File 4 - Skilled Nursing Facility (SNF) Provider and 		
Supplier Coding File		
"Effective for claims submitted on or after January 1, 2022."		
		
"Physical, Occupational, and Speech Therapy Services"		
Beneficiary in a Part B Non-Covered Stay		
		
These therapy codes are subject to SNF consolidated billing and must be billed through		
the SNF. NOTE: Codes marked by an asterisk are only subject to consolidated billing 		
when provided by a therapist. The G codes used for therapy reporting purposes have no 		
associated payment.		
		
CPT only copyright 2021 American Medical Association. All rights reserved.		
		
HCPCS	SHORT DESCRIPTOR	
90912	BFB Training 1st 15 MIN	
90913	BFB Training EA ADDL 15 MIN	
97607	NEG PRESS WND TX </=50 SQ CM	
97608	NEG PRESS WOUND TX >50 CM	
29580	paste/unna boot	
29581	Lower Extremity Application of Strapping-Any Age	
29584	Lower Extremity Application of Strapping-Any Age	
90901	"Biofeedback train, any meth"	
92507	Speech/hearing therapy	
92508	Speech/hearing therapy	
92520	Laryngeal function studies	
92521	Evaluation of speech fluency	
92522	Evaluate speech production	
92523	Speech sound lang comprehen	
92524	Behavral qualit analys voice	
92526	Oral function therapy	
92597	Oral speech device eval	
92605	Eval for nonspeech device rx	
92606	Non-speech device service	
92607	"Ex for speech device rx, 1hr   "	
92608	Ex for speech device rx addl 	
92609	Use of speech device service 	
92610	Evaluate swalowing function 	
92611	Motion fluoroscopy/swallow  	
92612	Endoscopy swallow tst (fees) 	
92614	Laryngoscopic sensory test 	
92616	Fees w/laryngeal sense test 	
95851	Range of motion measurements	
95852	Range of motion measurements	
95992	Canalith repositioning proc	
96105	Assessment of aphasia	
96110	"Developmental test, lim"	
96125	Cognitive test by hc pro	
97010	Hot or cold packs therapy	
97012	Mechanical traction therapy	
97016	Vasopneumatic device therapy	
97018	Paraffin bath therapy	
97022	Whirlpool therapy	
97024	Diathermy treatment	
97026	Infrared therapy	
97028	Ultraviolet therapy	
97032	Electrical stimulation	
97033	Electric current therapy	
97034	Contrast bath therapy	
97035	Ultrasound therapy	
97036	Hydrotherapy	
97039	Physical therapy treatment	
97110	Therapeutic exercises	
97112	Neuromuscular reeducation	
97113	Aquatic therapy/exercises	
97116	Gait training therapy	
97124	Massage therapy	
97139	Physical medicine procedure	
97140	Manual therapy	
97161	Pt eval low complex 20 min	
97162	Pt eval mod complex 30 min	
97163	Pt eval high complex 45 min	
97164	Pt re-eval est plan care	
97165	Ot eval low complex 30 min	
97166	Ot eval mod complex 45 min	
97167	Ot eval high complex 60 min	
97168	Ot re-eval est plan care	
97150	Ground therapeutic procedures	
97530	Therapeutic activities	
97533	Sensory integration	
97535	Self care mngment training	
97537	Community/work reintegration	
97542	Wheelchair mngment training	
97597	Active wound care/20 cm or <	
97598	Active wound care > 20 cm 	
97602	"Wound(s) care, non-selective"	
97605	"Neg press wound tx, < 50 cm"	
97606	"Neg press wound tx, > 50 cm"	
97610	Low frequency non-thermal us	
97750	Physical performance test	
97755	Assistive technology assess	
97760	Orthotic mgmt&trainj 1st Enc	
97761	Prosthetic trainj 1st Enc	
97763	Orthc/Prostc Mgmt Sbsq Enc	
97799	Physical medicine procedure	
98975	"	Rem ther mntr 1st setup & edu"	
98976	Rem ther mntr dev sply resp	
98977	Rem ther mntr dv sply mscskl	
98980	Rem ther mntr 1st 20 min	
98981	Rem ther mntr ea addl 20 min	
G0281	Elec stim unattend for press	
G0283	Elec stim other than wound	
G0329	Electromagnitic tx for ulcers	
90912	Biofeedback traning	Therapy reporting code.
90913	Biofeedback training	Therapy reporting code.
97129	Therapeutic Intervention	Therapy reporting code.
97130	Therapeutic Intervention	Therapy reporting code.
		
CPT only copyright 2021 American Medical Association. All rights reserved.		
