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Official Description

Application of a modality to 1 or more areas; electrical stimulation (unattended)

© Copyright 2025 American Medical Association. All rights reserved.

Common Language Description

The CPT® Code 97014 refers to the application of a modality to one or more areas through electrical stimulation that is performed in an unattended manner. This procedure utilizes devices such as transcutaneous electrical nerve stimulation (TENS), functional electrical stimulation (FES), or neuromuscular electrical stimulation (NMES). During the application, a physical therapist or a physical therapy aide positions electrodes on the skin over the targeted area. Once the electrodes are in place, the electrical stimulation device is activated, delivering controlled electrical impulses to the skin. These impulses induce muscle contractions, which in turn stimulate both muscle and nerve tissues. The primary goals of this modality are to alleviate pain and facilitate the healing process. It is important to note that the application of this modality can be conducted as a supervised treatment that does not necessitate direct, one-on-one contact with the patient. The specific code 97014 is designated for instances where the electrical stimulation is administered in an unattended manner, meaning that the patient does not require continuous supervision during the treatment.

© Copyright 2025 Coding Ahead. All rights reserved.

1. Indications

The application of electrical stimulation using CPT® Code 97014 is indicated for various conditions where pain relief and muscle stimulation are necessary. The following are the explicitly provided indications for this procedure:

  • Pain Management Electrical stimulation is often utilized to help manage acute or chronic pain conditions, providing relief through muscle contractions and nerve stimulation.
  • Muscle Rehabilitation This modality is indicated for patients requiring muscle re-education or strengthening, particularly after injury or surgery.
  • Improvement of Circulation Electrical stimulation can aid in enhancing blood flow to the affected area, promoting healing and recovery.
  • Reduction of Muscle Spasms The procedure is effective in alleviating muscle spasms, providing relief and improving overall muscle function.

2. Procedure

The procedure for applying electrical stimulation using CPT® Code 97014 involves several key steps that ensure effective treatment. The following outlines the procedural steps:

  • Step 1: Preparation of the Patient The patient is positioned comfortably to allow access to the area requiring treatment. The therapist explains the procedure to the patient, ensuring they understand what to expect during the application of electrical stimulation.
  • Step 2: Electrode Placement The therapist or physical therapy aide prepares the skin by cleaning the area where the electrodes will be placed. Electrodes are then positioned on the skin over the targeted muscle or nerve area, ensuring proper contact for effective stimulation.
  • Step 3: Device Setup The electrical stimulation device is set up according to the manufacturer's instructions. The therapist selects the appropriate settings, including the intensity and duration of the electrical impulses, tailored to the patient's specific needs.
  • Step 4: Activation of the Device Once the electrodes are securely in place and the device is set, the therapist activates the electrical stimulation unit. The device begins to deliver electrical impulses, causing the muscles to contract and providing the intended therapeutic effects.
  • Step 5: Monitoring Although the procedure is unattended, the therapist may periodically check on the patient to ensure comfort and effectiveness of the treatment. Adjustments to the settings may be made if necessary.
  • Step 6: Conclusion of Treatment After the predetermined treatment duration, the device is turned off, and the electrodes are carefully removed from the patient's skin. The therapist may provide post-treatment instructions or recommendations for follow-up care.

3. Post-Procedure

After the application of electrical stimulation using CPT® Code 97014, patients may experience immediate relief from pain and improved muscle function. It is common for patients to be advised to rest the treated area and avoid strenuous activities for a short period following the procedure. Additionally, the therapist may recommend follow-up sessions to maximize the benefits of the treatment. Patients should be informed about potential mild side effects, such as skin irritation at the electrode sites or temporary muscle soreness. Continuous assessment of the patient's response to the treatment is essential to determine the effectiveness and make any necessary adjustments in future sessions.

Short Descr ELECTRIC STIMULATION THERAPY
Medium Descr APPL MODALITY 1/> AREAS ELEC STIMJ UNATTENDED
Long Descr Application of a modality to 1 or more areas; electrical stimulation (unattended)
Status Code Not Valid for Medicare Purposes
Global Days XXX - Global Concept Does Not Apply
PC/TC Indicator (26, TC) 9 - Not Applicable
Multiple Procedures (51) 9 - Concept does not apply.
Bilateral Surgery (50) 9 - Concept does not apply.
Physician Supervisions 09 - Concept does not apply.
Assistant Surgeon (80, 82) 9 - Concept does not apply.
Co-Surgeons (62) 9 - Concept does not apply.
Team Surgery (66) 9 - Concept does not apply.
Diagnostic Imaging Family 99 - Concept Does Not Apply
APC Status Indicator Non-Covered Service, not paid under OPPS
Type of Service (TOS) 1 - Medical Care
Berenson-Eggers TOS (BETOS) P6C - Minor procedures - other (Medicare fee schedule)
MUE 0
CCS Clinical Classification 213 - Physical therapy exercises, manipulation, and other procedures
GY Item or service statutorily excluded, does not meet the definition of any medicare benefit or, for non-medicare insurers, is not a contract benefit
GP Services delivered under an outpatient physical therapy plan of care
59 Distinct procedural service: under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-e/m services performed on the same day. modifier 59 is used to identify procedures/services, other than e/m services, that are not normally reported together, but are appropriate under the circumstances. documentation must support a different session, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same individual. however, when another already established modifier is appropriate it should be used rather than modifier 59. only if no more descriptive modifier is available, and the use of modifier 59 best explains the circumstances, should modifier 59 be used. note: modifier 59 should not be appended to an e/m service. to report a separate and distinct e/m service with a non-e/m service performed on the same date, see modifier 25.
GA Waiver of liability statement issued as required by payer policy, individual case
GX Notice of liability issued, voluntary under payer policy
KX Requirements specified in the medical policy have been met
52 Reduced services: under certain circumstances a service or procedure is partially reduced or eliminated at the discretion of the physician or other qualified health care professional. under these circumstances the service provided can be identified by its usual procedure number and the addition of modifier 52, signifying that the service is reduced. this provides a means of reporting reduced services without disturbing the identification of the basic service. note: for hospital outpatient reporting of a previously scheduled procedure/service that is partially reduced or cancelled as a result of extenuating circumstances or those that threaten the well-being of the patient prior to or after administration of anesthesia, see modifiers 73 and 74 (see modifiers approved for asc hospital outpatient use).
GZ Item or service expected to be denied as not reasonable and necessary
CQ Outpatient physical therapy services furnished in whole or in part by a physical therapist assistant
97 Rehabilitative services: when a service or procedure that may be either habilitative or rehabilitative in nature is provided for rehabilitative purposes, the physician or other qualified health care professional may add modifier 97 to the service or procedure code to indicate that the service or procedure provided was a rehabilitative service. rehabilitative services help an individual keep, get back, or improve skills and functioning for daily living that have been lost or impaired because the individual was sick, hurt, or disabled.
AT Acute treatment (this modifier should be used when reporting service 98940, 98941, 98942)
XE Separate encounter, a service that is distinct because it occurred during a separate encounter
GO Services delivered under an outpatient occupational therapy plan of care
GN Services delivered under an outpatient speech language pathology plan of care
GB Claim being re-submitted for payment because it is no longer covered under a global payment demonstration
XS Separate structure, a service that is distinct because it was performed on a separate organ/structure
96 Habilitative services: when a service or procedure that may be either habilitative or rehabilitative in nature is provided for habilitative purposes, the physician or other qualified health care professional may add modifier 96 to the service or procedure code to indicate that the service or procedure provided was a habilitative service. habilitative services help an individual learn skills and functioning for daily living that the individual has not yet developed, and then keep and/or improve those learned skills. habilitative services also help an individual keep, learn, or improve skills and functioning for daily living.
Q6 Service furnished under a fee-for-time compensation arrangement by a substitute physician or by a substitute physical therapist furnishing outpatient physical therapy services in a health professional shortage area, a medically underserved area, or a rural area
XU Unusual non-overlapping service, the use of a service that is distinct because it does not overlap usual components of the main service
76 Repeat procedure or service by same physician or other qualified health care professional: it may be necessary to indicate that a procedure or service was repeated by the same physician or other qualified health care professional subsequent to the original procedure or service. this circumstance may be reported by adding modifier 76 to the repeated procedure or service. note: this modifier should not be appended to an e/m service.
25 Significant, separately identifiable evaluation and management service by the same physician or other qualified health care professional on the same day of the procedure or other service: it may be necessary to indicate that on the day a procedure or service identified by a cpt code was performed, the patient's condition required a significant, separately identifiable e/m service above and beyond the other service provided or beyond the usual preoperative and postoperative care associated with the procedure that was performed. a significant, separately identifiable e/m service is defined or substantiated by documentation that satisfies the relevant criteria for the respective e/m service to be reported (see evaluation and management services guidelines for instructions on determining level of e/m service). the e/m service may be prompted by the symptom or condition for which the procedure and/or service was provided. as such, different diagnoses are not required for reporting of the e/m services on the same date. this circumstance may be reported by adding modifier 25 to the appropriate level of e/m service. note: this modifier is not used to report an e/m service that resulted in a decision to perform surgery. see modifier 57 for significant, separately identifiable non-e/m services, see modifier 59.
50 Bilateral procedure: unless otherwise identified in the listings, bilateral procedures that are performed at the same session, should be identified by adding modifier 50 to the appropriate 5 digit code. note: this modifier should not be appended to designated "add-on" codes (see appendix d).
51 Multiple procedures: when multiple procedures, other than e/m services, physical medicine and rehabilitation services or provision of supplies (eg, vaccines), are performed at the same session by the same individual, the primary procedure or service may be reported as listed. the additional procedure(s) or service(s) may be identified by appending modifier 51 to the additional procedure or service code(s). note: this modifier should not be appended to designated "add-on" codes (see appendix d).
53 Discontinued procedure: under certain circumstances, the physician or other qualified health care professional may elect to terminate a surgical or diagnostic procedure. due to extenuating circumstances or those that threaten the well being of the patient, it may be necessary to indicate that a surgical or diagnostic procedure was started but discontinued. this circumstance may be reported by adding modifier 53 to the code reported by the individual for the discontinued procedure. note: this modifier is not used to report the elective cancellation of a procedure prior to the patient's anesthesia induction and/or surgical preparation in the operating suite. for outpatient hospital/ambulatory surgery center (asc) reporting of a previously scheduled procedure/service that is partially reduced or cancelled as a result of extenuating circumstances or those that threaten the well being of the patient prior to or after administration of anesthesia, see modifiers 73 and 74 (see modifiers approved for asc hospital outpatient use).
CA Procedure payable only in the inpatient setting when performed emergently on an outpatient who expires prior to admission
CO Outpatient occupational therapy services furnished in whole or in part by an occupational therapy assistant
FP Service provided as part of family planning program
GE This service has been performed by a resident without the presence of a teaching physician under the primary care exception
GF Non-physician (e.g. nurse practitioner (np), certified registered nurse anesthetist (crna), certified registered nurse (crn), clinical nurse specialist (cns), physician assistant (pa)) services in a critical access hospital
GR This service was performed in whole or in part by a resident in a department of veterans affairs medical center or clinic, supervised in accordance with va policy
GT Via interactive audio and video telecommunication systems
GV Attending physician not employed or paid under arrangement by the patient's hospice provider
KY Dmepos item subject to dmepos competitive bidding program number 5
LT Left side (used to identify procedures performed on the left side of the body)
Q5 Service furnished under a reciprocal billing arrangement by a substitute physician or by a substitute physical therapist furnishing outpatient physical therapy services in a health professional shortage area, a medically underserved area, or a rural area
RT Right side (used to identify procedures performed on the right side of the body)
XP Separate practitioner, a service that is distinct because it was performed by a different practitioner
Date
Action
Notes
2024-01-01 Changed Guideline changed.
2009-01-01 Changed Code description changed.
Pre-1990 Added Code added.
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