CPT code 97022: Whirlpool therapy, agitated water immersion2026 Medicare rate & RVUs in Arizona

Reports agitated-water immersion used as a physical medicine modality, such as for selected extremity stiffness or wound-care treatment.

CMS RVU26DEffective Oct 1, 2026One payment locality127.9K Medicare services in 2024

In Arizona, Medicare pays $15.35 for 97022 in the office.

$15.35Office (non-facility)
Not available in this settingHospital or facility
−2.2%vs the national office rate ($15.70)

Check a contract rate as a % of Medicare · 97022 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 97022 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Arizona
  2. What 97022 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 97022 covers

Whirlpool therapy immerses an affected limb or other body area in agitated water as a physical medicine modality. Physical and occupational therapists use it in rehabilitation and wound-care treatment plans, for example when treating an extremity with restricted motion or a wound for which water-based treatment is selected. The service may be furnished in an outpatient therapy department or hospital-based rehabilitation setting.

Report 97022 for the whirlpool modality itself, not for a contrast bath, compression device, or simple hot or cold pack. Documentation should identify the treated area, the clinical reason for selecting immersion, the treatment delivered, and the patient’s response. This is an untimed therapy service, not a 15-minute modality code, and the professional-component modifier does not apply. Under the CMS therapy multiple procedure payment reduction, practice expense is reduced for the second and later therapy units furnished to the same patient on the same day.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How Arizona compares for 97022

Across 109 of 109 payment localities, the office rate for 97022 runs from $14.17 in Arkansas to $20.45 in San Benito County, CA. Arizona pays $15.35. The RVUs are the same everywhere; the geographic indexes change the dollars.

97022 in Arizona vs other payment areas
  1. Arizona · this page$15.35
  2. Los Angeles, CA · California$17.59+$2.24
  3. Washington, DC area · District of Columbia$17.77+$2.42
  4. Miami, FL · Florida$16.61+$1.26
  5. Chicago, IL · Illinois$16.22+$0.87
  6. Manhattan, NY · New York$17.83+$2.48
  7. Alaska · Alaska$19.02+$3.67

Other areas in Arizona first, then benchmark localities. Bars start at $0.

Every other payment area

97022 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$14.34—
ArkansasArkansas$14.17—
Bakersfield, CACalifornia$16.61—
Chico, CACalifornia$16.57—
El Centro, CACalifornia$16.57—
Fresno, CACalifornia$16.57—
Hanford, CACalifornia$16.57—
Madera, CACalifornia$16.57—

97022 rates by state

Office rate range in each state. Select a state to see its payment localities.

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$14.17

$19.02

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
97022 office rate range by state
State / territoryOffice rate rangeLocalities
AK$19.021
AL$14.341
AR$14.171
AZ$15.351
CA$16.57–$20.4529
CO$16.311
CT$16.631
DC$17.771
DE$15.581
FL$15.44–$16.613
GA$14.72–$15.942
GU$16.881
HI$16.881
IA$14.671
ID$14.751
IL$15.04–$16.264
IN$14.821
KS$14.601
KY$14.591
LA$14.57–$15.172
MA$16.23–$17.772
MD$15.84–$17.773
ME$14.80–$15.492
MI$14.90–$15.592
MN$15.741
MO$14.35–$15.233
MS$14.261
MT$15.701
NC$14.931
ND$15.501
NE$14.741
NH$16.051
NJ$16.85–$17.632
NM$14.961
NV$15.651
NY$15.11–$18.185
OH$14.861
OK$14.591
OR$15.56–$16.782
PA$14.89–$16.262
PR$15.801
RI$16.091
SC$14.911
SD$15.481
TN$14.661
TX$14.80–$16.238
UT$15.081
VA$15.44–$17.772
VI$15.801
VT$15.441
WA$16.21–$18.122
WI$15.061
WV$14.571
WY$15.611

See 97022 in every payment locality

How the 97022 rate is calculated

Each of 97022’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 97022

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.17

0.17 RVUs× 1.000 GPCI

Practice expense0.29

0.29 RVUs× 1.000 GPCI

Malpractice0.01

0.01 RVUs× 1.000 GPCI

Adjusted RVUs

0.4700

Conversion factor

$33.4009

Medicare rate

$15.70

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Arizona inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

12,848

Code
97022
Physician work
0.17
Practice expense
0.29
Malpractice
0.01

GPCI2026.csv

6

Locality
Arizona
Physician work
1.000
Practice expense
0.969
Malpractice
0.856
Office calculation for 97022 in Arizona
ComponentRVULocality factorAdjusted
Physician work0.17× 1.0000.1700
Practice expense0.29× 0.9690.2810
Malpractice0.01× 0.8560.0086
Total RVUs0.4596
Conversion factor× 33.4009

Office rate, Arizona$15.35

Office: (0.17 × 1 + 0.29 × 0.969 + 0.01 × 0.856) × $33.4009 = $15.35

Open 97022 in the RVU calculator

Payment rules and modifiers for 97022

The CMS indicators that decide how 97022 is paid alongside other services.

CMS payment indicators · 97022

Whirlpool therapy, agitated water immersion

RuleCMS valueWhat it means
Global periodXXXThe global surgery concept doesn’t apply.
Multiple procedures5Therapy reduction: practice expense of the second and later units is reduced.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical7Therapy service: the split doesn’t apply.

What modifiers do to the payment

Modifier CQ · payment effect

With and without the modifier

97022 without CQ · national office

$15.70

Whirlpool therapy, agitated water immersion

97022-CQ · Allowed amount unchanged

$15.70

Medicare cuts its own payment by 15% after the patient’s 20% coinsurance; the allowed amount stays the same. On $100 allowed: $20 coinsurance, then Medicare pays $68 instead of $80.

How 97022 has changed in Arizona

97022 · Office / nonfacility

$15.35

Effective 2026-10-01

The base rate is $0.11 higher than on 2025-10-01, moving from $15.24 to $15.35 (0.7%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release
  1. January 1, 2026

    RVU26A

    $15.24changed to$15.35

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 0.30 changed to 0.29
    • Practice expense GPCI 0.975 changed to 0.969
    • Malpractice GPCI 0.854 changed to 0.856

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $16.65changed to$15.24

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 0.33 changed to 0.30

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $16.38changed to$16.65

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $16.82changed to$16.38

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense GPCI 0.963 changed to 0.975
    • Malpractice GPCI 0.855 changed to 0.854
  5. January 1, 2023

    RVU23A

    $17.04changed to$16.82

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense GPCI 0.951 changed to 0.963
    • Malpractice GPCI 0.857 changed to 0.855

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $17.51changed to$17.04

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 0.34 changed to 0.33

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $17.89changed to$17.51

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 0.33 changed to 0.34
    • Practice expense GPCI 0.961 changed to 0.951
    • Malpractice GPCI 0.846 changed to 0.857

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $17.98changed to$17.89

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense GPCI 0.971 changed to 0.961
    • Malpractice GPCI 0.834 changed to 0.846

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $19.00changed to$17.98

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 0.36 changed to 0.33

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $23.75changed to$19.00

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 0.49 changed to 0.36
    • Practice expense GPCI 0.986 changed to 0.971
    • Malpractice GPCI 0.856 changed to 0.834

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $23.59changed to$23.75

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 0.48 changed to 0.49
    • Practice expense GPCI 1.000 changed to 0.986
    • Malpractice GPCI 0.877 changed to 0.856

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $23.67changed to$23.59

    • Conversion factor 35.9335 changed to 35.8043

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $23.55changed to$23.67

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $23.43changed to$23.55

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense GPCI 0.989 changed to 1.000
    • Malpractice GPCI 0.946 changed to 0.877

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $23.43changed to$23.43

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 0.52 changed to 0.48
    • Practice expense GPCI 0.978 changed to 0.989
    • Malpractice GPCI 1.015 changed to 0.946

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $23.43

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$15.35Not available in this settingRVU26D
2026-07-01$15.35Not available in this settingRVU26C
2026-04-01$15.35Not available in this settingRVU26B
2026-01-01$15.35Not available in this settingRVU26A
2025-10-01$15.24Not available in this settingRVU25D
2025-07-01$15.24Not available in this settingRVU25C
2025-04-01$15.24Not available in this settingRVU25B
2025-01-01$15.24Not available in this settingRVU25A
2024-10-01$16.65Not available in this settingRVU24D
2024-07-01$16.65Not available in this settingRVU24C
2024-04-01$16.65Not available in this settingRVU24B
2024-03-09$16.65Not available in this settingRVU24AR
2024-01-01$16.38Not available in this settingRVU24A
2023-10-01$16.82Not available in this settingRVU23D
2023-07-01$16.82Not available in this settingRVU23C
2023-04-01$16.82Not available in this settingRVU23B
2023-01-01$16.82Not available in this settingRVU23A
2022-10-01$17.04Not available in this settingRVU22D
2022-07-01$17.04Not available in this settingRVU22C
2022-04-01$17.04Not available in this settingRVU22B
2022-01-01$17.04Not available in this settingRVU22A
2021-10-01$17.51Not available in this settingRVU21D
2021-07-01$17.51Not available in this settingRVU21C
2021-04-01$17.51Not available in this settingRVU21B
2021-01-01$17.51Not available in this settingRVU21A
2020-10-01$17.89Not available in this settingRVU20D
2020-07-01$17.89Not available in this settingRVU20C
2020-04-01$17.89Not available in this settingRVU20B
2020-01-01$17.89Not available in this settingRVU20A
2019-10-01$17.98Not available in this settingRVU19D
2019-07-01$17.98Not available in this settingRVU19C
2019-04-01$17.98Not available in this settingRVU19B
2019-01-01$17.98Not available in this settingRVU19A
2018-10-01$19.00Not available in this settingRVU18D
2018-07-01$19.00Not available in this settingRVU18C
2018-04-01$19.00Not available in this settingRVU18B
2018-01-01$19.00Not available in this settingRVU18AR1
2017-10-01$23.75Not available in this settingRVU17D
2017-07-01$23.75Not available in this settingRVU17C
2017-04-01$23.75Not available in this settingRVU17B
2017-01-01$23.75Not available in this settingRVU17A
2016-10-01$23.59Not available in this settingRVU16D
2016-07-01$23.59Not available in this settingRVU16C
2016-04-01$23.59Not available in this settingRVU16B
2016-01-01$23.59Not available in this settingRVU16A
2015-10-01$23.67Not available in this settingRVU15D
2015-07-01$23.67Not available in this settingRVU15C
2015-04-01$23.55Not available in this settingRVU15B
2015-01-01$23.55Not available in this settingRVU15A
2014-10-01$23.43Not available in this settingRVU14D
2014-07-01$23.43Not available in this settingRVU14C
2014-04-01$23.43Not available in this settingRVU14B
2014-01-01$23.43Not available in this settingRVU14A
2013-10-01$23.43Not available in this settingRVU13D
2013-07-01$23.43Not available in this settingRVU13C
2013-04-01$23.43Not available in this settingRVU13B
2013-01-01$23.43Not available in this settingRVU13AR

Price 97022 for an earlier date of service

Where the Arizona rate applies

Arizona is a Medicare payment area, not a city. Our Census mapping connects it to 467 cities and communities in Arizona. Some span more than one payment area; confirm with the service ZIP.

  • Aguila
  • Ajo
  • Ak Chin
  • Ak-Chin Village
  • Alamo Lake
  • Ali Chuk
  • Ali Chukson
  • Ali Molina

Browse all communities in Arizona

97022 billing questions

When should 97022 be chosen instead of 97034?

Use 97022 for immersion in agitated water. Use 97034 when treatment consists of alternating warm and cool water baths.

Is 97022 billed in 15-minute units?

No. It is an untimed modality, rather than a 15-minute service. Document the treatment provided and do not calculate units from elapsed time.

Can 97022 be reported with another therapy service on the same day?

It may be reported when the whirlpool treatment and the other service are distinct services that were performed and documented. CMS reduces practice expense for the second and later therapy units on the same day.

Should modifier 26 be appended to 97022?

No. The CMS component rule identifies this as a therapy service for which the professional-component modifier does not apply.

What documentation supports reporting 97022?

Record the body area immersed, why whirlpool treatment was selected, what treatment was delivered, and the patient’s response.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 97022PPRRVU2026_Oct_nonQPP.csv, line 12,848 (RVU26D)
Geographic factors for ArizonaGPCI2026.csv, line 6 (RVU26D)

Open CMS sourceHow we calculate rates

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