CPT code 97035: Therapeutic ultrasound, constant attendance, each 15 minutes2026 Medicare rate & RVUs in Idaho
Therapeutic ultrasound applies acoustic energy to soft tissue with a clinician in constant attendance and is reported in timed 15-minute units.
In Idaho, Medicare pays $13.63 for 97035 in the office.
Check a contract rate as a % of Medicare · 97035 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 97035 covers
Therapeutic ultrasound delivers acoustic energy to soft tissue through coupling gel and a moving handheld transducer. Physical therapists, occupational therapists, their assistants, and physicians may use it for localized tendon or muscle symptoms and joint stiffness, commonly in office-based outpatient therapy. The treating clinician remains with the patient throughout application rather than leaving a device running unattended. Phonophoresis, in which ultrasound helps deliver a topical medication, is reported with this code when ultrasound is the delivery method.
Assign 15-minute units using Medicare's timed-service rules, including total timed-treatment minutes when other timed services occur during the visit. Record the actual ultrasound minutes, treated area, treatment settings, and skilled purpose linked to the therapy plan. Use the therapy discipline modifier, GP, GO, or GN, as appropriate. This therapy service has no separately reportable professional or technical component; modifiers 26 and TC are not used. Under the therapy multiple procedure payment reduction, Medicare reduces the practice-expense portion for the second and subsequent therapy units 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.
Billing guides for 97035: Physical therapy CPT codes
How Idaho compares for 97035
Across 109 of 109 payment localities, the office rate for 97035 runs from $13.21 in Arkansas to $18.18 in Alaska. Idaho pays $13.63. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Idaho · this page$13.63
- Los Angeles, CA · California$15.82+$2.19
- Washington, DC area · District of Columbia$16.03+$2.40
- Miami, FL · Florida$15.16+$1.53
- Chicago, IL · Illinois$14.88+$1.25
- Manhattan, NY · New York$16.14+$2.51
- Alaska · Alaska$18.18+$4.55
Other areas in Idaho first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $13.34 | — |
| ArkansasArkansas | $13.21 | — |
| ArizonaArizona | $14.10 | — |
| Bakersfield, CACalifornia | $15.04 | — |
| Chico, CACalifornia | $15.00 | — |
| El Centro, CACalifornia | $15.00 | — |
| Fresno, CACalifornia | $15.00 | — |
| Hanford, CACalifornia | $15.00 | — |
| Madera, CACalifornia | $15.00 | — |
| Merced, CACalifornia | $15.00 | — |
| Modesto, CACalifornia | $15.00 | — |
| Napa, CACalifornia | $16.87 | — |
| Oxnard, CACalifornia | $15.71 | — |
| Redding, CACalifornia | $15.00 | — |
| Rest of CaliforniaCalifornia | $15.00 | — |
| Riverside, CACalifornia | $15.11 | — |
| Sacramento, CACalifornia | $15.60 | — |
| Salinas, CACalifornia | $15.54 | — |
| San Diego, CACalifornia | $15.79 | — |
| Marin County, CACalifornia | $17.72 | — |
| San Francisco, CACalifornia | $17.71 | — |
| San Benito County, CACalifornia | $18.08 | — |
| Santa Clara County, CACalifornia | $18.03 | — |
| San Luis Obispo, CACalifornia | $15.30 | — |
| Santa Cruz, CACalifornia | $15.86 | — |
| Santa Maria, CACalifornia | $15.57 | — |
| Santa Rosa, CACalifornia | $16.02 | — |
| Stockton, CACalifornia | $15.00 | — |
| Vallejo, CACalifornia | $16.85 | — |
| Visalia, CACalifornia | $15.00 | — |
| Yuba City, CACalifornia | $15.00 | — |
| ColoradoColorado | $14.82 | — |
| ConnecticutConnecticut | $15.11 | — |
| DelawareDelaware | $14.28 | — |
| Fort Lauderdale, FLFlorida | $14.72 | — |
| Rest of FloridaFlorida | $14.22 | — |
| Atlanta, GAGeorgia | $14.56 | — |
| Rest of GeorgiaGeorgia | $13.67 | — |
| Hawaii, Guam, HIHawaii | $15.18 | — |
| IowaIowa | $13.56 | — |
| East St. Louis, ILIllinois | $14.14 | — |
| Rest of IllinoisIllinois | $13.94 | — |
| Suburban Chicago, ILIllinois | $14.86 | — |
| IndianaIndiana | $13.68 | — |
| KansasKansas | $13.52 | — |
| KentuckyKentucky | $13.56 | — |
| New Orleans, LALouisiana | $13.99 | — |
| Rest of LouisianaLouisiana | $13.54 | — |
| Metropolitan Boston, MAMassachusetts | $15.97 | — |
| Rest of MassachusettsMassachusetts | $14.78 | — |
| Baltimore area, MDMaryland | $15.07 | — |
| Rest of MarylandMaryland | $14.49 | — |
| Rest of MaineMaine | $13.67 | — |
| Southern Maine, MEMaine | $14.18 | — |
| Detroit, MIMichigan | $14.35 | — |
| Rest of MichiganMichigan | $13.80 | — |
| MinnesotaMinnesota | $14.33 | — |
| Metropolitan Kansas City, MOMissouri | $13.93 | — |
| Metropolitan St. Louis, MOMissouri | $14.03 | — |
| Rest of MissouriMissouri | $13.39 | — |
| MississippiMississippi | $13.30 | — |
| MontanaMontana | $14.36 | — |
| North CarolinaNorth Carolina | $13.77 | — |
| North DakotaNorth Dakota | $14.16 | — |
| NebraskaNebraska | $13.61 | — |
| New HampshireNew Hampshire | $14.61 | — |
| Northern New JerseyNew Jersey | $15.95 | — |
| Rest of New JerseyNew Jersey | $15.32 | — |
| New MexicoNew Mexico | $13.85 | — |
| NevadaNevada | $14.31 | — |
| NYC suburbs and Long Island, NYNew York | $16.42 | — |
| Poughkeepsie and northern NYC suburbs, NYNew York | $15.41 | — |
| Queens, NYNew York | $16.24 | — |
| Rest of New YorkNew York | $13.91 | — |
| OhioOhio | $13.75 | — |
| OklahomaOklahoma | $13.54 | — |
| Portland, OROregon | $15.17 | — |
| Rest of OregonOregon | $14.24 | — |
| Metropolitan Philadelphia, PAPennsylvania | $14.84 | — |
| Rest of PennsylvaniaPennsylvania | $13.77 | — |
| Puerto RicoPuerto Rico | $14.43 | — |
| Rhode IslandRhode Island | $14.69 | — |
| South CarolinaSouth Carolina | $13.78 | — |
| South DakotaSouth Dakota | $14.14 | — |
| TennesseeTennessee | $13.57 | — |
| Austin, TXTexas | $14.75 | — |
| Beaumont, TXTexas | $13.71 | — |
| Brazoria, TXTexas | $14.28 | — |
| Dallas, TXTexas | $14.35 | — |
| Fort Worth, TXTexas | $14.28 | — |
| Galveston, TXTexas | $14.31 | — |
| Houston, TXTexas | $14.49 | — |
| Rest of TexasTexas | $13.97 | — |
| UtahUtah | $13.91 | — |
| VirginiaVirginia | $14.14 | — |
| Virgin Islands, VIUnited States Virgin Islands | $14.43 | — |
| VermontVermont | $14.13 | — |
| Rest of WashingtonWashington | $14.75 | — |
| King County, WAWashington | $16.24 | — |
| WisconsinWisconsin | $13.84 | — |
| West VirginiaWest Virginia | $13.59 | — |
| WyomingWyoming | $14.28 | — |
97035 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.
$13.21
$18.18
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $18.18 | 1 |
| AL | $13.34 | 1 |
| AR | $13.21 | 1 |
| AZ | $14.10 | 1 |
| CA | $15.00–$18.08 | 29 |
| CO | $14.82 | 1 |
| CT | $15.11 | 1 |
| DC | $16.03 | 1 |
| DE | $14.28 | 1 |
| FL | $14.22–$15.16 | 3 |
| GA | $13.67–$14.56 | 2 |
| GU | $15.18 | 1 |
| HI | $15.18 | 1 |
| IA | $13.56 | 1 |
| ID | $13.63 | 1 |
| IL | $13.94–$14.88 | 4 |
| IN | $13.68 | 1 |
| KS | $13.52 | 1 |
| KY | $13.56 | 1 |
| LA | $13.54–$13.99 | 2 |
| MA | $14.78–$15.97 | 2 |
| MD | $14.49–$16.03 | 3 |
| ME | $13.67–$14.18 | 2 |
| MI | $13.80–$14.35 | 2 |
| MN | $14.33 | 1 |
| MO | $13.39–$14.03 | 3 |
| MS | $13.30 | 1 |
| MT | $14.36 | 1 |
| NC | $13.77 | 1 |
| ND | $14.16 | 1 |
| NE | $13.61 | 1 |
| NH | $14.61 | 1 |
| NJ | $15.32–$15.95 | 2 |
| NM | $13.85 | 1 |
| NV | $14.31 | 1 |
| NY | $13.91–$16.42 | 5 |
| OH | $13.75 | 1 |
| OK | $13.54 | 1 |
| OR | $14.24–$15.17 | 2 |
| PA | $13.77–$14.84 | 2 |
| PR | $14.43 | 1 |
| RI | $14.69 | 1 |
| SC | $13.78 | 1 |
| SD | $14.14 | 1 |
| TN | $13.57 | 1 |
| TX | $13.71–$14.75 | 8 |
| UT | $13.91 | 1 |
| VA | $14.14–$16.03 | 2 |
| VI | $14.43 | 1 |
| VT | $14.13 | 1 |
| WA | $14.75–$16.24 | 2 |
| WI | $13.84 | 1 |
| WV | $13.59 | 1 |
| WY | $14.28 | 1 |
How the 97035 rate is calculated
Each of 97035’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 · 97035
RVUs × geographic indexes × conversion factor
Work0.21
0.21 RVUs× 1.000 GPCI
Practice expense0.21
0.21 RVUs× 1.000 GPCI
Malpractice0.01
0.01 RVUs× 1.000 GPCI
Adjusted RVUs
0.4300
Conversion factor
$33.4009
Medicare rate
$14.36
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Idaho inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
12,855
- Code
- 97035
- Physician work
- 0.21
- Practice expense
- 0.21
- Malpractice
- 0.01
GPCI2026.csv
47
- Locality
- Idaho
- Physician work
- 1.000
- Practice expense
- 0.920
- Malpractice
- 0.473
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.21 | × 1.000 | 0.2100 |
| Practice expense | 0.21 | × 0.920 | 0.1932 |
| Malpractice | 0.01 | × 0.473 | 0.0047 |
| Total RVUs | 0.4079 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Idaho$13.63
Office: (0.21 × 1 + 0.21 × 0.92 + 0.01 × 0.473) × $33.4009 = $13.63
Payment rules and modifiers for 97035
The CMS indicators that decide how 97035 is paid alongside other services.
CMS payment indicators · 97035
Therapeutic ultrasound, constant attendance, each 15 minutes
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 5 | Therapy reduction: practice expense of the second and later units is reduced. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 7 | Therapy service: the split doesn’t apply. |
What modifiers do to the payment
Modifier CQ · payment effect
With and without the modifier
97035 without CQ · national office
$14.36
Therapeutic ultrasound, constant attendance, each 15 minutes
97035-CQ · Allowed amount unchanged
$14.36
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 97035 has changed in Idaho
97035 · Office / nonfacility
$13.63
Effective 2026-10-01
The base rate is $0.52 higher than on 2025-10-01, moving from $13.11 to $13.63 (4.0%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$13.11changed to$13.63
- Conversion factor 32.3465 changed to 33.4009
- Practice expense GPCI 0.908 changed to 0.920
- Malpractice GPCI 0.461 changed to 0.473
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$13.19changed to$13.11
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 0.20 changed to 0.21
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$12.97changed to$13.19
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$13.62changed to$12.97
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 0.21 changed to 0.20
- Practice expense GPCI 0.893 changed to 0.908
- Malpractice GPCI 0.439 changed to 0.461
January 1, 2023
RVU23A
$13.48changed to$13.62
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 0.20 changed to 0.21
- Practice expense GPCI 0.877 changed to 0.893
- Malpractice GPCI 0.416 changed to 0.439
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$13.59changed to$13.48
- Conversion factor 34.8931 changed to 34.6062
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$13.85changed to$13.59
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 0.19 changed to 0.20
- Practice expense GPCI 0.890 changed to 0.877
- Malpractice GPCI 0.464 changed to 0.416
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$13.28changed to$13.85
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 0.17 changed to 0.19
- Practice expense GPCI 0.902 changed to 0.890
- Malpractice GPCI 0.512 changed to 0.464
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$12.94changed to$13.28
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 0.16 changed to 0.17
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$12.24changed to$12.94
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 0.14 changed to 0.16
- Practice expense GPCI 0.900 changed to 0.902
- Malpractice GPCI 0.510 changed to 0.512
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$12.20changed to$12.24
- Conversion factor 35.8043 changed to 35.8887
- Practice expense GPCI 0.898 changed to 0.900
- Malpractice GPCI 0.508 changed to 0.510
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$12.25changed to$12.20
- Conversion factor 35.9335 changed to 35.8043
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$12.19changed to$12.25
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$12.22changed to$12.19
- Conversion factor 35.8228 changed to 35.7547
- Practice expense GPCI 0.896 changed to 0.898
- Malpractice GPCI 0.556 changed to 0.508
Held through RVU15B.
January 1, 2014
RVU14A
$11.91changed to$12.22
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 0.15 changed to 0.14
- Practice expense GPCI 0.894 changed to 0.896
- Malpractice GPCI 0.603 changed to 0.556
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $11.91
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $13.63 | Not available in this setting | RVU26D |
| 2026-07-01 | $13.63 | Not available in this setting | RVU26C |
| 2026-04-01 | $13.63 | Not available in this setting | RVU26B |
| 2026-01-01 | $13.63 | Not available in this setting | RVU26A |
| 2025-10-01 | $13.11 | Not available in this setting | RVU25D |
| 2025-07-01 | $13.11 | Not available in this setting | RVU25C |
| 2025-04-01 | $13.11 | Not available in this setting | RVU25B |
| 2025-01-01 | $13.11 | Not available in this setting | RVU25A |
| 2024-10-01 | $13.19 | Not available in this setting | RVU24D |
| 2024-07-01 | $13.19 | Not available in this setting | RVU24C |
| 2024-04-01 | $13.19 | Not available in this setting | RVU24B |
| 2024-03-09 | $13.19 | Not available in this setting | RVU24AR |
| 2024-01-01 | $12.97 | Not available in this setting | RVU24A |
| 2023-10-01 | $13.62 | Not available in this setting | RVU23D |
| 2023-07-01 | $13.62 | Not available in this setting | RVU23C |
| 2023-04-01 | $13.62 | Not available in this setting | RVU23B |
| 2023-01-01 | $13.62 | Not available in this setting | RVU23A |
| 2022-10-01 | $13.48 | Not available in this setting | RVU22D |
| 2022-07-01 | $13.48 | Not available in this setting | RVU22C |
| 2022-04-01 | $13.48 | Not available in this setting | RVU22B |
| 2022-01-01 | $13.48 | Not available in this setting | RVU22A |
| 2021-10-01 | $13.59 | Not available in this setting | RVU21D |
| 2021-07-01 | $13.59 | Not available in this setting | RVU21C |
| 2021-04-01 | $13.59 | Not available in this setting | RVU21B |
| 2021-01-01 | $13.59 | Not available in this setting | RVU21A |
| 2020-10-01 | $13.85 | Not available in this setting | RVU20D |
| 2020-07-01 | $13.85 | Not available in this setting | RVU20C |
| 2020-04-01 | $13.85 | Not available in this setting | RVU20B |
| 2020-01-01 | $13.85 | Not available in this setting | RVU20A |
| 2019-10-01 | $13.28 | Not available in this setting | RVU19D |
| 2019-07-01 | $13.28 | Not available in this setting | RVU19C |
| 2019-04-01 | $13.28 | Not available in this setting | RVU19B |
| 2019-01-01 | $13.28 | Not available in this setting | RVU19A |
| 2018-10-01 | $12.94 | Not available in this setting | RVU18D |
| 2018-07-01 | $12.94 | Not available in this setting | RVU18C |
| 2018-04-01 | $12.94 | Not available in this setting | RVU18B |
| 2018-01-01 | $12.94 | Not available in this setting | RVU18AR1 |
| 2017-10-01 | $12.24 | Not available in this setting | RVU17D |
| 2017-07-01 | $12.24 | Not available in this setting | RVU17C |
| 2017-04-01 | $12.24 | Not available in this setting | RVU17B |
| 2017-01-01 | $12.24 | Not available in this setting | RVU17A |
| 2016-10-01 | $12.20 | Not available in this setting | RVU16D |
| 2016-07-01 | $12.20 | Not available in this setting | RVU16C |
| 2016-04-01 | $12.20 | Not available in this setting | RVU16B |
| 2016-01-01 | $12.20 | Not available in this setting | RVU16A |
| 2015-10-01 | $12.25 | Not available in this setting | RVU15D |
| 2015-07-01 | $12.25 | Not available in this setting | RVU15C |
| 2015-04-01 | $12.19 | Not available in this setting | RVU15B |
| 2015-01-01 | $12.19 | Not available in this setting | RVU15A |
| 2014-10-01 | $12.22 | Not available in this setting | RVU14D |
| 2014-07-01 | $12.22 | Not available in this setting | RVU14C |
| 2014-04-01 | $12.22 | Not available in this setting | RVU14B |
| 2014-01-01 | $12.22 | Not available in this setting | RVU14A |
| 2013-10-01 | $11.91 | Not available in this setting | RVU13D |
| 2013-07-01 | $11.91 | Not available in this setting | RVU13C |
| 2013-04-01 | $11.91 | Not available in this setting | RVU13B |
| 2013-01-01 | $11.91 | Not available in this setting | RVU13AR |
Where the Idaho rate applies
Idaho is a Medicare payment area, not a city. Our Census mapping connects it to 235 cities and communities in Idaho. Some span more than one payment area; confirm with the service ZIP.
- Aberdeen
- Acequia
- Albion
- American Falls
- Ammon
- Arbon Valley
- Arco
- Arimo
97035 billing questions
How are units of this code counted for Medicare?
Medicare uses total timed-service minutes for the visit to determine the allowable units, then assigns units to the timed services performed. Count only minutes of ultrasound actually delivered with the clinician in attendance toward this code.
Is phonophoresis billed with this code or with iontophoresis?
Report phonophoresis with 97035 when ultrasound is the medication delivery method. Iontophoresis uses electrical current to deliver medication and is reported with 97033.
Can a combination ultrasound and electrical stimulation treatment be billed as two timed services?
Do not count the same treatment minutes toward both codes. When both energies are delivered simultaneously through one head, those minutes support only one timed service.
Does a professional or technical component modifier apply?
No. This therapy service has no separately reportable professional or technical component, so modifiers 26 and TC are not used. Use the therapy discipline modifier appropriate to the plan of care.
What documentation supports medical necessity?
Document the treated area, ultrasound settings, minutes of attended treatment, and why skilled treatment is needed. Link the treatment purpose to functional goals in the therapy plan.
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
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