CPT code 97530: Therapeutic activities, one-on-one, each 15 minutes2026 Medicare rate & RVUs in Mississippi

One-on-one therapy using dynamic functional tasks, such as transfers, lifting, and reaching, to improve daily performance, reported in 15-minute units.

CMS RVU26DEffective Oct 1, 2026One payment locality44.7M Medicare services in 2024

In Mississippi, Medicare pays $32.20 for 97530 in the office.

$32.20Office (non-facility)
Not available in this settingHospital or facility
−8.2%vs the national office rate ($35.07)

Check a contract rate as a % of Medicare · 97530 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 97530 for the payment locality that covers the ZIP.

On this page 12 sections
  1. Rate in Mississippi
  2. What 97530 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 97530 covers

This timed service involves direct, one-on-one treatment using dynamic activities that improve functional performance. A physical or occupational therapist may have a patient practice sit-to-stand transfers, lift and carry an object, squat to retrieve an item, or reach overhead for a household task. The activity is selected and adjusted to address the patient's functional limitation, rather than performed simply as an exercise repetition. Therapists and qualified therapy assistants furnish the service in outpatient practices, hospital outpatient departments, and skilled nursing facilities providing Part B therapy.

Report units from documented direct treatment minutes. Under Medicare's 8-minute rule, total minutes across timed therapy services determine the day's available units; when several services are furnished, allocate units according to the minutes spent on each. Document the activity, skilled intervention, treatment time, and connection to a functional goal. Use the appropriate therapy plan modifier and, when the assistant contribution meets Medicare's threshold, CQ or CO. Report the therapy service as a whole, without a professional-component modifier. Medicare reduces practice expense 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 97530: 97110 vs 97530 · 97140 vs 97530 · Physical therapy CPT codes

How Mississippi compares for 97530

Across 109 of 109 payment localities, the office rate for 97530 runs from $32.08 in Arkansas to $45.39 in San Benito County, CA. Mississippi pays $32.20. The RVUs are the same everywhere; the geographic indexes change the dollars.

97530 in Mississippi vs other payment areas
  1. Mississippi · this page$32.20
  2. Los Angeles, CA · California$39.23+$7.03
  3. Washington, DC area · District of Columbia$39.47+$7.27
  4. Miami, FL · Florida$36.40+$4.20
  5. Chicago, IL · Illinois$35.71+$3.51
  6. Manhattan, NY · New York$39.45+$7.25
  7. Alaska · Alaska$43.57+$11.37

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

Every other payment area

97530 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$32.42—
ArkansasArkansas$32.08—
ArizonaArizona$34.40—
Bakersfield, CACalifornia$37.14—
Chico, CACalifornia$37.09—
El Centro, CACalifornia$37.09—
Fresno, CACalifornia$37.09—
Hanford, CACalifornia$37.09—

97530 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.

$32.08

$43.57

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

View every state and territory as a table
97530 office rate range by state
State / territoryOffice rate rangeLocalities
AK$43.571
AL$32.421
AR$32.081
AZ$34.401
CA$37.09–$45.3929
CO$36.461
CT$36.981
DC$39.471
DE$34.871
FL$34.36–$36.403
GA$32.97–$35.502
GU$37.681
HI$37.681
IA$33.171
ID$33.291
IL$33.52–$35.974
IN$33.441
KS$32.981
KY$32.821
LA$32.75–$33.932
MA$36.30–$39.522
MD$35.43–$39.473
ME$33.34–$34.772
MI$33.37–$34.602
MN$35.421
MO$32.30–$34.113
MS$32.201
MT$35.071
NC$33.611
ND$34.871
NE$33.321
NH$35.851
NJ$37.53–$39.232
NM$33.471
NV$35.041
NY$33.97–$40.095
OH$33.331
OK$32.851
OR$34.89–$37.452
PA$33.41–$36.222
PR$35.291
RI$35.981
SC$33.501
SD$34.851
TN$33.091
TX$33.24–$36.228
UT$33.831
VA$34.63–$39.472
VI$35.291
VT$34.711
WA$36.24–$40.292
WI$34.001
WV$32.591
WY$34.981

See 97530 in every payment locality

How the 97530 rate is calculated

Each of 97530’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 · 97530

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.44

0.44 RVUs× 1.000 GPCI

Practice expense0.60

0.60 RVUs× 1.000 GPCI

Malpractice0.01

0.01 RVUs× 1.000 GPCI

Adjusted RVUs

1.0500

Conversion factor

$33.4009

Medicare rate

$35.07

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

The exact Mississippi inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

12,889

Code
97530
Physician work
0.44
Practice expense
0.60
Malpractice
0.01

GPCI2026.csv

67

Locality
Mississippi
Physician work
1.000
Practice expense
0.861
Malpractice
0.739
Office calculation for 97530 in Mississippi
ComponentRVULocality factorAdjusted
Physician work0.44× 1.0000.4400
Practice expense0.60× 0.8610.5166
Malpractice0.01× 0.7390.0074
Total RVUs0.9640
Conversion factor× 33.4009

Office rate, Mississippi$32.20

Office: (0.44 × 1 + 0.6 × 0.861 + 0.01 × 0.739) × $33.4009 = $32.20

Open 97530 in the RVU calculator

Payment rules and modifiers for 97530

The CMS indicators that decide how 97530 is paid alongside other services.

CMS payment indicators · 97530

Therapeutic activities, one-on-one, 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

97530 without CQ · national office

$35.07

Therapeutic activities, one-on-one, each 15 minutes

97530-CQ · Allowed amount unchanged

$35.07

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.

97530 compared with similar codes

Compare codes · National

5 codes, side by side

Office or facility?

  • 97530

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

    $35.07

  • 97110

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

    $29.06−$6.01

  • 97112

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

    $32.73−$2.34

  • 97140

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

    $27.72−$7.35

  • 97535

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

    $32.40−$2.67

Same family in Mississippi

Related code rates in Mississippi
CodeOfficeFacility
97110Therapeutic exerciseOne-on-one, each 15 minutes$27.07Not available in this setting
97112Neuromuscular reeducationBalance, coordination, proprioception, timed$30.46Not available in this setting
97140Manual therapyOne or more regions, each 15 minutes$25.82Not available in this setting
97535Self-care trainingADL and home management, per 15 minutes$29.94Not available in this setting

How to choose

97110Therapeutic exerciseOne-on-one, each 15 minutes
Choose 97110 for exercises addressing strength, endurance, range of motion, or flexibility. Choose 97530 for dynamic performance of a functional task, such as transferring or lifting.
97535Self-care trainingADL and home management, per 15 minutes
97535 covers training in daily living skills, such as dressing, bathing, meal preparation, or adaptive equipment use. 97530 covers dynamic functional movement tasks such as transfers, lifting, and reaching.
97112Neuromuscular reeducationBalance, coordination, proprioception, timed
97112 focuses on neuromuscular reeducation of balance, coordination, or movement control. Choose 97530 when the skilled treatment centers on performing a dynamic functional task.
97150Group therapyTwo or more patients, per session
97150 covers therapy delivered simultaneously to two or more patients. 97530 requires direct, one-on-one contact and is reported in 15-minute units.

How 97530 has changed in Mississippi

97530 · Office / nonfacility

$32.20

Effective 2026-10-01

The base rate is $0.63 higher than on 2025-10-01, moving from $31.57 to $32.20 (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

    $31.57changed to$32.20

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 0.62 changed to 0.60
    • Practice expense GPCI 0.852 changed to 0.861
    • Malpractice GPCI 0.768 changed to 0.739

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $33.34changed to$31.57

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 0.65 changed to 0.62

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $32.79changed to$33.34

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $34.10changed to$32.79

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 0.66 changed to 0.65
    • Practice expense GPCI 0.847 changed to 0.852
    • Malpractice GPCI 0.720 changed to 0.768
  5. January 1, 2023

    RVU23A

    $34.34changed to$34.10

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 0.64 changed to 0.66
    • Malpractice RVU 0.02 changed to 0.01
    • Practice expense GPCI 0.842 changed to 0.847
    • Malpractice GPCI 0.671 changed to 0.720

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $35.51changed to$34.34

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 0.67 changed to 0.64

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $36.64changed to$35.51

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 0.66 changed to 0.67
    • Practice expense GPCI 0.856 changed to 0.842
    • Malpractice GPCI 0.521 changed to 0.671

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $37.13changed to$36.64

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 0.67 changed to 0.66
    • Practice expense GPCI 0.870 changed to 0.856
    • Malpractice GPCI 0.370 changed to 0.521

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $37.72changed to$37.13

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 0.69 changed to 0.67

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $32.77changed to$37.72

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 0.54 changed to 0.69
    • Malpractice RVU 0.01 changed to 0.02
    • Practice expense GPCI 0.867 changed to 0.870
    • Malpractice GPCI 0.492 changed to 0.370

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $32.37changed to$32.77

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 0.53 changed to 0.54
    • Practice expense GPCI 0.864 changed to 0.867
    • Malpractice GPCI 0.613 changed to 0.492

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $32.49changed to$32.37

    • Conversion factor 35.9335 changed to 35.8043

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $32.32changed to$32.49

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $32.43changed to$32.32

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense GPCI 0.865 changed to 0.864
    • Malpractice GPCI 0.687 changed to 0.613

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $32.32changed to$32.43

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 0.58 changed to 0.53
    • Practice expense GPCI 0.866 changed to 0.865
    • Malpractice GPCI 0.761 changed to 0.687

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $32.32

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$32.20Not available in this settingRVU26D
2026-07-01$32.20Not available in this settingRVU26C
2026-04-01$32.20Not available in this settingRVU26B
2026-01-01$32.20Not available in this settingRVU26A
2025-10-01$31.57Not available in this settingRVU25D
2025-07-01$31.57Not available in this settingRVU25C
2025-04-01$31.57Not available in this settingRVU25B
2025-01-01$31.57Not available in this settingRVU25A
2024-10-01$33.34Not available in this settingRVU24D
2024-07-01$33.34Not available in this settingRVU24C
2024-04-01$33.34Not available in this settingRVU24B
2024-03-09$33.34Not available in this settingRVU24AR
2024-01-01$32.79Not available in this settingRVU24A
2023-10-01$34.10Not available in this settingRVU23D
2023-07-01$34.10Not available in this settingRVU23C
2023-04-01$34.10Not available in this settingRVU23B
2023-01-01$34.10Not available in this settingRVU23A
2022-10-01$34.34Not available in this settingRVU22D
2022-07-01$34.34Not available in this settingRVU22C
2022-04-01$34.34Not available in this settingRVU22B
2022-01-01$34.34Not available in this settingRVU22A
2021-10-01$35.51Not available in this settingRVU21D
2021-07-01$35.51Not available in this settingRVU21C
2021-04-01$35.51Not available in this settingRVU21B
2021-01-01$35.51Not available in this settingRVU21A
2020-10-01$36.64Not available in this settingRVU20D
2020-07-01$36.64Not available in this settingRVU20C
2020-04-01$36.64Not available in this settingRVU20B
2020-01-01$36.64Not available in this settingRVU20A
2019-10-01$37.13Not available in this settingRVU19D
2019-07-01$37.13Not available in this settingRVU19C
2019-04-01$37.13Not available in this settingRVU19B
2019-01-01$37.13Not available in this settingRVU19A
2018-10-01$37.72Not available in this settingRVU18D
2018-07-01$37.72Not available in this settingRVU18C
2018-04-01$37.72Not available in this settingRVU18B
2018-01-01$37.72Not available in this settingRVU18AR1
2017-10-01$32.77Not available in this settingRVU17D
2017-07-01$32.77Not available in this settingRVU17C
2017-04-01$32.77Not available in this settingRVU17B
2017-01-01$32.77Not available in this settingRVU17A
2016-10-01$32.37Not available in this settingRVU16D
2016-07-01$32.37Not available in this settingRVU16C
2016-04-01$32.37Not available in this settingRVU16B
2016-01-01$32.37Not available in this settingRVU16A
2015-10-01$32.49Not available in this settingRVU15D
2015-07-01$32.49Not available in this settingRVU15C
2015-04-01$32.32Not available in this settingRVU15B
2015-01-01$32.32Not available in this settingRVU15A
2014-10-01$32.43Not available in this settingRVU14D
2014-07-01$32.43Not available in this settingRVU14C
2014-04-01$32.43Not available in this settingRVU14B
2014-01-01$32.43Not available in this settingRVU14A
2013-10-01$32.32Not available in this settingRVU13D
2013-07-01$32.32Not available in this settingRVU13C
2013-04-01$32.32Not available in this settingRVU13B
2013-01-01$32.32Not available in this settingRVU13AR

Price 97530 for an earlier date of service

Where the Mississippi rate applies

Mississippi is a Medicare payment area, not a city. Our Census mapping connects it to 427 cities and communities in Mississippi. Some span more than one payment area; confirm with the service ZIP.

  • Abbeville
  • Aberdeen
  • Ackerman
  • Agricola
  • Alcorn State University
  • Algoma
  • Alligator
  • Amory

Browse all communities in Mississippi

97530 billing questions

How is 97530 different from therapeutic exercise (97110)?

97110 covers exercises to improve strength, endurance, range of motion, or flexibility. Choose 97530 for a dynamic functional task, such as a transfer or lifting activity, with a documented functional goal.

How many units can be billed for a session?

If 97530 is the only timed therapy service, at least 8 minutes of direct treatment supports one unit under Medicare's 8-minute rule. When other timed services are furnished, total their direct minutes to determine available units, then allocate those units according to time spent on each service.

Can 97530 be billed with a therapy evaluation on the same day?

Yes, when the evaluation and a distinct skilled treatment are both performed and separately documented. Do not append modifier 59 or an X modifier solely because both occur on the same date.

Which therapy modifiers are used on Medicare claims?

Use GP or GO for treatment under the applicable physical or occupational therapy plan of care. Add CQ or CO when a physical therapist assistant or occupational therapy assistant, respectively, furnishes more than 10% of the service under Medicare's de minimis policy.

Can 97530 be billed when working with two patients at once?

97530 requires direct, one-on-one contact. Use 97150 for group therapy furnished simultaneously to two or more patients; separately documented individual treatment time may support 97530.

Does the multiple procedure reduction lower every unit?

The therapy unit with the highest practice expense is paid without the reduction. Medicare reduces practice expense for the second and later therapy units on the same day, whether they are additional 97530 units or other therapy services.

97530 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 97530PPRRVU2026_Oct_nonQPP.csv, line 12,889 (RVU26D)
Geographic factors for MississippiGPCI2026.csv, line 67 (RVU26D)

Open CMS sourceHow we calculate rates

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