CPT code 97545: Work hardening, initial two hours2026 Medicare rate & RVUs in Utah

In Utah, Medicare pays $0.00 for 97545 in the office and $0.00 when it’s performed in a hospital or facility.

Check a contract rate as a % of Medicare · 97545 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 97545 covers

Work hardening is a structured, job-focused rehabilitation program that builds a patient's capacity to return to work through progressively demanding physical tasks. Physical or occupational therapists commonly provide it in an outpatient rehabilitation setting. Activities may simulate job demands such as lifting, carrying, reaching, or sustained standing, with the program tailored to the patient's functional limitations and work goals. It is distinct from general exercise or isolated practice of daily activities because the treatment is organized around work capacity.

Report 97545 for the initial two-hour block; report 97546 for each additional hour when the service continues beyond that block. Documentation should support the treatment time, work-related functional goals, activities performed, patient response, and progress toward those goals. CMS lists payment as restricted to specific circumstances, so coverage depends on the applicable Medicare coverage criteria. This is a therapy service; the professional component modifier does not apply.

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 Utah compares for 97545

Across 109 of 109 payment localities, the office rate for 97545 runs from $0.00 in Alaska to $0.00 in Wyoming. Utah pays $0.00. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

97545 rates by state

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

See 97545 in every payment locality

How the 97545 rate is calculated

Each of 97545’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 97545

The CMS indicators that decide how 97545 is paid alongside other services.

What modifiers do to the payment

Codes related to 97545

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

How 97545 has changed in Utah

Price 97545 for an earlier date of service

Where the Utah rate applies

Utah is a Medicare payment area, not a city. Our Census mapping connects it to 334 cities and communities in Utah. Some span more than one payment area; confirm with the service ZIP.

• Alpine
• Alta
• Altamont
• Alton
• Amalga
• American Fork
• Aneth
• Annabella

Browse all communities in Utah

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