a therapy session focusing on teaching someone how to walk or move better, including practicing steps on stairs. CPT 97116 represents “Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing).”
Procedure Explanation:
The procedure involves working with a therapist to improve walking abilities. This can include learning to walk with better balance and tackling stair climbing. Each session typically lasts for 15 minutes. This does not cover other types of therapy or rehabilitation exercises unrelated to walking or moving.
Common Names:
- Gait Training
- Walking Therapy
- Mobility Training
Relative Value Units (RVU):
The RVUs associated with this code are 0.45.
How This Procedure Appears:
- Operating Room Schedule Name: Walking practice session
- Surgical Consent Form Name: Agreement to perform walking and stair practice
Typical Patients and Diagnoses:
This kind of therapy is typically used for patients who have trouble walking due to injury or illness. For example, someone recovering from a stroke might undertake gait training to help them regain balance and movement. Similarly, it’s useful for individuals with arthritis or after a leg injury. It’s meant for anyone whose ability to get around has been negatively affected.
Associated ICD-10 Codes:
- M62.81: Muscle weakness, which means the muscles are not as strong as they should be, making walking difficult.
- R26.2: Difficulty in walking, indicating any trouble someone might have with walking normally.
- G81.90: Unspecified hemiplegia, where one side of the body is weakened or paralyzed, often requiring help to improve mobility.
Summary
In summary, code 97116 describes a therapy session aimed at improving how someone walks and includes stair climbing practice. Typical ICD-10 codes associated with 97116 include M62.81 (muscle weakness) and R26.2 (difficulty in walking).
Disclaimer
This post is for informational purposes only and is not a substitute for medical advice. “CPT” and CPT Codes are registered trademarks of the American Medical Association. HCPCS codes are managed by Medicare and are not subject to copyright.