Master pelvic health billing for your PT or OT practice

Accurate billing for pelvic health services means better reimbursement and less stress. Get it right with our expert guide.

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Pelvic health billing
can be tricky—
we make it simple

Pelvic health services are life-changing for your patients—but getting paid for them can be a challenge. Whether you’re treating urinary incontinence, pelvic pain, pre/postnatal issues, or core dysfunction, you need to code, document, and bill these services correctly to ensure full reimbursement.

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At PT Billing Services, we specialize in pelvic health billing for physical and occupational therapy clinics. Here’s everything you need to know.

What treatments are included in pelvic health therapy?

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Pelvic Floor Muscle Training
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Manual Therapy (internal and external)
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Biofeedback
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Neuromuscular Re-Education
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Electrical Stimulation
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Bladder/Bowel Retraining
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Postpartum Recovery Programs
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Patient Education & Home Exercise Instruction
Physical Therapist mobilizing a patients pelivis

Key CPT codes for
billing pelvic health therapy

Pelvic health billing uses standard PT/OT codes, but you must apply them correctly—especially when internal work is involved. Below are some of the most commonly billed codes for pelvic health services:

CPT Code
Description
Use in Pelvic Health
97110
Therapeutic Exercise
Pelvic floor strengthening, core stability exercises
97112
Neuromuscular Re-Education
Pelvic floor coordination, bladder retraining
97530
Therapeutic Activities
Functional training like lifting/posture
97140
Manual Therapy Techniques
Soft tissue mobilization, internal/external myofascial release
90911
Biofeedback Training
Pelvic floor biofeedback with instrumentation
97014/G0283
Electrical Stimulation
Pelvic floor muscle re-education
Note: Internal manual therapy is often billed under 97140, but documentation must clearly describe medical necessity and patient consent.

We specialize in pelvic health billing— so you don’t have to

Our team understands the nuances of pelvic health billing for PT/OT practices. Whether you’re billing for internal manual therapy, biofeedback, or postpartum care, we can help with:

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Clean claims submission
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Benefit verifications
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Payment posting
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Denial management
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Payor communications
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Ongoing compliance and audits

Let us take the billing off your plate—so you can focus on patient care.

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How to document pelvic health treatments for maximum reimbursement

1

Diagnosis

Use correct ICD-10 codes (e.g., N39.3 for stress incontinence, R10.2 for pelvic pain).

2

Consent

Document patient consent for internal examinations or treatments.

3

Objective Measures

Include strength grading (Oxford scale), endurance, coordination, and functional outcomes.

4

Treatment Details

Specify whether manual therapy was internal or external, and the techniques used.

5

Home Program

Outline education provided and home exercise programs (HEP).

6

Progress

Demonstrate measurable improvement (pain reduction, function, bladder control).

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Avoid these common pelvic health billing errors

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Failing to document informed consent for internal work
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Using inappropriate or unspecified CPT codes (e.g., 97799)
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Billing 90911 without using a biofeedback device
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Omitting time spent on time-based codes (97110, 97112, etc.)
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Not linking ICD-10 codes that support medical necessity (e.g., using general low back pain codes when pelvic-specific diagnoses are more appropriate)
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Forgetting payer-specific rules (some payers don’t cover internal manual therapy or require pre-authorization for biofeedback)

Simplify your pelvic health billing—partner with PT Billing Services

Ready to get paid faster and reduce billing headaches? Let our team handle your pelvic health billing and maximize your revenue.