2025 CPT code 97761
(Active) Effective Date: N/A Physical Medicine and Rehabilitation - Prosthetic Training Feed
Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes.
No specific modifier rules found for 97761.
Medical necessity should be supported by documentation of the patient's functional limitations and the need for prosthetic training to improve their ability to perform daily activities.
A trained prosthetist assesses the patient's movement impairment, develops a treatment plan, and implements the plan, including demonstrating and describing the prosthetic device, fitting criteria, patient instructions, and follow-up plans.
In simple words: This code covers the first 15 minutes of hands-on training with a prosthetist for a new prosthetic limb.The prosthetist will assess, fit, and teach the patient how to use the device.
This code represents the initial 15 minutes of one-on-one patient contact for prosthetic training of the upper and/or lower extremities. It includes assessment, fitting, and training in the use of the prosthesis.
Example 1: A patient with a recent above-knee amputation receives their first prosthetic leg and undergoes a 15-minute training session on how to use it., A patient with a below-elbow amputation receives a new prosthetic arm and receives initial training on its operation and care., A child with a congenital limb difference receives their first prosthetic arm and undergoes a 15-minute fitting and basic training session.
Documentation should include the type of prosthesis, the area of the body being fitted, the duration of the training session, and the specific training provided.
- Payment Status: Active
- Specialties:Prosthetics, Physical Medicine and Rehabilitation, Orthotics
- Place of Service:Office, Outpatient Hospital, Inpatient Hospital, Rehabilitation Facility