CPT code 97150: Group therapy, two or more patients, per session2026 Medicare rate & RVUs in Virginia

Therapeutic procedures delivered to two or more patients at the same time are reported once per patient for each skilled group therapy session.

CMS RVU26DEffective Oct 1, 2026One payment locality2.7M Medicare services in 2024

In Virginia, Medicare pays $17.80 for 97150 in the office.

$17.80Office (non-facility)
Not available in this settingHospital or facility
−1.3%vs the national office rate ($18.04)

Check a contract rate as a % of Medicare · 97150 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 97150 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Virginia
  2. What 97150 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 97150 covers

This code covers skilled therapy delivered to two or more patients simultaneously, with the treating clinician in constant attendance rather than providing continuous one-on-one care. Patients may work on the same or different activities, such as skilled exercise after joint replacement, aquatic exercise, balance training, or an occupational therapy fine motor group. Physical therapists, occupational therapists, and, for appropriate services, speech-language pathologists or assistants working under required supervision provide it in private practices, outpatient clinics, and skilled nursing or rehabilitation settings billing Part B.

The code is untimed. Report one unit per patient per group session regardless of session length, with the GP, GO, or GN modifier matching the plan of care. Documentation should identify the session time, group activities, each patient's participation and response, the skilled interventions, and the connection to plan-of-care goals. Bill this therapy service without a professional-component modifier 26 split. Under the therapy multiple procedure payment reduction, practice expense is reduced for the second and later therapy units billed for the patient that 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 97150: Physical therapy CPT codes

How Virginia compares for 97150

Across 109 of 109 payment localities, the office rate for 97150 runs from $16.74 in Arkansas to $23.25 in Alaska. Virginia pays $17.80. The RVUs are the same everywhere; the geographic indexes change the dollars.

97150 in Virginia vs other payment areas
  1. Virginia · this page$17.80
  2. Los Angeles, CA · California$19.79+$1.99
  3. Washington, DC area · District of Columbia$20.02+$2.22
  4. Miami, FL · Florida$18.88+$1.08
  5. Chicago, IL · Illinois$18.58+$0.78
  6. Manhattan, NY · New York$20.15+$2.35
  7. Alaska · Alaska$23.25+$5.45

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

Every other payment area

97150 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$16.89—
ArkansasArkansas$16.74—
ArizonaArizona$17.74—
Bakersfield, CACalifornia$18.86—
Chico, CACalifornia$18.82—
El Centro, CACalifornia$18.82—
Fresno, CACalifornia$18.82—
Hanford, CACalifornia$18.82—

97150 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.

$16.74

$23.25

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

View every state and territory as a table
97150 office rate range by state
State / territoryOffice rate rangeLocalities
AK$23.251
AL$16.891
AR$16.741
AZ$17.741
CA$18.82–$22.4929
CO$18.591
CT$18.921
DC$20.021
DE$17.951
FL$17.85–$18.883
GA$17.23–$18.262
GU$18.991
HI$18.991
IA$17.151
ID$17.221
IL$17.53–$18.584
IN$17.281
KS$17.101
KY$17.121
LA$17.10–$17.612
MA$18.55–$19.952
MD$18.20–$20.023
ME$17.27–$17.842
MI$17.38–$17.992
MN$18.031
MO$16.92–$17.653
MS$16.841
MT$18.041
NC$17.381
ND$17.841
NE$17.211
NH$18.321
NJ$19.19–$19.952
NM$17.441
NV$17.991
NY$17.54–$20.465
OH$17.341
OK$17.101
OR$17.91–$19.002
PA$17.36–$18.602
PR$18.121
RI$18.451
SC$17.381
SD$17.811
TN$17.151
TX$17.29–$18.488
UT$17.521
VA$17.80–$20.022
VI$18.121
VT$17.791
WA$18.51–$20.282
WI$17.471
WV$17.131
WY$17.951

See 97150 in every payment locality

How the 97150 rate is calculated

Each of 97150’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 · 97150

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.29

0.29 RVUs× 1.000 GPCI

Practice expense0.24

0.24 RVUs× 1.000 GPCI

Malpractice0.01

0.01 RVUs× 1.000 GPCI

Adjusted RVUs

0.5400

Conversion factor

$33.4009

Medicare rate

$18.04

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

The exact Virginia inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

12,868

Code
97150
Physician work
0.29
Practice expense
0.24
Malpractice
0.01

GPCI2026.csv

106

Locality
Virginia
Physician work
1.000
Practice expense
0.983
Malpractice
0.706
Office calculation for 97150 in Virginia
ComponentRVULocality factorAdjusted
Physician work0.29× 1.0000.2900
Practice expense0.24× 0.9830.2359
Malpractice0.01× 0.7060.0071
Total RVUs0.5330
Conversion factor× 33.4009

Office rate, Virginia$17.80

Office: (0.29 × 1 + 0.24 × 0.983 + 0.01 × 0.706) × $33.4009 = $17.80

Open 97150 in the RVU calculator

Payment rules and modifiers for 97150

The CMS indicators that decide how 97150 is paid alongside other services.

CMS payment indicators · 97150

Group therapy, two or more patients, per session

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

97150 without CQ · national office

$18.04

Group therapy, two or more patients, per session

97150-CQ · Allowed amount unchanged

$18.04

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 97150 has changed in Virginia

97150 · Office / nonfacility

$17.80

Effective 2026-10-01

The base rate is $0.52 higher than on 2025-10-01, moving from $17.28 to $17.80 (3.0%).

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

    $17.28changed to$17.80

    • Conversion factor 32.3465 changed to 33.4009
    • Work GPCI 1.002 changed to 1.000
    • Practice expense GPCI 0.984 changed to 0.983
    • Malpractice GPCI 0.755 changed to 0.706

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $17.79changed to$17.28

    • Conversion factor 33.2875 changed to 32.3465

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $17.49changed to$17.79

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $17.82changed to$17.49

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 0.23 changed to 0.24
    • Work GPCI 1.000 changed to 1.002
    • Practice expense GPCI 0.990 changed to 0.984
    • Malpractice GPCI 0.826 changed to 0.755
  5. January 1, 2023

    RVU23A

    $17.92changed to$17.82

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 0.22 changed to 0.23
    • Practice expense GPCI 0.995 changed to 0.990
    • Malpractice GPCI 0.897 changed to 0.826

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $18.07changed to$17.92

    • Conversion factor 34.8931 changed to 34.6062

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $18.66changed to$18.07

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense GPCI 0.991 changed to 0.995
    • Malpractice GPCI 0.903 changed to 0.897

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $18.60changed to$18.66

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense GPCI 0.986 changed to 0.991
    • Malpractice GPCI 0.908 changed to 0.903

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $18.58changed to$18.60

    • Conversion factor 35.9996 changed to 36.0391

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $17.44changed to$18.58

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 0.19 changed to 0.22
    • Practice expense GPCI 0.985 changed to 0.986
    • Malpractice GPCI 0.866 changed to 0.908

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $17.37changed to$17.44

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense GPCI 0.983 changed to 0.985
    • Malpractice GPCI 0.824 changed to 0.866

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $17.43changed to$17.37

    • Conversion factor 35.9335 changed to 35.8043

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $17.34changed to$17.43

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $17.34changed to$17.34

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense GPCI 0.980 changed to 0.983
    • Malpractice GPCI 0.778 changed to 0.824

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $17.10changed to$17.34

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 0.21 changed to 0.19
    • Practice expense GPCI 0.977 changed to 0.980
    • Malpractice GPCI 0.731 changed to 0.778

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $17.10

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$17.80Not available in this settingRVU26D
2026-07-01$17.80Not available in this settingRVU26C
2026-04-01$17.80Not available in this settingRVU26B
2026-01-01$17.80Not available in this settingRVU26A
2025-10-01$17.28Not available in this settingRVU25D
2025-07-01$17.28Not available in this settingRVU25C
2025-04-01$17.28Not available in this settingRVU25B
2025-01-01$17.28Not available in this settingRVU25A
2024-10-01$17.79Not available in this settingRVU24D
2024-07-01$17.79Not available in this settingRVU24C
2024-04-01$17.79Not available in this settingRVU24B
2024-03-09$17.79Not available in this settingRVU24AR
2024-01-01$17.49Not available in this settingRVU24A
2023-10-01$17.82Not available in this settingRVU23D
2023-07-01$17.82Not available in this settingRVU23C
2023-04-01$17.82Not available in this settingRVU23B
2023-01-01$17.82Not available in this settingRVU23A
2022-10-01$17.92Not available in this settingRVU22D
2022-07-01$17.92Not available in this settingRVU22C
2022-04-01$17.92Not available in this settingRVU22B
2022-01-01$17.92Not available in this settingRVU22A
2021-10-01$18.07Not available in this settingRVU21D
2021-07-01$18.07Not available in this settingRVU21C
2021-04-01$18.07Not available in this settingRVU21B
2021-01-01$18.07Not available in this settingRVU21A
2020-10-01$18.66Not available in this settingRVU20D
2020-07-01$18.66Not available in this settingRVU20C
2020-04-01$18.66Not available in this settingRVU20B
2020-01-01$18.66Not available in this settingRVU20A
2019-10-01$18.60Not available in this settingRVU19D
2019-07-01$18.60Not available in this settingRVU19C
2019-04-01$18.60Not available in this settingRVU19B
2019-01-01$18.60Not available in this settingRVU19A
2018-10-01$18.58Not available in this settingRVU18D
2018-07-01$18.58Not available in this settingRVU18C
2018-04-01$18.58Not available in this settingRVU18B
2018-01-01$18.58Not available in this settingRVU18AR1
2017-10-01$17.44Not available in this settingRVU17D
2017-07-01$17.44Not available in this settingRVU17C
2017-04-01$17.44Not available in this settingRVU17B
2017-01-01$17.44Not available in this settingRVU17A
2016-10-01$17.37Not available in this settingRVU16D
2016-07-01$17.37Not available in this settingRVU16C
2016-04-01$17.37Not available in this settingRVU16B
2016-01-01$17.37Not available in this settingRVU16A
2015-10-01$17.43Not available in this settingRVU15D
2015-07-01$17.43Not available in this settingRVU15C
2015-04-01$17.34Not available in this settingRVU15B
2015-01-01$17.34Not available in this settingRVU15A
2014-10-01$17.34Not available in this settingRVU14D
2014-07-01$17.34Not available in this settingRVU14C
2014-04-01$17.34Not available in this settingRVU14B
2014-01-01$17.34Not available in this settingRVU14A
2013-10-01$17.10Not available in this settingRVU13D
2013-07-01$17.10Not available in this settingRVU13C
2013-04-01$17.10Not available in this settingRVU13B
2013-01-01$17.10Not available in this settingRVU13AR

Price 97150 for an earlier date of service

Where the Virginia rate applies

Virginia is a Medicare payment area, not a city. Our Census mapping connects it to 628 cities and communities in Virginia. Some span more than one payment area; confirm with the service ZIP.

  • Abbs Valley
  • Abingdon
  • Accomac
  • Adwolf
  • Afton
  • Alberta
  • Aldie
  • Allison Gap

Browse all communities in Virginia

97150 billing questions

How many units of 97150 can be billed for one session?

Report one unit per patient per group session. A longer session does not increase units, and group-session minutes are not added to timed codes for the 8-minute rule calculation.

Can 97150 be billed on the same day as individual codes such as 97110 or 97530?

Yes, when the one-on-one service occurs during a distinct time interval. Document separate times; use modifier 59 or an appropriate X modifier only when an applicable NCCI edit permits separate reporting and its criteria are met.

Do all patients in the group need to do the same activity?

No. Patients can perform different activities while the clinician treats two or more patients at once and remains in constant attendance.

Which modifiers are used with 97150?

Medicare requires GP for physical therapy, GO for occupational therapy, or GN for speech-language pathology, according to the plan of care. Add CQ for physical therapist assistant services or CO for occupational therapy assistant services when Medicare's assistant-modifier criteria are met.

Does the therapy multiple procedure payment reduction affect 97150?

Yes. Practice expense is reduced for the second and later therapy units billed for the patient on the same day, which can include the group unit.

Should speech therapy groups use 97150 or 92508?

Group treatment of speech, language, voice, or communication disorders is typically reported with 92508. Use 97150 for other qualifying group therapeutic procedures.

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 97150PPRRVU2026_Oct_nonQPP.csv, line 12,868 (RVU26D)
Geographic factors for VirginiaGPCI2026.csv, line 106 (RVU26D)

Open CMS sourceHow we calculate rates

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