CPT code 97035: Therapeutic ultrasound, constant attendance, each 15 minutes2026 Medicare rate & RVUs in Vermont

Therapeutic ultrasound applies acoustic energy to soft tissue with a clinician in constant attendance and is reported in timed 15-minute units.

CMS RVU26DEffective Oct 1, 2026One payment locality1.1M Medicare services in 2024

In Vermont, Medicare pays $14.13 for 97035 in the office.

$14.13Office (non-facility)
Not available in this settingHospital or facility
−1.6%vs the national office rate ($14.36)

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.

We’ll open 97035 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Vermont
  2. What 97035 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 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 Vermont 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. Vermont pays $14.13. The RVUs are the same everywhere; the geographic indexes change the dollars.

97035 in Vermont vs other payment areas
  1. Vermont · this page$14.13
  2. Los Angeles, CA · California$15.82+$1.69
  3. Washington, DC area · District of Columbia$16.03+$1.90
  4. Miami, FL · Florida$15.16+$1.03
  5. Chicago, IL · Illinois$14.88+$0.75
  6. Manhattan, NY · New York$16.14+$2.01
  7. Alaska · Alaska$18.18+$4.05

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

Every other payment area

97035 in every other Medicare payment locality
Payment localityOfficeFacility
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—

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
97035 office rate range by state
State / territoryOffice rate rangeLocalities
AK$18.181
AL$13.341
AR$13.211
AZ$14.101
CA$15.00–$18.0829
CO$14.821
CT$15.111
DC$16.031
DE$14.281
FL$14.22–$15.163
GA$13.67–$14.562
GU$15.181
HI$15.181
IA$13.561
ID$13.631
IL$13.94–$14.884
IN$13.681
KS$13.521
KY$13.561
LA$13.54–$13.992
MA$14.78–$15.972
MD$14.49–$16.033
ME$13.67–$14.182
MI$13.80–$14.352
MN$14.331
MO$13.39–$14.033
MS$13.301
MT$14.361
NC$13.771
ND$14.161
NE$13.611
NH$14.611
NJ$15.32–$15.952
NM$13.851
NV$14.311
NY$13.91–$16.425
OH$13.751
OK$13.541
OR$14.24–$15.172
PA$13.77–$14.842
PR$14.431
RI$14.691
SC$13.781
SD$14.141
TN$13.571
TX$13.71–$14.758
UT$13.911
VA$14.14–$16.032
VI$14.431
VT$14.131
WA$14.75–$16.242
WI$13.841
WV$13.591
WY$14.281

See 97035 in every payment locality

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

Office or facility?

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 Vermont 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

105

Locality
Vermont
Physician work
1.000
Practice expense
0.990
Malpractice
0.506
Office calculation for 97035 in Vermont
ComponentRVULocality factorAdjusted
Physician work0.21× 1.0000.2100
Practice expense0.21× 0.9900.2079
Malpractice0.01× 0.5060.0051
Total RVUs0.4230
Conversion factor× 33.4009

Office rate, Vermont$14.13

Office: (0.21 × 1 + 0.21 × 0.99 + 0.01 × 0.506) × $33.4009 = $14.13

Open 97035 in the RVU calculator

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

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

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 Vermont

97035 · Office / nonfacility

$14.13

Effective 2026-10-01

The base rate is $0.42 higher than on 2025-10-01, moving from $13.71 to $14.13 (3.1%).

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

    $13.71changed to$14.13

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense GPCI 0.993 changed to 0.990
    • Malpractice GPCI 0.518 changed to 0.506

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $13.77changed to$13.71

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 0.20 changed to 0.21

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $13.55changed to$13.77

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $14.40changed to$13.55

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 0.21 changed to 0.20
    • Practice expense GPCI 0.997 changed to 0.993
    • Malpractice GPCI 0.543 changed to 0.518
  5. January 1, 2023

    RVU23A

    $14.39changed to$14.40

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 0.20 changed to 0.21
    • Practice expense GPCI 1.001 changed to 0.997
    • Malpractice GPCI 0.569 changed to 0.543

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $14.51changed to$14.39

    • Conversion factor 34.8931 changed to 34.6062

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $14.70changed to$14.51

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 0.19 changed to 0.20
    • Practice expense GPCI 1.008 changed to 1.001
    • Malpractice GPCI 0.582 changed to 0.569

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $14.00changed to$14.70

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 0.17 changed to 0.19
    • Practice expense GPCI 1.015 changed to 1.008
    • Malpractice GPCI 0.595 changed to 0.582

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $13.62changed to$14.00

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 0.16 changed to 0.17

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $12.84changed to$13.62

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 0.14 changed to 0.16
    • Practice expense GPCI 1.010 changed to 1.015
    • Malpractice GPCI 0.639 changed to 0.595

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $12.80changed to$12.84

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense GPCI 1.004 changed to 1.010
    • Malpractice GPCI 0.682 changed to 0.639

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $12.84changed to$12.80

    • Conversion factor 35.9335 changed to 35.8043

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $12.78changed to$12.84

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $12.79changed to$12.78

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense GPCI 1.006 changed to 1.004
    • Malpractice GPCI 0.618 changed to 0.682

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    No ratechanged to$12.79

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$14.13Not available in this settingRVU26D
2026-07-01$14.13Not available in this settingRVU26C
2026-04-01$14.13Not available in this settingRVU26B
2026-01-01$14.13Not available in this settingRVU26A
2025-10-01$13.71Not available in this settingRVU25D
2025-07-01$13.71Not available in this settingRVU25C
2025-04-01$13.71Not available in this settingRVU25B
2025-01-01$13.71Not available in this settingRVU25A
2024-10-01$13.77Not available in this settingRVU24D
2024-07-01$13.77Not available in this settingRVU24C
2024-04-01$13.77Not available in this settingRVU24B
2024-03-09$13.77Not available in this settingRVU24AR
2024-01-01$13.55Not available in this settingRVU24A
2023-10-01$14.40Not available in this settingRVU23D
2023-07-01$14.40Not available in this settingRVU23C
2023-04-01$14.40Not available in this settingRVU23B
2023-01-01$14.40Not available in this settingRVU23A
2022-10-01$14.39Not available in this settingRVU22D
2022-07-01$14.39Not available in this settingRVU22C
2022-04-01$14.39Not available in this settingRVU22B
2022-01-01$14.39Not available in this settingRVU22A
2021-10-01$14.51Not available in this settingRVU21D
2021-07-01$14.51Not available in this settingRVU21C
2021-04-01$14.51Not available in this settingRVU21B
2021-01-01$14.51Not available in this settingRVU21A
2020-10-01$14.70Not available in this settingRVU20D
2020-07-01$14.70Not available in this settingRVU20C
2020-04-01$14.70Not available in this settingRVU20B
2020-01-01$14.70Not available in this settingRVU20A
2019-10-01$14.00Not available in this settingRVU19D
2019-07-01$14.00Not available in this settingRVU19C
2019-04-01$14.00Not available in this settingRVU19B
2019-01-01$14.00Not available in this settingRVU19A
2018-10-01$13.62Not available in this settingRVU18D
2018-07-01$13.62Not available in this settingRVU18C
2018-04-01$13.62Not available in this settingRVU18B
2018-01-01$13.62Not available in this settingRVU18AR1
2017-10-01$12.84Not available in this settingRVU17D
2017-07-01$12.84Not available in this settingRVU17C
2017-04-01$12.84Not available in this settingRVU17B
2017-01-01$12.84Not available in this settingRVU17A
2016-10-01$12.80Not available in this settingRVU16D
2016-07-01$12.80Not available in this settingRVU16C
2016-04-01$12.80Not available in this settingRVU16B
2016-01-01$12.80Not available in this settingRVU16A
2015-10-01$12.84Not available in this settingRVU15D
2015-07-01$12.84Not available in this settingRVU15C
2015-04-01$12.78Not available in this settingRVU15B
2015-01-01$12.78Not available in this settingRVU15A
2014-10-01$12.79Not available in this settingRVU14D
2014-07-01$12.79Not available in this settingRVU14C
2014-04-01$12.79Not available in this settingRVU14B
2014-01-01$12.79Not available in this settingRVU14A
2013-10-01Rate data unavailableNot available in this settingRVU13D
2013-07-01Rate data unavailableNot available in this settingRVU13C
2013-04-01Rate data unavailableNot available in this settingRVU13B
2013-01-01Rate data unavailableNot available in this settingRVU13AR

Price 97035 for an earlier date of service

Where the Vermont rate applies

Vermont is a Medicare payment area, not a city. Our Census mapping connects it to 180 cities and communities in Vermont. Some span more than one payment area; confirm with the service ZIP.

  • Albany
  • Alburgh
  • Algiers
  • Arlington
  • Ascutney
  • Bakersfield
  • Barnet
  • Barre

Browse all communities in Vermont

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
RVUs for 97035PPRRVU2026_Oct_nonQPP.csv, line 12,855 (RVU26D)
Geographic factors for VermontGPCI2026.csv, line 105 (RVU26D)

Open CMS sourceHow we calculate rates

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