CPT code 97140: Manual therapy, one or more regions, each 15 minutes2026 Medicare rate & RVUs in Wisconsin

Report timed, one-on-one manual therapy for joint or soft tissue mobilization, manual traction, or lymphatic drainage across one or more body regions.

CMS RVU26DEffective Oct 1, 2026One payment locality29.3M Medicare services in 2024

In Wisconsin, Medicare pays $26.94 for 97140 in the office.

$26.94Office (non-facility)
Not available in this settingHospital or facility
−2.8%vs the national office rate ($27.72)

Check a contract rate as a % of Medicare · 97140 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 97140 for the payment locality that covers the ZIP.

On this page 12 sections
  1. Rate in Wisconsin
  2. What 97140 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 97140 covers

Manual therapy involves skilled, hands-on treatment applied directly to the patient, including joint mobilization, soft tissue and myofascial mobilization, manual traction, and manual lymphatic drainage for lymphedema. Physical therapists and occupational therapists commonly provide it in outpatient clinics, private practices, and hospital outpatient departments; physicians may also perform it. Typical treatment targets include restricted shoulder motion, neck or back mobility, postoperative joint stiffness, and lymphedema.

Report 97140 for direct, one-on-one manual-therapy time, not for each region treated. Document the technique, regions, treatment minutes, and connection to the plan of care. Medicare determines the number of timed therapy units from combined timed-code minutes for the day, then assigns units to the services performed; minutes cannot be counted under two codes. Use the appropriate GP or GO modifier when reporting the service under a physical or occupational therapy plan. As a therapy service, 97140 has no professional or technical component split. Under the therapy multiple procedure payment reduction, practice expense is reduced for the second and later 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 97140: 97140 vs 97530 · Physical therapy CPT codes

How Wisconsin compares for 97140

Across 109 of 109 payment localities, the office rate for 97140 runs from $25.72 in Arkansas to $35.60 in Alaska. Wisconsin pays $26.94. The RVUs are the same everywhere; the geographic indexes change the dollars.

97140 in Wisconsin vs other payment areas
  1. Wisconsin · this page$26.94
  2. Los Angeles, CA · California$30.58+$3.64
  3. Washington, DC area · District of Columbia$30.85+$3.91
  4. Miami, FL · Florida$28.77+$1.83
  5. Chicago, IL · Illinois$28.32+$1.38
  6. Manhattan, NY · New York$30.95+$4.01
  7. Alaska · Alaska$35.60+$8.66

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

Every other payment area

97140 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$25.95—
ArkansasArkansas$25.72—
ArizonaArizona$27.27—
Bakersfield, CACalifornia$29.12—
Chico, CACalifornia$29.06—
El Centro, CACalifornia$29.06—
Fresno, CACalifornia$29.06—
Hanford, CACalifornia$29.06—

97140 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.

$25.72

$35.60

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

View every state and territory as a table
97140 office rate range by state
State / territoryOffice rate rangeLocalities
AK$35.601
AL$25.951
AR$25.721
AZ$27.271
CA$29.06–$34.9129
CO$28.661
CT$29.081
DC$30.851
DE$27.601
FL$27.32–$28.773
GA$26.38–$28.042
GU$29.371
HI$29.371
IA$26.411
ID$26.501
IL$26.78–$28.434
IN$26.601
KS$26.311
KY$26.251
LA$26.21–$27.002
MA$28.58–$30.802
MD$28.00–$30.853
ME$26.55–$27.482
MI$26.63–$27.502
MN$27.871
MO$25.92–$27.103
MS$25.821
MT$27.721
NC$26.731
ND$27.521
NE$26.511
NH$28.221
NJ$29.53–$30.732
NM$26.711
NV$27.681
NY$26.97–$31.395
OH$26.591
OK$26.251
OR$27.57–$29.312
PA$26.64–$28.582
PR$27.861
RI$28.391
SC$26.681
SD$27.501
TN$26.381
TX$26.53–$28.478
UT$26.911
VA$27.40–$30.852
VI$27.861
VT$27.431
WA$28.52–$31.342
WI$26.941
WV$26.161
WY$27.641

See 97140 in every payment locality

How the 97140 rate is calculated

Each of 97140’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 · 97140

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.43

0.43 RVUs× 1.000 GPCI

Practice expense0.39

0.39 RVUs× 1.000 GPCI

Malpractice0.01

0.01 RVUs× 1.000 GPCI

Adjusted RVUs

0.8300

Conversion factor

$33.4009

Medicare rate

$27.72

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

The exact Wisconsin inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

12,867

Code
97140
Physician work
0.43
Practice expense
0.39
Malpractice
0.01

GPCI2026.csv

111

Locality
Wisconsin
Physician work
1.000
Practice expense
0.958
Malpractice
0.308
Office calculation for 97140 in Wisconsin
ComponentRVULocality factorAdjusted
Physician work0.43× 1.0000.4300
Practice expense0.39× 0.9580.3736
Malpractice0.01× 0.3080.0031
Total RVUs0.8067
Conversion factor× 33.4009

Office rate, Wisconsin$26.94

Office: (0.43 × 1 + 0.39 × 0.958 + 0.01 × 0.308) × $33.4009 = $26.94

Open 97140 in the RVU calculator

Payment rules and modifiers for 97140

The CMS indicators that decide how 97140 is paid alongside other services.

CMS payment indicators · 97140

Manual therapy, one or more regions, 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

97140 without CQ · national office

$27.72

Manual therapy, one or more regions, each 15 minutes

97140-CQ · Allowed amount unchanged

$27.72

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.

97140 compared with similar codes

Compare codes · National

5 codes, side by side

Office or facility?

  • 97140

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

    $27.72

  • 97110

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

    $29.06+$1.34

  • 97112

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

    $32.73+$5.01

  • 97530

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

    $35.07+$7.35

  • 97535

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

    $32.40+$4.68

Same family in Wisconsin

Related code rates in Wisconsin
CodeOfficeFacility
97110Therapeutic exerciseOne-on-one, each 15 minutes$28.25Not available in this setting
97112Neuromuscular reeducationBalance, coordination, proprioception, timed$31.84Not available in this setting
97530Therapeutic activitiesOne-on-one, each 15 minutes$34.00Not available in this setting
97535Self-care trainingADL and home management, per 15 minutes$31.45Not available in this setting

How to choose

97124Massage therapy15-minute units
Massage describes techniques such as stroking, kneading, and percussion of soft tissue. Manual therapy describes techniques such as targeted mobilization, manual traction, or lymphatic drainage.
98940Chiropractic adjustmentSpinal, 1–2 regions
Chiropractic spinal manipulation is reported by the number of spinal regions treated, not by time. Manual therapy is timed; treatment of the same anatomical region is not separately reportable with the manipulation.
97112Neuromuscular reeducationBalance, coordination, proprioception, timed
Neuromuscular reeducation trains balance, coordination, proprioception, or movement control through patient activity. Manual therapy is hands-on treatment applied to joints or soft tissue.
97110Therapeutic exerciseOne-on-one, each 15 minutes
Therapeutic exercise involves the patient performing exercises for strength, range of motion, or endurance. Report manual therapy for the distinct minutes spent delivering a hands-on manual technique.

How 97140 has changed in Wisconsin

97140 · Office / nonfacility

$26.94

Effective 2026-10-01

The base rate is $0.54 higher than on 2025-10-01, moving from $26.40 to $26.94 (2.0%).

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

    $26.40changed to$26.94

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 0.40 changed to 0.39
    • Practice expense GPCI 0.957 changed to 0.958
    • Malpractice GPCI 0.331 changed to 0.308

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $26.21changed to$26.40

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 0.37 changed to 0.40

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $25.78changed to$26.21

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $26.59changed to$25.78

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense GPCI 0.950 changed to 0.957
    • Malpractice GPCI 0.314 changed to 0.331
  5. January 1, 2023

    RVU23A

    $26.50changed to$26.59

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 0.35 changed to 0.37
    • Malpractice RVU 0.02 changed to 0.01
    • Practice expense GPCI 0.942 changed to 0.950
    • Malpractice GPCI 0.296 changed to 0.314

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $26.71changed to$26.50

    • Conversion factor 34.8931 changed to 34.6062

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $27.74changed to$26.71

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense GPCI 0.949 changed to 0.942
    • Malpractice GPCI 0.322 changed to 0.296

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $27.69changed to$27.74

    • Conversion factor 36.0391 changed to 36.0896
    • Malpractice RVU 0.01 changed to 0.02
    • Practice expense GPCI 0.957 changed to 0.949
    • Malpractice GPCI 0.347 changed to 0.322

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $27.66changed to$27.69

    • Conversion factor 35.9996 changed to 36.0391

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $29.66changed to$27.66

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 0.41 changed to 0.35
    • Practice expense GPCI 0.956 changed to 0.957
    • Malpractice GPCI 0.457 changed to 0.347

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $29.28changed to$29.66

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 0.40 changed to 0.41
    • Practice expense GPCI 0.955 changed to 0.956
    • Malpractice GPCI 0.566 changed to 0.457

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $29.38changed to$29.28

    • Conversion factor 35.9335 changed to 35.8043

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $29.24changed to$29.38

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $29.33changed to$29.24

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense GPCI 0.958 changed to 0.955
    • Malpractice GPCI 0.557 changed to 0.566

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $29.19changed to$29.33

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 0.44 changed to 0.40
    • Practice expense GPCI 0.960 changed to 0.958
    • Malpractice GPCI 0.547 changed to 0.557

    Held through RVU14B, RVU14C, RVU14D.

  16. October 1, 2013

    RVU13D

    No ratechanged to$29.19

  17. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$26.94Not available in this settingRVU26D
2026-07-01$26.94Not available in this settingRVU26C
2026-04-01$26.94Not available in this settingRVU26B
2026-01-01$26.94Not available in this settingRVU26A
2025-10-01$26.40Not available in this settingRVU25D
2025-07-01$26.40Not available in this settingRVU25C
2025-04-01$26.40Not available in this settingRVU25B
2025-01-01$26.40Not available in this settingRVU25A
2024-10-01$26.21Not available in this settingRVU24D
2024-07-01$26.21Not available in this settingRVU24C
2024-04-01$26.21Not available in this settingRVU24B
2024-03-09$26.21Not available in this settingRVU24AR
2024-01-01$25.78Not available in this settingRVU24A
2023-10-01$26.59Not available in this settingRVU23D
2023-07-01$26.59Not available in this settingRVU23C
2023-04-01$26.59Not available in this settingRVU23B
2023-01-01$26.59Not available in this settingRVU23A
2022-10-01$26.50Not available in this settingRVU22D
2022-07-01$26.50Not available in this settingRVU22C
2022-04-01$26.50Not available in this settingRVU22B
2022-01-01$26.50Not available in this settingRVU22A
2021-10-01$26.71Not available in this settingRVU21D
2021-07-01$26.71Not available in this settingRVU21C
2021-04-01$26.71Not available in this settingRVU21B
2021-01-01$26.71Not available in this settingRVU21A
2020-10-01$27.74Not available in this settingRVU20D
2020-07-01$27.74Not available in this settingRVU20C
2020-04-01$27.74Not available in this settingRVU20B
2020-01-01$27.74Not available in this settingRVU20A
2019-10-01$27.69Not available in this settingRVU19D
2019-07-01$27.69Not available in this settingRVU19C
2019-04-01$27.69Not available in this settingRVU19B
2019-01-01$27.69Not available in this settingRVU19A
2018-10-01$27.66Not available in this settingRVU18D
2018-07-01$27.66Not available in this settingRVU18C
2018-04-01$27.66Not available in this settingRVU18B
2018-01-01$27.66Not available in this settingRVU18AR1
2017-10-01$29.66Not available in this settingRVU17D
2017-07-01$29.66Not available in this settingRVU17C
2017-04-01$29.66Not available in this settingRVU17B
2017-01-01$29.66Not available in this settingRVU17A
2016-10-01$29.28Not available in this settingRVU16D
2016-07-01$29.28Not available in this settingRVU16C
2016-04-01$29.28Not available in this settingRVU16B
2016-01-01$29.28Not available in this settingRVU16A
2015-10-01$29.38Not available in this settingRVU15D
2015-07-01$29.38Not available in this settingRVU15C
2015-04-01$29.24Not available in this settingRVU15B
2015-01-01$29.24Not available in this settingRVU15A
2014-10-01$29.33Not available in this settingRVU14D
2014-07-01$29.33Not available in this settingRVU14C
2014-04-01$29.33Not available in this settingRVU14B
2014-01-01$29.33Not available in this settingRVU14A
2013-10-01$29.19Not 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 97140 for an earlier date of service

Where the Wisconsin rate applies

Wisconsin is a Medicare payment area, not a city. Our Census mapping connects it to 807 cities and communities in Wisconsin. Some span more than one payment area; confirm with the service ZIP.

  • Abbotsford
  • Abrams
  • Adams
  • Adell
  • Albany
  • Algoma
  • Allens Grove
  • Allenton

Browse all communities in Wisconsin

97140 billing questions

Do I bill one unit per body region treated?

No. Regions do not determine units; direct treatment minutes do. Fifteen minutes of manual therapy across the cervical and thoracic spine is one timed unit when no other timed service changes the day's unit allocation.

Can manual therapy be billed with chiropractic spinal manipulation on the same day?

Manual therapy on the same anatomical region as spinal manipulation is not separately reportable. A distinct region may support modifier 59 or XS on 97140 when documentation meets the applicable NCCI edit requirements; Medicare does not cover 97140 when furnished by a chiropractor.

How is manual therapy different from massage?

Massage covers techniques such as stroking, kneading, and percussion of soft tissue. Choose 97140 for a documented manual-therapy technique such as joint mobilization, manual traction, or lymphatic drainage; do not count the same treatment minutes under both codes.

Can manual lymphatic drainage be reported with this code?

Yes. Document the drainage technique, treated region, and direct treatment minutes. Applying compression bandaging afterward does not automatically create another 97140 unit or a separately billable service.

What modifiers are used on Medicare therapy claims for 97140?

Use GP for treatment under a physical therapy plan or GO for treatment under an occupational therapy plan. Use modifier 59 or an appropriate X modifier only when a documented, distinct service meets the requirements for overriding an applicable NCCI edit.

Are Medicare claims from chiropractors for this code payable?

No. Medicare coverage for services furnished by chiropractors is limited to qualifying spinal manipulation for subluxation; it does not cover manual therapy furnished by a chiropractor.

97140 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 97140PPRRVU2026_Oct_nonQPP.csv, line 12,867 (RVU26D)
Geographic factors for WisconsinGPCI2026.csv, line 111 (RVU26D)

Open CMS sourceHow we calculate rates

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