"Reimbursed & Recognized: Mastering the CPT Codes That Elevate Your MET Practice"

Uncategorized Mar 09, 2025

Understanding CPT Codes 97530, 97110, and 97112 for MET Insurance Reimbursement

For decades, Medical Exercise Professionals (MedExPROs) have struggled to gain recognition in the healthcare system. But now, with the rise of insurance reimbursement for medical exercise training (MET) services, a new era is unfolding. If you're serious about getting paid for the essential work you do, then mastering CPT codes 97530, 97110, and 97112 is critical to your success. These physical medicine codes, developed and maintained by the American Medical Association (AMA), serve as the foundation for billing and reimbursement for MET services. Understanding how to accurately apply these codes ensures compliance, maximizes reimbursement, and solidifies your position within the healthcare continuum.

97530 – Therapeutic Activities (Dynamic Functional Exercise)

CPT 97530 covers therapeutic activities aimed at improving functional performance. This code is applied when a MedExPRO designs and implements structured, progressive movement patterns that enhance strength, balance, endurance, and coordination in real-life tasks. Think of functional training that helps clients return to work, perform daily activities, or regain movement after an injury.

When to Use It:

  • Clients recovering from post-rehab conditions like joint replacements, spinal injuries, or stroke.
  • Balance, coordination, and movement re-education to restore functional independence.
  • Dynamic strengthening movements like squatting, reaching, stepping, or lifting to enhance real-world mobility.

Why It’s Valuable: 97530 focuses on real-life movements, making it highly reimbursable for clients transitioning from rehabilitation to independent living.

97110 – Therapeutic Exercise (Strength, Endurance, and Flexibility)

CPT 97110 is used for individualized therapeutic exercise programs designed to increase strength, endurance, range of motion, and flexibility. This code is a staple for MedExPROs working with clients who need structured, progressive strength training to restore function after injury or illness.

When to Use It:

  • Post-rehab strength training for conditions such as knee replacements, low back pain, and arthritis.
  • Range of motion improvement following surgery or musculoskeletal injury.
  • Structured endurance training for clients with chronic conditions like COPD or cardiovascular disease.

Why It’s Valuable: 97110 allows MET professionals to prescribe and guide evidence-based, progressive resistance training—a key component of long-term health and functional independence.

97112 – Neuromuscular Re-Education (Motor Control & Coordination)

CPT 97112 is designed for neuromuscular re-education, focusing on improving balance, coordination, proprioception, and postural control. This is a critical CPT code for clients with neurological deficits, postural dysfunction, or movement disorders.

When to Use It:

  • Stroke and Parkinson’s clients regaining motor function.
  • Balance and gait training for clients with vestibular dysfunction or Parkinson’s disease.
  • Postural re-education and corrective movement for individuals with chronic musculoskeletal imbalances.

Why It’s Valuable: 97112 is an essential tool for MET professionals working with neurological and balance-compromised clients. It ensures safety and promotes functional independence in a way no other code does.

Cracking the Code: The Future of MET Insurance Reimbursement

The world of Medical Exercise Training is evolving, and those who understand CPT coding and insurance reimbursement will dominate the future of the industry. To help MedExPROs unlock their full potential, we are releasing the "Cracking the Code" of Medical Exercise Training Insurance Reimbursement manual—your ultimate guide to navigating insurance reimbursement in MET.

This groundbreaking manual will provide:
Step-by-step procedures for claim submission
Sample forms and documentation templates
Illustrations and definitions of CPT coding applications
A clear roadmap to securing reimbursement for MET services

The manual releases on April 4th! Secure your pre-launch copy for just $129 before April 3rd. After that, the price increases to $179. Click Here to Purchase Your Copy: CRACKING THE CODE MANUAL

🔗 Pre-order today and take control of your financial future in Medical Exercise Training!

 

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