Disclaimer:

LifetimeVibe is providing the information contained here as a reference only. You are responsible for correctly billing and coding each service offered in your facility.

Please familiarize yourself with each mentioned CPT code and all of it’s requirements and ramifications as well as appropriate charges prior to submitting claims for services using whole body vibration.

LifetimeVibe, Whole Body Vibration Experts and affiliates do not accept responsibility for errors in utilization concerning these suggestions or any penalties, audits or actions resulting from misuse of this information.

97110 Therapeutic Exercises

Therapeutic exercise performed under observation for strengthening and rehabilitation of soft tissues (97110) x 1 unit. Performed for 10 minutes on whole body with Lifetime Vibe Plate.

Therapeutic exercise incorporates one parameter (strength, endurance, and range of motion or flexibility) to one or more areas of the body. Examples include, treadmill (for endurance), isokinetic exercise (for range of motion), lumbar stabilization exercise (for flexibility), and gymnastic ball (for stretching and strengthening).

97112 Neuromuscular Re-education- Neuromuscular reeducation of movement, balance, coordination, proprioception or pos- ture re-training for sitting or standing activities was performed (97112). Performed with supervision for 10 minutes on whole body with Lifetime Vibe Plate.

This therapeutic procedure is provided to improve balance, coordination, kinesthetic sense, posture, and propriocep- tion (e.g., proprioceptive neuromuscular facilitation, Feldenkreis, Bobath, BAP’s boards, and desensitization tech- niques).

Neuromuscular re-education may be considered medically necessary if at least one of the following conditions is pre- sent and documented:

• the patient has the loss of deep tendon reflexes and vibration sense accompanied by paresthesia, burning, or diffuse pain of the feet, lower legs, and/or fingers;
• the patient has nerve palsy, such as peroneal nerve injury causing foot drop; or
• the patient has muscular weakness or flaccidity as a result of a cerebral dysfunction, a nerve injury or disease, or has had a spinal cord disease or other injury.

This procedure may be medically necessary for training patients whose walking abilities have been impaired by neurological, muscular, or skeletal abnormalities or trauma.

Gait training is not considered medically reasonable and necessary when the patient’s walking ability is not expected to improve.

This procedure is not considered medically necessary when the goal is to increase the patient’s strength and endurance.

Billing is very dependent on where you live and provide service.

For example, Utah utilizes an RVS (Relative Value Study) system that aids in determining rates of $55 for NMR 97112. Your state may be different.

Always refer to local guidelines when determining appropriate charges for the services offered in your facility.

The information listed on this card is referenced from the 2016 ChiroCode DeskBook. It is recommended that each practitioner and staff familiarize themselves with this information and learn appropriate utilization of CPT coding for each of the listed proce- dures.

This reference guide is intended to be used as a quick reference for daily billing and note taking after proficiency in these codes is obtained through appropriate study of ChiroCode and State and Federal law that may dictate appropriate usage of these codes in your region of practice.