What are the billing requirements for CPT 97113?

Timed code subject to the 8-minute rule Document the clinical rationale for aquatic rather than land-based therapy Cannot be billed concurrently with land-based 97110 for the same time period

Does Healthcare SBC handle billing for 97113?

Yes. Our certified coders bill 97113 routinely as part of full-service revenue cycle management, including documentation review, correct unit calculation where applicable, modifier application and denial management specific to this code.

CPT 97113Therapy

CPT Code 97113: Aquatic Therapy with Therapeutic Exercises

Aquatic therapy, each 15 minutes

CPT 97113 covers therapeutic exercise performed in a pool, billed per 15 minutes of direct one-on-one contact in the aquatic environment.

What this code covers

Requires that therapeutic exercise be performed in water, with documentation explaining why the aquatic environment is medically necessary.

Common for patients who cannot tolerate weight-bearing land-based exercise.

Time billed includes only skilled therapy time in the water, not changing or transit time.

Billing and documentation notes

Timed code subject to the 8-minute rule
Document the clinical rationale for aquatic rather than land-based therapy
Cannot be billed concurrently with land-based 97110 for the same time period

Related codes

CPT is a registered trademark of the American Medical Association. This page provides a general summary for educational purposes and is not a substitute for the official CPT code set, payer policy or professional coding judgment. Verify against current official descriptors and applicable payer policy before billing.

FAQ

CPT 97113, frequently asked questions questions

What is CPT code 97113?: CPT 97113 covers therapeutic exercise performed in a pool, billed per 15 minutes of direct one-on-one contact in the aquatic environment.
What are the billing requirements for CPT 97113?: Timed code subject to the 8-minute rule Document the clinical rationale for aquatic rather than land-based therapy Cannot be billed concurrently with land-based 97110 for the same time period
Does Healthcare SBC handle billing for 97113?: Yes. Our certified coders bill 97113 routinely as part of full-service revenue cycle management, including documentation review, correct unit calculation where applicable, modifier application and denial management specific to this code.

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