CPT 97110: Therapeutic Exercises
Therapeutic procedure, one or more areas, each 15 minutes: therapeutic exercises to develop strength, endurance, flexibility, and range of motion.
Why CPT 97110 Claims Get Denied
Claims billed under CPT 97110 are frequently denied or downcoded for the following reasons. Understanding these patterns helps your practice reduce denial rates and recover revenue faster.
Visit limit or therapy cap exceeded
Medical necessity not established for continued therapy
Prior authorization not obtained or expired
Functional improvement not documented
Billing Tips for CPT 97110
Bill in 15-minute units using the 8-minute rule (8+ minutes of a unit = bill 1 unit). Document functional goals and measurable progress. For Medicare, be aware of the therapy threshold ($2,330 combined PT/SLP and $2,330 OT in 2025) where KX modifier is required to attest medical necessity. Report the appropriate G-code functional measures.
Documentation Requirements
To support a clean claim for CPT 97110, your clinical documentation should include:
Type of exercises performed
Duration of the treatment
Body areas treated
Patient response and progress toward goals
Functional outcome measures
Updated treatment plan with remaining visits
Common Modifiers for CPT 97110
Reduce CPT 97110 Denials by 60%
RediClaim's pre-submission scrubber catches documentation gaps and coding errors before you submit, while the appeal generator handles denials that slip through.