A physical therapist would bill hippotherapy sessions for reducing spasticity and improving gait as which CPT code?

• A. 97112 Neuromuscular reeducation
• B. 97110 Therapeutic exercises to exercise; range of motion
• C. 97530 Therapeutic activities
• D. 97542 Wheelchair Mobility Training

Answer: (A)

Hippotherapy aims to retrain neuromuscular control by challenging balance, trunk stability, and gait through the movement of the horse. The code for neuromuscular reeducation directly covers techniques to improve coordination, balance, kinesthetic sense, posture, and gait, which aligns with reducing spasticity and enhancing walking. That alignment makes it the best fit. The other codes focus more narrowly on range of motion exercises, general functional activities, or wheelchair mobility, which don’t capture the specific neuromuscular retraining and gait-focused goals of hippotherapy.