Capture Kegel Exercise Pay With Evaluation/Management

Question: Is there a procedure code for billing for Kegel exercise teaching and can you report 90911 or possibly 97110?

Answer: No, there are no particular CPT or HCPCS codes for the performance of or teaching of Kegel exercises. To bill for teaching a patient on ways to carry out these exercises properly, a nurse or medical technician must document a brief history and physical examination and the indications for and the expected goals of the Kegel exercises. In this situation, you can then go for 99211 (Office or other outpatient visit for the evaluation and management of an established patient that may not require the presence of a physician …) for this particular encounter.

Information about the service: Kegel exercises are voluntary contraction and relaxation of the perineal musculature with the urinary sphincter (pelvic diaphragm). These exercises are normally carried out outside of the office without medical staff supervision, and are a non-invasive and non-surgical treatment for female and once in a while male stress urinary incontinence.

Drawback: You should only report 90911 (Biofeedback training, perineal muscles, anorectal or urethral sphincter inclusive of EMG and/or manometry) for the teaching of biofeedback therapy with face-to-face supervision in office by one of your trained medical staff.

To add to it, you should report (Therapeutic procedure, one or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility) only for pelvic floor muscle rehabilitation (PFMR) carried out under one-on-one supervision with a doctor, physiotherapist, or ancillary office staff member exclusively trained in an accredited physiotherapy program.