This procedure is used to improve balance, coordination, kinesthetic sense and proprioception.  This procedure is reasonable and medically necessary for impairments, which affect the body's neuromuscular system (i.e., poor static or dynamic sitting/standing balance, loss of gross and fine motor coordination, hypo/hypertonicity).  Examples include Proprioceptive Neuromuscular Facilitation (PNF), The Feldenkrais Method, Bobath, Bap's Boards and Desensitization Techniques.

Your treatment plan should be specific and describe your clinical rationale for performing 97112.  Your patient history and exam findings should relate to the patient having difficulties and impaired functional capacity with certain movements, balance, coordination, kinesthetic sense, posture and/or proprioception.  The plan of care should also outline what specific parameters will be used for 97112 (e.g., balance board for 10 minutes, PNF stretching to lumbar region, etc.)

Your SOAP notes do not need to describe the clinical approach and rationale on every visit.  The SOAP notes should list the anatomic site and the amount of time spent on that area (e.g., PNF stretching to bilateral hamstrings for 15 minutes).