Example physiotherapy invoice
Here is what a typical physiotherapy invoice built with this template looks like. It bills 4 line items, from “Initial assessment” to “Resistance band kit”, for a subtotal of $435.00 before tax. Swap in your own rates; the amounts recalculate automatically.
| Description | Qty | Rate | Amount |
|---|---|---|---|
| Initial assessment (CPT 97162) | 1 | $180.00 | $180.00 |
| Therapeutic exercise, 15 min units (CPT 97110) | 2 | $55.00 | $110.00 |
| Manual therapy, 15 min units (CPT 97140) | 2 | $60.00 | $120.00 |
| Resistance band kit | 1 | $25.00 | $25.00 |
| Subtotal | $435.00 | ||
Suggested note for the client: Provider license #: ___. NPI: ___. Referring physician: ___. Payment due at time of service.
What to include on a physiotherapy invoice
- Clinic and provider details including license and NPI
- Patient name and visit date
- Assessment and treatment units with codes
- Equipment or supplies sold
- Referring physician if required
- Insurance co-pay or amount paid
Physiotherapy invoicing tips
- Bill treatment in 15-minute units with CPT codes.
- Include referral details where insurers require them.
- Sell home-exercise equipment as separate line items.
- Collect co-pays at each visit.
How to use this template
- Replace the sample line items with the work you actually did. The example items show typical physiotherapy charges and rates – adjust them to your prices.
- Add your business and client details, set the invoice number and due date, and add tax if you are registered to collect it.
- Download the PDF and email it to your client. Your edits are saved in this browser, so next month you only need to change the dates and items.
Need to quote the job first? Use the quote generator. Getting paid late? Work out interest with the late fee calculator, or browse all 50 invoice templates.
Frequently asked questions
How are physical therapy sessions billed?
Usually in 15-minute timed units per treatment code, plus untimed evaluation codes.
Do I need a referral on the invoice?
Some insurers require a physician referral. Include it when the client plans to claim.
Is this physiotherapy invoice template free?
Yes. Edit every field, download as many PDFs as you like and print them. There is no sign-up, no watermark and nothing is uploaded to our servers.
How do I save the invoice as a PDF?
Click "Download PDF / Print" and choose "Save as PDF" as the destination in the print dialog. It works on desktop and mobile browsers.