2025 CPT code 97150
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Physical Medicine and Rehabilitation - Therapeutic Procedures Medicine Services and Procedures > Physical Medicine and Rehabilitation Evaluations > Physical Medicine and Rehabilitation Therapeutic Procedures Feed
Therapeutic procedure(s), group (2 or more individuals).The physician or therapist provides supervision and instruction to a group of patients performing therapeutic exercises.
Modifiers 97 (unskilled services furnished incident to a physician's services) may be applicable depending on the provider type and payer requirements. Other modifiers might apply to indicate separate procedures or other specific circumstances; consult relevant coding guidelines for details.
Medical necessity is established by demonstrating the need for therapeutic intervention to improve, develop, or restore impaired body functions due to illness, injury, or surgery.The appropriateness of group therapy must be justified based on patients sharing similar diagnoses, goals, and therapeutic needs.
The physician or other qualified healthcare professional (e.g., physical therapist, occupational therapist) is responsible for designing, implementing, demonstrating, supervising, and modifying the therapeutic program for the group. They must be in constant attendance, providing clinical expertise and feedback throughout the session.
- Medicine Services and Procedures > Physical Medicine and Rehabilitation Evaluations > Physical Medicine and Rehabilitation Therapeutic Procedures
- Physical Medicine and Rehabilitation Therapeutic Procedures
In simple words: This code describes a therapy session where a doctor or therapist works with a group of two or more patients.The patients do exercises or other therapies together, with the doctor or therapist watching and giving guidance throughout.The patients in the group may be doing different exercises but have similar needs.
This CPT code, 97150, reports therapeutic procedures performed in a group of two or more individuals.The procedures may include aquatic therapy, conditioning therapies, or exercise therapy.A physician or licensed therapist must be in constant attendance, providing introductory instructions and ongoing observation, clinical expertise, and feedback.Modifications or progressions to the therapy program are made as needed. The code applies to an untimed period of observation and assistance.If used with additional therapeutic procedure codes, clear documentation must support that group and individual procedures occurred during separate time periods.The individuals in the group may perform identical or different activities, but there should be a common, unifying element among them (e.g., similar surgery, shared therapeutic goals).
Example 1: A physical therapist leads a group of five post-knee replacement patients in aquatic therapy exercises focusing on range of motion and strengthening. The therapist provides initial instructions to the group and then closely monitors each patient, providing individual adjustments as needed., An occupational therapist conducts a group session for three patients recovering from strokes. The patients participate in various exercises to improve fine motor skills and upper extremity function. The therapist guides the patients through each exercise, providing specific feedback and modifications based on individual needs and progress., A physician designs a group exercise program for six patients recovering from low back injuries. The physician then supervises certified athletic trainers as they lead the patients through a progressive exercise program in a gym setting. The physician periodically assesses the patients' progress and modifies the program as needed.
Documentation must support medical necessity, the type(s) of therapy performed, and all specific therapy details for each patient.If used with additional therapeutic procedure codes, separate time periods for group and individual procedures must be clearly documented.Progress notes detailing patient participation, therapist interventions, and responses to therapy are essential.Patient specific goals, measurable outcomes, and the rationale for group therapy should also be documented.
** The physician or other qualified health care professional must be in constant attendance during the group therapy session but is not required to provide one-on-one contact with each patient. The use of 97150 with other therapeutic procedure codes requires clear documentation to distinguish the separate time periods for group and individual therapies.
- Revenue Code: P6C (Medicare Fee Schedule: MINOR PROCEDURES - OTHER)
- RVU: This information is not available in the provided source. Refer to the most current CPT codebook and Medicare fee schedule for RVU values.
- Global Days: This information is not available in the provided source.
- Payment Status: Active
- Modifier TC rule: Modifier TC (Technical Component) is not applicable to this code as it relates to the supervision and instruction of the therapy session.
- Fee Schedule: This information is not available in the provided source. Refer to historical CPT codebooks and fee schedules for details.
- Specialties:Physical Therapy, Occupational Therapy, Sports Medicine, Rehabilitation Medicine
- Place of Service:Office, Outpatient Hospital, Inpatient Hospital, Rehabilitation Facility, Skilled Nursing Facility