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2025 CPT code 96000

Comprehensive computer-based motion analysis using videotaping and 3D kinematics.

Codes 96000-96004 describe services performed as part of a major therapeutic or diagnostic decision-making process.Motion analysis must be performed in a dedicated motion analysis laboratory.

Modifiers 52 (reduced services), 53 (discontinued procedure), 76 (repeat procedure by same physician), 77 (repeat procedure by another physician), and others may apply depending on the circumstances.Consult the CPT manual for appropriate modifier usage.

Medical necessity is established when motion analysis is clinically indicated to assess gait abnormalities, quantify muscle function, or evaluate the effectiveness of interventions in patients with neurological conditions, musculoskeletal injuries, or other conditions affecting movement. The referring physician's documentation must justify the need for the procedure.

The physician or qualified healthcare professional is responsible for placing markers on the patient, performing the motion analysis, interpreting the data from the video and computer analysis, and generating a report of their findings. This includes comparing the results to age-specific norms.

IMPORTANT:Do not report codes 95860-95875 in addition to 96000-96004. For dynamic plantar pressure measurements, use 96001. For gait training, use 97116.

In simple words: The doctor uses special cameras and computer software to record and analyze how you move.They will place markers on your body as you walk across a special floor to capture detailed information about your movement. This helps assess your walking and muscle function.

This CPT code encompasses a comprehensive computer-based motion analysis that integrates videotaping and 3D kinematics.The procedure involves the placement of markers on the patient's body (typically pelvis and legs, potentially including feet sensors) followed by recording their movement while walking over force plates within a dedicated motion analysis laboratory. This laboratory must be equipped to record from multiple angles (front, back, both sides) and utilize computerized 3D kinematics, 3D kinetics, and dynamic electromyography.The collected data is used to calculate joint center and limb locations, assess stride characteristics, and quantify muscle group effort during movement. These findings are then compared against age-specific norms.Note:3D kinetics and stride characteristics may be included.

Example 1: A patient with suspected cerebral palsy undergoes motion analysis to assess gait abnormalities and plan targeted interventions., An athlete recovering from a knee injury uses motion analysis to monitor recovery progress and prevent re-injury., A patient with Parkinson's disease receives motion analysis to evaluate their gait and balance, informing medication adjustments or physical therapy strategies.

Detailed patient history, including the reason for referral and any relevant medical conditions.Imaging studies (if applicable) to assess joint health.Video recording of the motion analysis. Computer generated reports with quantified data (kinematics, kinetics, electromyography).Physician's interpretation and diagnosis based on the findings.Comparison of data to age-specific norms.

** The dedicated motion analysis laboratory requirement is crucial for accurate coding. Ensure documentation thoroughly describes the laboratory's capabilities and the equipment used.

** Only Enterprise users with EHR integration can access case-specific answers. Click here to request access.

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