What are the billing requirements for CPT 97116?

Timed code subject to the 8-minute rule Document distance, device, assistance level and specific gait deviations Should not be billed simply for ambulating a patient without skilled instruction

Does Healthcare SBC handle billing for 97116?

Yes. Our certified coders bill 97116 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 97116Therapy

CPT Code 97116: Gait Training

Gait training, each 15 minutes

CPT 97116 covers gait training therapy including sequencing, stair climbing and assistive device training, billed per 15 minutes of direct contact.

What this code covers

Applies to training in ambulation, including instruction in the use of canes, walkers, crutches and prosthetic devices.

Documentation should record gait deviations, distance ambulated, assistive device used and the level of assistance required.

Objective progress measures (distance, assistance level and gait quality) are what support continued medical necessity.

Billing and documentation notes

Timed code subject to the 8-minute rule
Document distance, device, assistance level and specific gait deviations
Should not be billed simply for ambulating a patient without skilled instruction

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 97116, frequently asked questions questions

What is CPT code 97116?: CPT 97116 covers gait training therapy including sequencing, stair climbing and assistive device training, billed per 15 minutes of direct contact.
What are the billing requirements for CPT 97116?: Timed code subject to the 8-minute rule Document distance, device, assistance level and specific gait deviations Should not be billed simply for ambulating a patient without skilled instruction
Does Healthcare SBC handle billing for 97116?: Yes. Our certified coders bill 97116 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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