Billing code 97112: Neuromuscular reeducationMedicare rate & RVUs in Nevada
Timed one-on-one therapy to restore balance, coordination, posture, kinesthetic sense, and proprioception for sitting or standing activities, reported per 15 minutes of direct contact.
Medicare pays $32.69 for 97112 in the office in Nevada (Nevada**). Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 97112 covers
Neuromuscular reeducation addresses impaired balance, coordination, posture, movement control, and awareness of joint position during sitting or standing activities. A physical or occupational therapist or therapy assistant may use weight-shifting drills, balance-board exercises, perturbations, or proprioceptive training to help a patient regain motor control after stroke, ankle sprain, or knee ligament reconstruction. It is typically delivered in an outpatient therapy clinic or private practice; the treatment goal is retraining movement control rather than simply building strength.
Report 97112 for each 15 minutes of direct, one-on-one treatment. Under Medicare's timed-code method, total timed treatment minutes determine billable units across timed codes; record minutes for each service without counting overlapping time twice. Document the deficit, activities, skilled cueing, and response to distinguish reeducation from therapeutic exercise or gait training. Use GP or GO for the applicable therapy plan, and CQ or CO when assistant services require them. This therapy service has no professional/technical split; do not append modifier 26 or TC. Under the therapy multiple procedure payment reduction, practice expense is reduced for the second and later therapy units that day, including additional 97112 units.
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
97112 in Nevada**
| Payment locality | Office | Facility |
|---|---|---|
| Nevada** | $32.69 | Unavailable |
How the 97112 rate is calculated
Each of 97112’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 97112
RVUs × geographic indexes × conversion factor
Work0.50
0.50 RVUs× 1.000 GPCI
Practice expense0.47
0.47 RVUs× 1.000 GPCI
Malpractice0.01
0.01 RVUs× 1.000 GPCI
Adjusted RVUs
0.9800
Conversion factor
$33.4009
Medicare rate
$32.73
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 97112
The CMS indicators that decide how 97112 is paid alongside other services.
CMS payment indicators · 97112
Neuromuscular reeducation
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 5 | Therapy reduction: practice expense of the second and later units is reduced. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 7 | Therapy service: the split doesn’t apply. |
What modifiers do to the payment
Modifier CQ · payment effect
With and without the modifier
97112 without CQ · national office
$32.73
Neuromuscular reeducation
97112-CQ · Allowed amount unchanged
$32.73
Medicare cuts its own payment by 15% after the patient’s 20% coinsurance; the allowed amount stays the same. On $100 allowed: $20 coinsurance, then Medicare pays $68 instead of $80.
97112 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 97110Therapeutic exercise
- 97110 targets strength, endurance, flexibility, and range of motion. 97112 targets balance, coordination, posture, proprioception, and motor control.
- 97530Therapeutic activities
- 97530 covers dynamic functional tasks such as lifting or transfers to improve performance. 97112 targets neuromuscular control deficits, even when drills involve functional movements.
- 97116Gait training
- 97116 applies when training targets walking or stair negotiation. Balance and weight-shifting drills not centered on ambulation support 97112.
- 97150Group therapy
- 97150 describes group therapy delivered to two or more patients together. 97112 requires direct one-on-one contact and is reported in 15-minute units.
97112 billing questions
How do I choose between 97112 and 97110?
Use 97112 when the goal is restoring balance, coordination, posture, or proprioception through motor control training. Use 97110 when exercise targets strength, endurance, range of motion, or flexibility. The documented goal and technique decide it, not the exercise equipment.
Can 97112 and 97110 be billed on the same day?
Yes, if each was performed for its own documented purpose during separate time. Record each code's minutes; Medicare determines the total billable timed units from the combined timed treatment minutes.
Does vestibular or balance training fall under 97112?
Balance retraining, static and dynamic postural control work, and vestibular exercises aimed at postural stability can be reported with 97112. The note should tie the activity to a balance or proprioceptive deficit.
Which modifiers are needed on 97112 for Medicare?
Use GP for a physical therapy plan or GO for an occupational therapy plan. Assistant services may also require CQ or CO, respectively. Do not use professional or technical component modifiers 26 or TC.
Can 97112 be billed when the therapist works with several patients at once?
Count only direct, one-on-one treatment time for 97112. Report 97150 for a distinct group therapy service delivered to two or more patients together, rather than counting that group time toward 97112.
What documentation supports 97112?
Record minutes of direct treatment, the impairment addressed, the technique and skilled cueing used, and the patient's response. Balance measures such as the Berg Balance Scale can help document progress toward postural-control goals.
97112 is in these specialty bundles: Physical therapy
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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