Data Updated for Q4 2018
CPT Code: 97530
Description: Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes
Status Code
A
Active Code. These codes are paid separately under the physician fee schedule, if covered. There will be RVUs for codes with this status. The presence of an “A” indicator does not mean that Medicare has made a nation
Global Days
XXX
The global concept does not apply to the code.
Medicare RUVs and Fees
Work RVU – 0.44
Malpractice RVU – 0.02
Facility RVU – 0.69
Non-Facility RVU – 0.69
Facility Total RVU – 1.15
Non-Facility Total RVU – 1.15
Medicare National Facility Total Payment – $41.4
Medicare National Non-Facility Total Payment – $41.4
Bundling Information
Includes
0213T, 0216T, 0228T, 0229T, 0230T, 0231T, 36591, 36592, 62310, 62311, 62318, 62319, 62320, 62321, 62322, 62323, 62324, 62325, 62326, 62327, 64400, 64402, 64405, 64408, 64410, 64412, 64413, 64415, 64416, 64417, 64418, 64420, 64421, 64425, 64430, 64435, 64445, 64446, 64447, 64448, 64449, 64450, 64461, 64463, 64470, 64472, 64475, 64476, 64479, 64480, 64483, 64484, 64486, 64487, 64488, 64489, 64490, 64493, 64505, 64508, 64510, 64517, 64520, 64530, 95831, 95832, 95833, 95834, 95851, 95852, 97002, 97004, 97018, 97026, 97112, 97113, 97116, 97116, 97127, 97164, 97168, 97532, 97533, 97535, 97537, 97542, 97750, 97755, 99186, 99201, 99202, 99203, 99204, 99205, 99211, 99212, 99213, 99214, 99215, 99221, 99222, 99223, 99231, 99232, 99233, 99234, 99235, 99236, 99238, 99239, 99241, 99242, 99243, 99244, 99245, 99251, 99252, 99253, 99254, 99255, 99261, 99262, 99263, 99271, 99272, 99273, 99274, 99275, 99291, 99292, 99301, 99302, 99303, 99311, 99312, 99313, 99321, 99322, 99323, 99331, 99332, 99333, 99341, 99342, 99343, 99344, 99345, 99347, 99348, 99349, 99350, 99354, 99355, 99356, 99357, G0515
Included In
0029T, 90911, 92507, 92508, 92526, 93668, 93797, 93798, 95831, 95851, 95992, 97004, 97755, G0129, G0151, G0152, G0157, G0158, G0159, G0160, G0177, G0237, G0238, G0239, G0422, G0423, G0424, M0005, M0006, M0007, M0008
Mutually Exclusive
97140, 97150
If you get stuck finding the right Code, take a look at our 5 Ways to Find the Most Appropriate CPT Code.
Related CPT Codes
| CPT Code | Description |
|---|---|
| 97530 | Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes |
| 97530 | Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes |
| 97533 | Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes |
| 97535 | Self-care/home management training (eg, 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 contact, each 15 minutes |
| 97537 | Community/work reintegration training (eg, shopping, transportation, money management, avocational activities and/or work environment/modification analysis, work task analysis, use of assistive technology device/adaptive equipment), direct one-on-one contact, each 15 minutes |
| 97542 | Wheelchair management (eg, assessment, fitting, training), each 15 minutes |
| 97545 | Work hardening/conditioning; initial 2 hours |
| 97546 | Work hardening/conditioning; each additional hour (List separately in addition to code for primary procedure) |
| 97597 | Debridement (eg, high pressure waterjet with/without suction, sharp selective debridement with scissors, scalpel and forceps), open wound, (eg, fibrin, devitalized epidermis and/or dermis, exudate, debris, biofilm), including topical application(s), wound assessment, use of a whirlpool, when performed and instruction(s) for ongoing care, per session, total wound(s) surface area; first 20 sq cm or less |
| 97598 | Debridement (eg, high pressure waterjet with/without suction, sharp selective debridement with scissors, scalpel and forceps), open wound, (eg, fibrin, devitalized epidermis and/or dermis, exudate, debris, biofilm), including topical application(s), wound assessment, use of a whirlpool, when performed and instruction(s) for ongoing care, per session, total wound(s) surface area; each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure) |
