CPT Code Lookup Tool
Use this free CPT Lookup Tool to search for Current Procedural Terminology (CPT) codes, descriptions, and related details — designed to help streamline and simplify your medical billing process.
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Office or other outpatient visit
Evaluation and management of an established patient...
Information
This code is for use in medical billing and coding.
Information
This code is part of the section of CPT codes.
Office or other outpatient visit for the evaluation and management...
Note
This description reflects the 2021 E/M coding guidelines.
Information
codes are used to report evaluation and management services provided in various settings.
Information
RVUs are used to determine the fee for a service under the Medicare Physician Fee Schedule.
Information
This code is commonly used by primary care providers, but may be used by any specialty providing office visits.
Significant, separately identifiable E/M service
Information
Modifiers provide additional information about the service provided.
Detail About CPT 97026
Related Codes Table
| Code | Description |
|---|---|
| 97028 | Application of a modality to 1 or more areas; ultraviolet |
| 97124 | Therapeutic procedure, one or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion) |
| 97140 | Manual therapy techniques (eg, mobilization/manipulation, manual lymphatic drainage, manual traction), one or more regions, each 15 minutes |
| 97750 | Physical performance test or measurement (eg, musculoskeletal, functional capacity), with written report, each 15 minutes |
Commonly Billed With
CPT code 97026 is commonly billed with evaluation and management codes such as 99213 (Office or other outpatient visit for the evaluation and management of an established patient).
Clinical Scenarios
Infrared Therapy for Chronic Pain Management
A patient with chronic lower back pain receives infrared therapy to alleviate discomfort and improve mobility.
Infrared Therapy for Sports Injury Rehabilitation
An athlete recovering from a hamstring strain undergoes infrared therapy sessions to promote healing and reduce inflammation.
Infrared Therapy for Arthritis Symptoms
A senior patient with arthritis in the knees undergoes regular infrared therapy treatments to manage pain and stiffness.
FAQs
Is CPT code 97026 specific to infrared therapy only?
Yes, CPT code 97026 specifically refers to the application of infrared modality.
Can CPT code 97026 be used for multiple areas during the same session?
Yes, CPT code 97026 allows for the application of the modality to one or more areas during a single session.
What is the typical duration of an infrared therapy session billed under CPT code 97026?
The duration of an infrared therapy session can vary but is typically around 15 minutes per area treated.
Are there any specific documentation requirements for billing CPT code 97026?
Providers should document the areas treated and the duration of each treatment session when billing CPT code 97026.
Can CPT code 97026 be billed alongside other physical therapy services?
Yes, CPT code 97026 can be billed alongside other physical therapy services as long as they are medically necessary and distinct procedures.
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