Healthcare Insights

Top 20 physical therapy procedure codes

Physical therapy activities are important for patients to develop strength, improve functional performance and work on neuromuscular reeducation. These services are needed after surgery, accidents and other clinical events. 

What are the most common physical therapy procedures? 

Reviewing physical therapy Current Procedural Terminology (CPT) codes from the Definitive Healthcare ClaimsMx product, the table below lists the physical therapy procedure codes with the highest number of claims in 2021. 

Physical therapy procedure codes with the most claims in 2021

RankCPT codeCPT code descriptionNumber of proceduresExplore dataset
197110Therapeutic procedure, 1 or more areas, each 15 minutes; Therapeutic exercises to develop strength and endurance, range of motion and flexibility89,429,991Explore
297140Manual therapy techniques (mobilization/manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes53,111,460Explore
397530Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes50,499,116Explore
497112Therapeutic procedure 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture and/or proprioception for sitting and/or standing activities38,788,635Explore
597014Application of a modality to 1 or more areas; electrical stimulation (unattended)8,081,365Explore
697010Application of a modality to 1 or more areas; hot or cold packs7,768,096Explore
797116Therapeutic procedure 1 or more areas, each 15 minutes; gait training (includes stair climbing)7,251,045Explore
897535Self-care/Home management training (Activities of Daily Living (ADL) and compensatory training, meal preparation, safety procedures and instructions in use of assistive technology devices/adaptive equipment), direct (one-on-one) patient contact, each 15 minutes7,006,118Explore
997161Physical therapy evaluation: low complexity, 20 minutes face-to-face5,266,578Explore
1097012Application of a modality to 1 or more areas; traction, mechanical4,062,395Explore
1197162Physical therapy evaluation: moderate complexity, 30 minutes face-to-face3,863,888Explore
1297035Application of a modality to 1 or more areas; ultrasound, each 15 minutes3,312,418Explore
1397150Therapeutic procedure(s), group (2 or more individuals)2,445,876Explore
1497016Application of a modality to 1 or more areas; vasopneumatic devices2,179,115Explore
1597032Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes1,487,512Explore
1697164Re-evaluation of physical therapy established plan of care1,441,843Explore
1797113Therapeutic procedure 1 or more areas, each 15 minutes; aquatic therapy with therapeutic exercises1,051,570Explore
1897163Physical therapy evaluation: high complexity, 45 minutes face-to-face925,685Explore
1997165Occupational therapy evaluation: low complexity, 30 minutes face-to-face912,420Explore
2097597Debridement (high pressure waterjet w/wo suction, sharp selective debridement w/ scissors, scalpel and forceps), open wound (fibrin, devitalized epidermis and/or dermis, exudate, debris, biofilm) including topical application(s), wound assessment, for ongoing care856,050Explore

Fig. 1 - Data is from the Definitive Healthcare ClaimsMx product for calendar year 2021. Claims data is sourced from multiple medical claims clearinghouses in the United States and is updated monthly. Data is accurate as of March 2022. 

The top physical therapy CPT codes cover therapeutic exercises, techniques, applications and evaluations. With over 89 million claims, CPT code 97110 therapeutic exercises to develop strength and endurance, range of motion and flexibility had the most physical therapy procedures in 2021. Manual therapy techniques for mobilization/manipulation, manual lymphatic drainage, manual traction (97140) had more than 53 million procedures, and therapeutic activities to improve functional performance (97530) saw over 50 million claims. 

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