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

In South Carolina, Medicare pays $33.50 for 97530 in the office.

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.

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.

How South Carolina 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. South Carolina pays $33.50. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

97530 rates by state

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

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.

Payment rules and modifiers for 97530

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

What modifiers do to the payment

97530 compared with similar codes

Same family in South Carolina

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.

Codes related to 97530

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

How 97530 has changed in South Carolina

Price 97530 for an earlier date of service

Where the South Carolina rate applies

South Carolina is a Medicare payment area, not a city. Our Census mapping connects it to 475 cities and communities in South Carolina. Some span more than one payment area; confirm with the service ZIP.

• Abbeville
• Abney Crossroads
• Adams Run
• Aiken
• Alcolu
• Allendale
• Anderson
• Andrews

Browse all communities in South Carolina

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