What is the 97014 CPT code?
Electrical stimulation is the use of electrical currents to activate nerves or muscles for therapeutic purposes. Examples include electrical muscle stimulation (EMS), transcutaneous electrical nerve stimulation (TENS), interferential current (IFC), neuromuscular electrical stimulation (NMES), and functional electrical stimulation (FES), each targeting pain relief, muscle strengthening, or functional movement.
CPT code 97014, a code under the category of physical medicine and rehabilitation modalities, refers to the use of currents to stimulate muscles or nerves for therapeutic purposes like to manage or relieve pain, improve circulation, stimulate muscle contractions, and reduce of muscle spasms for cases like spinal cord injuries, strokes, and muscle weakness (post surgical). This is applicable to 1 or more areas.
Do note that this code signifies unattended electrical stimulation which means that it does not require the direct, content attendance of the healthcare provider offering the electrical stimulation services.
Documentation requirements
To support the use of CPT code 97014, thorough and accurate documentation is essential. Generally, the documentation should include the following:
- Patient identification
- Date of service
- Documentation of the treatment plan and clinical rationale for the treatment
- Type of electrical stimulation, device used, and parameters
- Area(s) of application
- Duration of the treatment session
- Patient response and progress
- Medical necessity
- Proof that the provider was present in the office and available if needed even if the treatment was provided without constant attendance
Billing guidelines
When handling the physical therapy billing, it's important to adhere to the following guidelines:
- Only one unit of 97014 per patient per treatment session, regardless of the duration or the number of areas treated.
- Ensure that the service is "unattended"
- Use the proper HSPCS counterpart for Medicare billing
- Verified specific billing policies of individual insurance payers
- Make sure that the documentation supports the medical necessity of electrical stimulation
- Properly use modifiers if necessary
Frequently asked questions
Attended electrical stimulation means that the professional is providing constant direct contact during the electrical stimulation in physical therapy settings.
No, 97014 is an unattended modality.
Coverage varies; often considered adjunctive and may be non-covered unless part of a therapy plan, whether that plan is for pain management or muscle strengthening. To add, Medicare may also consider the HSPCS code rather than the CPT code.
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