CPT code 97530 refers to a type of physical therapy where a therapist works one-on-one with a patient to help them improve how well they can move and function in their daily lives, using different activities that vary depending on the patient’s needs. CPT 97530 represents “Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes.”
Procedure Explanation:
This procedure involves a physical therapist or other healthcare professional spending 15 minutes directly with a patient to use different exercises or activities to help the patient improve their movement and ability to perform daily tasks. The focus is on dynamic activities, which means exercises that involve movement, rather than static exercises like stretching. This code is specific to direct, one-on-one contact and doesn’t include group therapy sessions.
Common Names:
- Therapeutic Activities
- Rehabilitation Activities
- Functional Performance Activities
Relative Value Units (RVU):
The RVUs associated with this code are 0.44.
How This Procedure Appears:
- Operating Room Schedule Name: Direct Patient Therapy – Functional Improvement
- Surgical Consent Form Name: One-on-One Functional Activity Therapy
Typical Patients and Diagnoses:
This procedure is often used for patients who have difficulty moving due to injuries, surgeries, or chronic conditions. For example, someone recovering from surgery might need help regaining range of motion in their joints, or a person with chronic back pain might need help learning how to move in ways that reduce pain.
Associated ICD-10 Codes:
- M25.561: Pain in right knee, which is often used for patients experiencing knee pain affecting their ability to walk or stand.
- M54.5: Low back pain, applicable for patients struggling with chronic back-related issues affecting mobility and daily activities.
- Z47.1: Aftercare following joint replacement surgery, used for patients recovering from joint replacement procedures such as a knee or hip replacement.
Summary
In summary, code 97530 describes a physical therapy session focused on improving a patient’s movement and ability to conduct everyday tasks through various dynamic exercises. Typical ICD-10 codes associated with 97530 include M25.561 (Pain in right knee) and M54.5 (Low back pain).
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.