CPT code 97537: Reintegration training, community or work skills2026 Medicare rate & RVUs in Delaware

In Delaware, Medicare pays $31.92 for 97537 in the office.

Check a contract rate as a % of Medicare · 97537 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 97537 covers

A therapist works directly with the patient on functional skills needed outside the clinic, such as navigating public transportation, shopping, managing money, or carrying out tasks related to a work setting. Work-focused services may include analyzing job tasks or the work environment and training the patient to use adaptive equipment. Occupational therapists commonly provide this rehabilitation service; physical therapists may provide it when the training fits the plan of care. Activities address the patient’s functional goals rather than general exercise alone.

Report one unit for each 15 minutes of direct, one-on-one service. Documentation should identify the activity practiced, its connection to the patient’s functional goals, the skilled instruction or adaptation provided, and the treatment time. Distinguish community or work reintegration from self-care instruction, general therapeutic activities, and work-hardening programs based on the activity and purpose. The professional component modifier does not apply to this therapy service. When multiple therapy units are reported on the same day, CMS reduces practice expense for the second and later 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 Delaware compares for 97537

Across 109 of 109 payment localities, the office rate for 97537 runs from $29.69 in Arkansas to $40.95 in Alaska. Delaware pays $31.92. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

97537 rates by state

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

See 97537 in every payment locality

How the 97537 rate is calculated

Each of 97537’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 97537

The CMS indicators that decide how 97537 is paid alongside other services.

What modifiers do to the payment

Codes related to 97537

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

How 97537 has changed in Delaware

Price 97537 for an earlier date of service

Where the Delaware rate applies

Delaware is a Medicare payment area, not a city. Our Census mapping connects it to 79 cities and communities in Delaware. Some span more than one payment area; confirm with the service ZIP.

• Arden
• Ardencroft
• Ardentown
• Bear
• Bellefonte
• Bethany Beach
• Bethel
• Blades

Browse all communities in Delaware

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