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97140 CPT Code: Manual Therapy Billing & NCCI Rules

Last Updated: November 7, 2025

CPT 97140 covers manual therapy techniques (e.g., mobilization/manipulation, manual lymphatic drainage, manual traction). It is heavily audited because it frequently triggers NCCI unbundling edits.

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2026 Medicare National Fee (97140): Non-Facility (Office): $34.24 · Facility (Hospital): $34.24
✓ 27,004 Medicare-Approved ICD-10 Diagnoses on file for 97140:

The Modifier 59 Trap

Medicare considers manual therapy (97140) and therapeutic exercises (97110) to be mutually exclusive if performed in the same 15-minute block.

To bill both on the same day, you must perform them in entirely separate, distinct 15-minute time blocks. If you meet this requirement, you must append Modifier 59 (or XE) to 97140.

Medical Necessity Documentation

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Your documentation must clearly delineate the time. (e.g., "09:00-09:15: Manual joint mobilizations of the right shoulder. 09:15-09:30: Therapeutic theraband exercises for rotator cuff strength.")

NCCI Edits and Chiropractic (98940)

If a chiropractor bills a spinal manipulation (98940-98942) in a specific spinal region, they cannot bill 97140 in that same anatomic region on the same day, period. Modifier 59 will not save you here.

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