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97110Therapy

Physical therapy — therapeutic exercises

Prior authorization
Sometimes required

What this is, in plain language

A physical therapy session focused on therapeutic exercise to improve strength, flexibility, or function. Billed in 15-minute units.

Why a clinician orders it

Recovery from injury or surgery, chronic pain management, or to address functional limitations.

Medical necessity — what insurers usually look at

Plans usually cover a number of visits per condition or per year. Continued visits may require updated documentation of progress and goals.

Documentation to ask about

  • PT evaluation and plan of care
  • Measurable goals and progress notes
  • Visit count used vs. plan allowance

Questions for your provider

  • ?How many PT visits does my plan allow per year?
  • ?Will the therapist send progress notes to my plan for continued visits?

Terms you'll see

Medical NecessityRead more →

The insurer is reviewing whether the service is clinically appropriate for your situation.

Important: AuraCode is an educational tool. It does not provide medical, legal, or insurance advice, claims decisions, or approval guarantees. Final coverage depends on your specific plan, eligibility, diagnosis, submitted documentation, and your insurer's review.