CPT code 97546: Work hardening, each additional hour2026 Medicare rate & RVUs in Bartlett, Illinois

CPT 97546: $0.00 office, $0.00 facility in Bartlett, IL in 2026 Medicare. Locality math and rate history.

CMS RVU26DEffective Oct 1, 20262 payment localities

Medicare pays $0.00 for 97546 in the office in Bartlett, Illinois (Chicago, IL). Which amount applies depends on the service address.

$0.00Office (non-facility)
$0.00Hospital or facility

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 97546 for the payment locality that covers the ZIP.

On this page 6 sections
  1. Rate in Bartlett, Illinois
  2. By payment locality
  3. City and payment areas
  4. How it’s calculated
  5. Payment rules
  6. Sources

Where 97546 pays more and less in Bartlett, Illinois

Bartlett, Illinois maps to 2 Medicare payment localities in our Census-to-CMS crosswalk. A city name alone doesn’t confirm an address’s payment area.

97546 office and facility rates by payment locality
Payment localityOfficeFacility
Chicago, IL$0.00$0.00
Suburban Chicago, IL$0.00$0.00

How payment areas work in Bartlett

City limits and Medicare payment areas are different maps. These are the payment areas that cover the city’s counties; the service ZIP decides which one applies.

  • Chicago · Cook County
  • Suburban Chicago · DuPage County, Kane County

City boundaries: 2026 Census geography · Census source · CMS county-to-locality definitions

How the 97546 rate is calculated

Each of 97546’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 · 97546

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.00

0.00 RVUs× 1.000 GPCI

Practice expense0.00

0.00 RVUs× 1.000 GPCI

Malpractice0.00

0.00 RVUs× 1.000 GPCI

Adjusted RVUs

0.0000

Conversion factor

$33.4009

Medicare rate

$0.00

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

Payment rules and modifiers for 97546

The CMS indicators that decide how 97546 is paid alongside other services.

CMS payment indicators · 97546

Work hardening, each additional hour

RuleCMS valueWhat it means
Global periodZZZAdd-on code: falls within the primary procedure’s global period.
Multiple procedures0No multiple-procedure reduction.
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

97546 without CQ · national office

$0.00

Work hardening, each additional hour

97546-CQ · Allowed amount unchanged

$0.00

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.

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 97546PPRRVU2026_Oct_nonQPP.csv, line 12,895 (RVU26D)

Open CMS sourceHow we calculate rates

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