CPT code 97113: Aquatic therapy, pool-based exercise, per 15 minutes2026 Medicare rate & RVUs in Madera, CA

In Madera, CA, Medicare pays $39.18 for 97113 in the office.

Check a contract rate as a % of Medicare · 97113 nationwide

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

What 97113 covers

Aquatic therapy uses exercise in a pool, where buoyancy reduces joint loading and water provides resistance. Physical therapists, occupational therapists, and supervised therapy assistants provide it to patients who have difficulty tolerating land-based activity, including those recovering from joint replacement or managing osteoarthritis or neurologic weakness. Treatment may include water walking, resisted limb movements, balance drills, and flexibility exercises. The clinician provides direct one-on-one contact, whether working from the pool deck or in the water.

Report 97113 in 15-minute units based on direct treatment time, not the patient's total time in the pool. Documentation should identify the exercises, direct treatment minutes, and why the aquatic environment supports the plan of care. For Medicare, identify the therapy discipline with GP or GO, as appropriate, and determine units using the total timed therapy minutes furnished that day. This therapy service has no separate professional component for modifier 26. Under Medicare's therapy multiple procedure payment reduction, the practice expense portion is reduced for the second and later therapy units on the same day, including additional 97113 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.

How Madera, CA compares for 97113

Across 109 of 109 payment localities, the office rate for 97113 runs from $33.99 in Arkansas to $47.84 in San Benito County, CA. Madera, CA pays $39.18. The RVUs are the same everywhere; the geographic indexes change the dollars.

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97113 rates by state

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

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How the 97113 rate is calculated

Each of 97113’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.

Payment rules and modifiers for 97113

The CMS indicators that decide how 97113 is paid alongside other services.

What modifiers do to the payment

Codes related to 97113

Related codes aren’t interchangeable: bill the code that matches the service performed.

How 97113 has changed in Madera, CA

Price 97113 for an earlier date of service

Where the Madera, CA rate applies

Madera, CA is a Medicare payment area, not a city. Our Census mapping connects it to 17 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.

• 97113 in Madera
• 97113 in Ahwahnee
• 97113 in Bass Lake
• 97113 in Bonadelle Ranchos
• 97113 in Chowchilla
• 97113 in Coarsegold
• 97113 in Fairmead
• 97113 in La Vina

Browse all communities in California

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

Open CMS sourceHow we calculate rates