What this is, in plain language
Physical therapy exercises that retrain how your nerves and muscles work together — balance, coordination, and movement retraining, billed in 15-minute units.
Why a clinician orders it
Recovery after stroke, injury, or surgery where movement patterns or balance need retraining.
Medical necessity — what insurers usually look at
Insurers expect measurable functional goals and progress. Many plans cap therapy visits per year or require prior authorization after an initial number of visits.
New to this? Read what medical necessity means and how to appeal a denial.
Documentation to ask about
- ✓Functional goals and progress notes
- ✓Visit count vs. plan limits
- ✓Prior auth status if past the initial visit allowance
Questions for your provider
- ?How many PT visits does my plan allow per year?
- ?Will I need prior authorization after a certain number of visits?
Why this code is in our seed set
High-volume PT code in the CMS Top 200 Ranked by Services.
Validated against
- •CMS Top 200 Level I CPT Codes Ranked by Services
- •APTA coding guidance
- •AMA CPT code 97112 descriptor
Terms you'll see
Medical NecessityRead more →
The insurer is reviewing whether the service is clinically appropriate for your situation.
Prior AuthorizationRead more →
Some services may need plan approval before they are performed.
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.