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You are here: Balance Engineering / CPT Codes

CPT Codes

CPT Codes available for use with the Equilibrate System

The ability to document the progress of care over the course of therapy enables the caregiver to demonstrate improvement to the patient as well as to insurance companies and Medicare. Delivering evidence-based care with documented progress is the new paradigm in the health care industry. Balance Engineering supports this paradigm by providing key tools that help caregivers not only to provide high quality care to their patients but also to meet the requirements for efficient insurance reimbursement. Insurance companies and Medicare are reimbursing hospitals, clinics and other care facilities for evaluation, assessment and therapeutic services today. The Equilibrate System was designed to leverage those existing CPT codes so caregivers can seek reimbursement for utilizing the technology and turn the tool into a revenue-generating device.

CPT Codes to utilize with the Equilibrate System

  • 97001: Initial Evaluation
  • 97002: Re-Evaluation
  • 97110: Therapeutic exercise
  • 97112: Neuromuscular re-education
  • 97116: Gait training
  • 97530: Therapeutic activities
  • 97535: Self care home management training including ADL
  • 97750: Physical performance testing with report

Insurance reimbursement for balance assessment and rehabilitation is dependent on local/state regulations and guidelines. Check your local regulations and with your insurance providers for more information.

 

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Balance Links

  • AARP
  • AOA
  • APTA
  • CDC
  • Concussion TV
  • EATA
  • NATA
  • NCAL
  • NIH
  • PFATS
  • SportsConcussions.org

Balance Facts

Fall Risk for Adults

One out of three adults 65+ suffer a physical fall each year resulting in among other issues, hip fractures which account for approximately 300,000 hospitalizations each year.

Balance Important to Health

11 million+ annual physician visits involve balance-related issues. It is the most common reason given by patients 65+ for visiting a physician. Once they experience a significant fall, their overall health fails considerably.

High Cost of Falls

The direct cost of all fall injuries = $30B rising to est. $54B by 2020

Effective Fall Prevention

Clinical interventions have proven effective in reducing fall-related injuries and better clinical data will improve results. This is where the Equilibrate system becomes so important.

Therapy Statistics

Inpatient Physical and Occupational Therapy is delivered at over 6,200 hospitals in the US.

CDC Concussion Statistics

3.8 Million sports brain injuries occur each year.
300,000 sports brain injuries will result in loss of consciousness.
Over 250,000 concussions occur in US high school football each year.
75% of the 1.7 million TBI's have concussions.

Growing Need

For the aging population, there are 37,000 Assisted Living and Private Care facilities with an annual growth rate of 14% with composite budgets of over $165B.

Balance Articles

  • Equilibrate On YNN News
  • Balance Engineering Demonstrating Equlibrate Balance System at The National Athletic Trainers Association National Meeting held in Las Vegas NV, June 25-27, 2013
  • EQUILIBRATE BALANCE SYSTEM IN USE AT MICHELI CENTER FOR SPORTS INJURY PREVENTION, WALTHAM, MA.
  • Hidden Concussions in Pro Sports?
  • Womens Concussions Getting Higher Visibility

Testimonial

Senior Care

“Identifying and educating seniors who may be at risk for falls is one of our agency’s primary goals. The community’s cooperative use of the Balance Engineering System to screen at risk seniors have helped us intervene and decrease falls in our community. This system has enabled us to work with our local hospital, home health care agencies and long term care facilities. In many cases we were able to identify seniors who needed additional physical therapy and/or adaptive equipment that helped them stay safe in their own homes. This system has proven ‘An ounce of prevention is worth a pound of cure."

Office of Aging Administrator, Ohio

Sports Concussions

"My 15 year old stepson had 4 concussions in approx. 18 months. Each time he had a concussion the Dr. would clear him to return to play again but I thought it was too soon. I could tell by his slower reaction time and his balance that his brain was not back to normal. It wasn't until after his 4th concussion that I was introduced to Balanced Engineering's Equilibrate system and it totally changed my perspective on things. When the first test was completed I was shocked to see how "unbalanced" my stepson was and how low his scores were. I was truly convinced he should not have returned to play sports so soon. Over the next few months my stepson showed great improvement in his test scores and in how he was acting at home. As I saw him physically improve, the test scores showed his changes. If we had performed such a detailed, yet simple test earlier, there is no way I would have let him get back to sports when he did and thus receive additional concussions. I was grateful to have had the opportunity to work with Balance Engineering; I would recommend them, not just for helping with concussions, but any type of balance issues."
Athlete's Mother, New York

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