Why therapists use this
- Pediatric-focused copy and examples — not chiropractic or massage templates
- Evaluation and timed treatment codes therapists actually use
- Download or print; save later if you want monthly regeneration

Common CPT codes for PT superbills
Reference only — bill the codes that match services you delivered and your payer contracts.
| Code | Description |
|---|---|
| 97161 | PT evaluation — low complexity |
| 97162 | PT evaluation — moderate complexity |
| 97163 | PT evaluation — high complexity |
| 97110 | Therapeutic exercises |
| 97112 | Neuromuscular reeducation |
| 97530 | Therapeutic activities |
Example ICD-10 codes
Examples clinicians often see in pediatric PT — always use the diagnosis that fits the client.
G80.9M62.81R26.9Q05.9G93.1
FAQ
What is a pediatric PT superbill used for?
It itemizes services so families can submit out-of-network claims or keep records for HSAs/FSAs. It is not a claim form itself.
Can I use this for school-based PT?
The document format works anywhere you need a fee-for-service record. Confirm your employer or district rules before issuing superbills.
Does Therativities replace my billing software?
Therativities is practice management with billing helpers. The free tool stands alone; the full product adds scheduling, notes, parent portal, and Stripe payments.
