What are the billing requirements for CPT 97545?

Initial two hours; use 97546 for each additional hour Typically requires prior authorization, especially under workers' compensation Document specific job demands and measured functional capacity

Does Healthcare SBC handle billing for 97545?

Yes. Our certified coders bill 97545 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 97545Therapy

CPT Code 97545: Work Hardening and Conditioning

Work hardening/conditioning, initial 2 hours

CPT 97545 covers work hardening and conditioning programs, billed for the initial two hours of a structured, work-simulating rehabilitation program.

What this code covers

Intensive, goal-oriented programs designed to restore the physical capacity needed for return to work.

Involves work simulation activities matched to the patient's specific job demands.

Most commonly billed under workers' compensation with prior authorization.

Billing and documentation notes

Initial two hours; use 97546 for each additional hour
Typically requires prior authorization, especially under workers' compensation
Document specific job demands and measured functional capacity

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 97545, frequently asked questions questions

What is CPT code 97545?: CPT 97545 covers work hardening and conditioning programs, billed for the initial two hours of a structured, work-simulating rehabilitation program.
What are the billing requirements for CPT 97545?: Initial two hours; use 97546 for each additional hour Typically requires prior authorization, especially under workers' compensation Document specific job demands and measured functional capacity
Does Healthcare SBC handle billing for 97545?: Yes. Our certified coders bill 97545 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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