Will Insurance Help Pay for Your Gait Analysis?

Your knee surgery went well. Now comes the long part: weeks of physical therapy, a careful return to walking, and one question that follows you to every appointment. Who’s going to pay for all this?

If your therapist uses stappone, there’s good news. The services it supports are billed under established insurance codes, so they may be covered by your health plan. Here’s what that means, and how to find out for your own care.

Why coverage is possible

stappone is a pair of thin sensor insoles that measure how your weight lands with every step and show it live on your therapist’s tablet. Your clinic keeps one case with 12 sizes, about US 4 to 13, so they fit your own shoes. stappone is registered with the U.S. Food and Drug Administration (FDA) as a Class II 510(k) exempt medical device for use in clinics and therapists.

That registration matters. Your clinic isn’t billing your insurer for “the insoles.” It bills for the care you receive while using them, and those are services insurers already recognize.

What services may be covered

Depending on your plan, these are the services where stappone is used:

• Gait analysis: a measured look at how you walk, including how pressure moves through each foot.
• Gait training: guided practice to walk more evenly and safely.
• Balance and movement retraining: exercises that help your body relearn steady, controlled movement.
• Performance testing: measurements that track your strength and function over time.
• Orthotic fitting: checking how well shoe inserts or braces are working for you.
• Biofeedback: seeing your own movement in real time so you can correct it.

 

What insurers look for: proof you’re improving

Insurers generally keep paying for therapy when your clinic can show measurable progress. “Looks better” is hard to document. Numbers aren’t.

At your first visit, stappone records a baseline: how evenly you load each leg, your step length, your pace. At later visits, your therapist compares. That record helps you see your recovery, and helps your clinic show your insurer that your care is working.

Good to know: The data that shows you you’re getting better is the same data that helps your clinic document your care for insurance.

→ Want to know if a provider near you uses stappone? Contact us.

For your clinic: share this with your therapist’s office

Services using stappone may be billed under codes such as these:¹

• Motion analysis: 96000, 96001, 96004
• Evaluation: 97163
• Therapeutic procedures: 97530, 97112, 97116, 97110
• Physical performance testing: 97750
• Orthotic management: 97760, 97763
• Biofeedback: 90901

Clinics can learn more about stappone Physio and stappone Medical.

“Recovery you can see”

“Is my therapy working? Will it be covered? Patients shouldn’t have to guess. stappone gives patients, therapists and insurers the same clear picture of progress.” Says stappone CEO Peter Krimmer.  We’re just getting started in the U.S.

stappone is used in clinics across Europe and is now coming to practices in the United States. Would you like to find a provider near you, or ask your own clinic to offer stappone? Fill out our contact form and we’ll help connect you.

→ Contact us  Prefer to talk? Call (302) 534-7837.

¹ The CPT codes listed are suggestions only, not billing advice. Clinics should rely on their own claims experience with each insurer. Coverage varies by payer, plan and service, and some or all insurers may deny claims for these codes. Code 96001 describes motion analysis that includes dynamic plantar pressure measurement; stappone provides the plantar pressure data & IMU data. Confirm current codes and requirements with your billing team or payer before submitting.