CPT code 97112: Neuromuscular reeducation, balance, coordination, proprioception, timed2026 Medicare rate & RVUs in Nebraska

Timed one-on-one therapy to restore balance, coordination, posture, kinesthetic sense, and proprioception for sitting or standing activities, reported per 15 minutes of direct contact.

CMS RVU26DEffective Oct 1, 2026One payment locality34.8M Medicare services in 2024

In Nebraska, Medicare pays $31.32 for 97112 in the office.

$31.32Office (non-facility)
Not available in this settingHospital or facility
−4.3%vs the national office rate ($32.73)

Check a contract rate as a % of Medicare · 97112 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 97112 for the payment locality that covers the ZIP.

On this page 12 sections
  1. Rate in Nebraska
  2. What 97112 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Rate history
  10. Where it applies
  11. Billing questions
  12. Sources

What 97112 covers

Neuromuscular reeducation addresses impaired balance, coordination, posture, movement control, and awareness of joint position during sitting or standing activities. A physical or occupational therapist or therapy assistant may use weight-shifting drills, balance-board exercises, perturbations, or proprioceptive training to help a patient regain motor control after stroke, ankle sprain, or knee ligament reconstruction. It is typically delivered in an outpatient therapy clinic or private practice; the treatment goal is retraining movement control rather than simply building strength.

Report 97112 for each 15 minutes of direct, one-on-one treatment. Under Medicare's timed-code method, total timed treatment minutes determine billable units across timed codes; record minutes for each service without counting overlapping time twice. Document the deficit, activities, skilled cueing, and response to distinguish reeducation from therapeutic exercise or gait training. Use GP or GO for the applicable therapy plan, and CQ or CO when assistant services require them. This therapy service has no professional/technical split; do not append modifier 26 or TC. Under the therapy multiple procedure payment reduction, practice expense is reduced for the second and later therapy units that day, including additional 97112 units.

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 97112: 97110 vs 97112 · Physical therapy CPT codes

How Nebraska compares for 97112

Across 109 of 109 payment localities, the office rate for 97112 runs from $30.36 in Arkansas to $41.95 in Alaska. Nebraska pays $31.32. The RVUs are the same everywhere; the geographic indexes change the dollars.

97112 in Nebraska vs other payment areas
  1. Nebraska · this page$31.32
  2. Los Angeles, CA · California$36.18+$4.86
  3. Washington, DC area · District of Columbia$36.47+$5.15
  4. Miami, FL · Florida$33.89+$2.57
  5. Chicago, IL · Illinois$33.36+$2.04
  6. Manhattan, NY · New York$36.54+$5.22
  7. Alaska · Alaska$41.95+$10.63

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

Every other payment area

97112 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$30.63—
ArkansasArkansas$30.36—
ArizonaArizona$32.20—
Bakersfield, CACalifornia$34.43—
Chico, CACalifornia$34.37—
El Centro, CACalifornia$34.37—
Fresno, CACalifornia$34.37—
Hanford, CACalifornia$34.37—

97112 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.

$30.36

$41.95

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

View every state and territory as a table
97112 office rate range by state
State / territoryOffice rate rangeLocalities
AK$41.951
AL$30.631
AR$30.361
AZ$32.201
CA$34.37–$41.3529
CO$33.861
CT$34.351
DC$36.471
DE$32.591
FL$32.21–$33.893
GA$31.10–$33.102
GU$34.741
HI$34.741
IA$31.201
ID$31.301
IL$31.56–$33.534
IN$31.421
KS$31.061
KY$30.961
LA$30.91–$31.852
MA$33.76–$36.432
MD$33.06–$36.473
ME$31.35–$32.472
MI$31.41–$32.412
MN$32.951
MO$30.56–$31.983
MS$30.461
MT$32.731
NC$31.561
ND$32.531
NE$31.321
NH$33.331
NJ$34.88–$36.322
NM$31.501
NV$32.691
NY$31.85–$37.055
OH$31.371
OK$30.981
OR$32.57–$34.662
PA$31.43–$33.742
PR$32.901
RI$33.531
SC$31.491
SD$32.511
TN$31.151
TX$31.30–$33.648
UT$31.761
VA$32.37–$36.472
VI$32.901
VT$32.411
WA$33.70–$37.072
WI$31.841
WV$30.821
WY$32.651

See 97112 in every payment locality

How the 97112 rate is calculated

Each of 97112’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 · 97112

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.50

0.50 RVUs× 1.000 GPCI

Practice expense0.47

0.47 RVUs× 1.000 GPCI

Malpractice0.01

0.01 RVUs× 1.000 GPCI

Adjusted RVUs

0.9800

Conversion factor

$33.4009

Medicare rate

$32.73

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

The exact Nebraska inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

12,860

Code
97112
Physician work
0.50
Practice expense
0.47
Malpractice
0.01

GPCI2026.csv

72

Locality
Nebraska
Physician work
1.000
Practice expense
0.923
Malpractice
0.378
Office calculation for 97112 in Nebraska
ComponentRVULocality factorAdjusted
Physician work0.50× 1.0000.5000
Practice expense0.47× 0.9230.4338
Malpractice0.01× 0.3780.0038
Total RVUs0.9376
Conversion factor× 33.4009

Office rate, Nebraska$31.32

Office: (0.5 × 1 + 0.47 × 0.923 + 0.01 × 0.378) × $33.4009 = $31.32

Open 97112 in the RVU calculator

Payment rules and modifiers for 97112

The CMS indicators that decide how 97112 is paid alongside other services.

CMS payment indicators · 97112

Neuromuscular reeducation, balance, coordination, proprioception, timed

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

97112 without CQ · national office

$32.73

Neuromuscular reeducation, balance, coordination, proprioception, timed

97112-CQ · Allowed amount unchanged

$32.73

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.

97112 compared with similar codes

Compare codes · National

5 codes, side by side

Office or facility?

  • 97112

    Neuromuscular reeducation, balance, coordination, proprioception, timed0.5 wRVU

    $32.73

  • 97110

    Therapeutic exercise, one-on-one, each 15 minutes0.45 wRVU

    $29.06−$3.67

  • 97140

    Manual therapy, one or more regions, each 15 minutes0.43 wRVU

    $27.72−$5.01

  • 97530

    Therapeutic activities, one-on-one, each 15 minutes0.44 wRVU

    $35.07+$2.34

  • 97535

    Self-care training, ADL and home management, per 15 minutes0.45 wRVU

    $32.40−$0.33

Same family in Nebraska

Related code rates in Nebraska
CodeOfficeFacility
97110Therapeutic exerciseOne-on-one, each 15 minutes$27.80Not available in this setting
97140Manual therapyOne or more regions, each 15 minutes$26.51Not available in this setting
97530Therapeutic activitiesOne-on-one, each 15 minutes$33.32Not available in this setting
97535Self-care trainingADL and home management, per 15 minutes$30.88Not available in this setting

How to choose

97110Therapeutic exerciseOne-on-one, each 15 minutes
97110 targets strength, endurance, flexibility, and range of motion. 97112 targets balance, coordination, posture, proprioception, and motor control.
97530Therapeutic activitiesOne-on-one, each 15 minutes
97530 covers dynamic functional tasks such as lifting or transfers to improve performance. 97112 targets neuromuscular control deficits, even when drills involve functional movements.
97116Gait trainingEach 15 minutes, one-on-one
97116 applies when training targets walking or stair negotiation. Balance and weight-shifting drills not centered on ambulation support 97112.
97150Group therapyTwo or more patients, per session
97150 describes group therapy delivered to two or more patients together. 97112 requires direct one-on-one contact and is reported in 15-minute units.

How 97112 has changed in Nebraska

97112 · Office / nonfacility

$31.32

Effective 2026-10-01

The base rate is $0.81 higher than on 2025-10-01, moving from $30.51 to $31.32 (2.7%).

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

    $30.51changed to$31.32

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 0.48 changed to 0.47
    • Practice expense GPCI 0.917 changed to 0.923
    • Malpractice GPCI 0.304 changed to 0.378

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $32.01changed to$30.51

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 0.50 changed to 0.48

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $31.48changed to$32.01

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $32.50changed to$31.48

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense GPCI 0.913 changed to 0.917
    • Malpractice GPCI 0.269 changed to 0.304
  5. January 1, 2023

    RVU23A

    $32.86changed to$32.50

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 0.49 changed to 0.50
    • Malpractice RVU 0.02 changed to 0.01
    • Practice expense GPCI 0.908 changed to 0.913
    • Malpractice GPCI 0.235 changed to 0.269

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $33.14changed to$32.86

    • Conversion factor 34.8931 changed to 34.6062

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $33.99changed to$33.14

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 0.48 changed to 0.49
    • Practice expense GPCI 0.909 changed to 0.908
    • Malpractice GPCI 0.277 changed to 0.235

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $33.66changed to$33.99

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 0.47 changed to 0.48
    • Practice expense GPCI 0.910 changed to 0.909
    • Malpractice GPCI 0.318 changed to 0.277

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $33.63changed to$33.66

    • Conversion factor 35.9996 changed to 36.0391

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $32.38changed to$33.63

    • Conversion factor 35.8887 changed to 35.9996
    • Work RVU 0.45 changed to 0.50
    • Practice expense RVU 0.49 changed to 0.47
    • Practice expense GPCI 0.909 changed to 0.910
    • Malpractice GPCI 0.340 changed to 0.318

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $31.98changed to$32.38

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 0.48 changed to 0.49
    • Practice expense GPCI 0.908 changed to 0.909
    • Malpractice GPCI 0.362 changed to 0.340

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $31.96changed to$31.98

    • Conversion factor 35.9335 changed to 35.8043
    • Malpractice RVU 0.01 changed to 0.02

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $31.80changed to$31.96

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $31.82changed to$31.80

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense GPCI 0.906 changed to 0.908
    • Malpractice GPCI 0.342 changed to 0.362

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $31.41changed to$31.82

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 0.52 changed to 0.48
    • Practice expense GPCI 0.904 changed to 0.906
    • Malpractice GPCI 0.322 changed to 0.342

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $31.41

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$31.32Not available in this settingRVU26D
2026-07-01$31.32Not available in this settingRVU26C
2026-04-01$31.32Not available in this settingRVU26B
2026-01-01$31.32Not available in this settingRVU26A
2025-10-01$30.51Not available in this settingRVU25D
2025-07-01$30.51Not available in this settingRVU25C
2025-04-01$30.51Not available in this settingRVU25B
2025-01-01$30.51Not available in this settingRVU25A
2024-10-01$32.01Not available in this settingRVU24D
2024-07-01$32.01Not available in this settingRVU24C
2024-04-01$32.01Not available in this settingRVU24B
2024-03-09$32.01Not available in this settingRVU24AR
2024-01-01$31.48Not available in this settingRVU24A
2023-10-01$32.50Not available in this settingRVU23D
2023-07-01$32.50Not available in this settingRVU23C
2023-04-01$32.50Not available in this settingRVU23B
2023-01-01$32.50Not available in this settingRVU23A
2022-10-01$32.86Not available in this settingRVU22D
2022-07-01$32.86Not available in this settingRVU22C
2022-04-01$32.86Not available in this settingRVU22B
2022-01-01$32.86Not available in this settingRVU22A
2021-10-01$33.14Not available in this settingRVU21D
2021-07-01$33.14Not available in this settingRVU21C
2021-04-01$33.14Not available in this settingRVU21B
2021-01-01$33.14Not available in this settingRVU21A
2020-10-01$33.99Not available in this settingRVU20D
2020-07-01$33.99Not available in this settingRVU20C
2020-04-01$33.99Not available in this settingRVU20B
2020-01-01$33.99Not available in this settingRVU20A
2019-10-01$33.66Not available in this settingRVU19D
2019-07-01$33.66Not available in this settingRVU19C
2019-04-01$33.66Not available in this settingRVU19B
2019-01-01$33.66Not available in this settingRVU19A
2018-10-01$33.63Not available in this settingRVU18D
2018-07-01$33.63Not available in this settingRVU18C
2018-04-01$33.63Not available in this settingRVU18B
2018-01-01$33.63Not available in this settingRVU18AR1
2017-10-01$32.38Not available in this settingRVU17D
2017-07-01$32.38Not available in this settingRVU17C
2017-04-01$32.38Not available in this settingRVU17B
2017-01-01$32.38Not available in this settingRVU17A
2016-10-01$31.98Not available in this settingRVU16D
2016-07-01$31.98Not available in this settingRVU16C
2016-04-01$31.98Not available in this settingRVU16B
2016-01-01$31.98Not available in this settingRVU16A
2015-10-01$31.96Not available in this settingRVU15D
2015-07-01$31.96Not available in this settingRVU15C
2015-04-01$31.80Not available in this settingRVU15B
2015-01-01$31.80Not available in this settingRVU15A
2014-10-01$31.82Not available in this settingRVU14D
2014-07-01$31.82Not available in this settingRVU14C
2014-04-01$31.82Not available in this settingRVU14B
2014-01-01$31.82Not available in this settingRVU14A
2013-10-01$31.41Not available in this settingRVU13D
2013-07-01$31.41Not available in this settingRVU13C
2013-04-01$31.41Not available in this settingRVU13B
2013-01-01$31.41Not available in this settingRVU13AR

Price 97112 for an earlier date of service

Where the Nebraska rate applies

Nebraska is a Medicare payment area, not a city. Our Census mapping connects it to 593 cities and communities in Nebraska. Some span more than one payment area; confirm with the service ZIP.

  • Abie
  • Adams
  • Agnew
  • Ainsworth
  • Albion
  • Alda
  • Alexandria
  • Allen

Browse all communities in Nebraska

97112 billing questions

How do I choose between 97112 and 97110?

Use 97112 when the goal is restoring balance, coordination, posture, or proprioception through motor control training. Use 97110 when exercise targets strength, endurance, range of motion, or flexibility. The documented goal and technique decide it, not the exercise equipment.

Can 97112 and 97110 be billed on the same day?

Yes, if each was performed for its own documented purpose during separate time. Record each code's minutes; Medicare determines the total billable timed units from the combined timed treatment minutes.

Does vestibular or balance training fall under 97112?

Balance retraining, static and dynamic postural control work, and vestibular exercises aimed at postural stability can be reported with 97112. The note should tie the activity to a balance or proprioceptive deficit.

Which modifiers are needed on 97112 for Medicare?

Use GP for a physical therapy plan or GO for an occupational therapy plan. Assistant services may also require CQ or CO, respectively. Do not use professional or technical component modifiers 26 or TC.

Can 97112 be billed when the therapist works with several patients at once?

Count only direct, one-on-one treatment time for 97112. Report 97150 for a distinct group therapy service delivered to two or more patients together, rather than counting that group time toward 97112.

What documentation supports 97112?

Record minutes of direct treatment, the impairment addressed, the technique and skilled cueing used, and the patient's response. Balance measures such as the Berg Balance Scale can help document progress toward postural-control goals.

97112 is in these specialty bundles: Physical therapy

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 97112PPRRVU2026_Oct_nonQPP.csv, line 12,860 (RVU26D)
Geographic factors for NebraskaGPCI2026.csv, line 72 (RVU26D)

Open CMS sourceHow we calculate rates

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