CPT code 97546: Work hardening, each additional hour2026 Medicare rate & RVUs in Kentucky
Report 97546 for each additional hour beyond the initial two-hour work-hardening service represented by 97545.
In Kentucky, Medicare pays $0.00 for 97546 in the office and $0.00 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 97546 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 97546 covers
97546 represents additional time in a structured work-hardening program that builds a patient’s capacity to resume job duties through progressively demanding, work-related tasks. Physical or occupational therapists commonly provide the service in an outpatient rehabilitation setting, using graded activity and work simulation tailored to documented job demands. It is used after the initial work-hardening period, not for general exercise or isolated functional activities alone.
Report each additional hour with 97545, which represents the initial two-hour work-hardening period. Documentation should show the skilled interventions, work-related goals, time spent, patient response, and why further work-hardening treatment was needed. Medicare payment is restricted to specific circumstances. This add-on is reported only with its primary service and is paid within that service’s global period. As a therapy service, it does not use the professional component modifier.
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 Kentucky compares for 97546
Across 109 of 109 payment localities, the office rate for 97546 runs from $0.00 in Alaska to $0.00 in Wyoming. Kentucky pays $0.00. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Kentucky · this page$0.00
- Los Angeles, CA · California$0.00
- Washington, DC area · District of Columbia$0.00
- Miami, FL · Florida$0.00
- Chicago, IL · Illinois$0.00
- Manhattan, NY · New York$0.00
- Alaska · Alaska$0.00
Other areas in Kentucky first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $0.00 | $0.00 |
| ArkansasArkansas | $0.00 | $0.00 |
| ArizonaArizona | $0.00 | $0.00 |
| Bakersfield, CACalifornia | $0.00 | $0.00 |
| Chico, CACalifornia | $0.00 | $0.00 |
| El Centro, CACalifornia | $0.00 | $0.00 |
| Fresno, CACalifornia | $0.00 | $0.00 |
| Hanford, CACalifornia | $0.00 | $0.00 |
| Madera, CACalifornia | $0.00 | $0.00 |
| Merced, CACalifornia | $0.00 | $0.00 |
| Modesto, CACalifornia | $0.00 | $0.00 |
| Napa, CACalifornia | $0.00 | $0.00 |
| Oxnard, CACalifornia | $0.00 | $0.00 |
| Redding, CACalifornia | $0.00 | $0.00 |
| Rest of CaliforniaCalifornia | $0.00 | $0.00 |
| Riverside, CACalifornia | $0.00 | $0.00 |
| Sacramento, CACalifornia | $0.00 | $0.00 |
| Salinas, CACalifornia | $0.00 | $0.00 |
| San Diego, CACalifornia | $0.00 | $0.00 |
| Marin County, CACalifornia | $0.00 | $0.00 |
| San Francisco, CACalifornia | $0.00 | $0.00 |
| San Benito County, CACalifornia | $0.00 | $0.00 |
| Santa Clara County, CACalifornia | $0.00 | $0.00 |
| San Luis Obispo, CACalifornia | $0.00 | $0.00 |
| Santa Cruz, CACalifornia | $0.00 | $0.00 |
| Santa Maria, CACalifornia | $0.00 | $0.00 |
| Santa Rosa, CACalifornia | $0.00 | $0.00 |
| Stockton, CACalifornia | $0.00 | $0.00 |
| Vallejo, CACalifornia | $0.00 | $0.00 |
| Visalia, CACalifornia | $0.00 | $0.00 |
| Yuba City, CACalifornia | $0.00 | $0.00 |
| ColoradoColorado | $0.00 | $0.00 |
| ConnecticutConnecticut | $0.00 | $0.00 |
| DelawareDelaware | $0.00 | $0.00 |
| Fort Lauderdale, FLFlorida | $0.00 | $0.00 |
| Rest of FloridaFlorida | $0.00 | $0.00 |
| Atlanta, GAGeorgia | $0.00 | $0.00 |
| Rest of GeorgiaGeorgia | $0.00 | $0.00 |
| Hawaii, Guam, HIHawaii | $0.00 | $0.00 |
| IowaIowa | $0.00 | $0.00 |
| IdahoIdaho | $0.00 | $0.00 |
| East St. Louis, ILIllinois | $0.00 | $0.00 |
| Rest of IllinoisIllinois | $0.00 | $0.00 |
| Suburban Chicago, ILIllinois | $0.00 | $0.00 |
| IndianaIndiana | $0.00 | $0.00 |
| KansasKansas | $0.00 | $0.00 |
| New Orleans, LALouisiana | $0.00 | $0.00 |
| Rest of LouisianaLouisiana | $0.00 | $0.00 |
| Metropolitan Boston, MAMassachusetts | $0.00 | $0.00 |
| Rest of MassachusettsMassachusetts | $0.00 | $0.00 |
| Baltimore area, MDMaryland | $0.00 | $0.00 |
| Rest of MarylandMaryland | $0.00 | $0.00 |
| Rest of MaineMaine | $0.00 | $0.00 |
| Southern Maine, MEMaine | $0.00 | $0.00 |
| Detroit, MIMichigan | $0.00 | $0.00 |
| Rest of MichiganMichigan | $0.00 | $0.00 |
| MinnesotaMinnesota | $0.00 | $0.00 |
| Metropolitan Kansas City, MOMissouri | $0.00 | $0.00 |
| Metropolitan St. Louis, MOMissouri | $0.00 | $0.00 |
| Rest of MissouriMissouri | $0.00 | $0.00 |
| MississippiMississippi | $0.00 | $0.00 |
| MontanaMontana | $0.00 | $0.00 |
| North CarolinaNorth Carolina | $0.00 | $0.00 |
| North DakotaNorth Dakota | $0.00 | $0.00 |
| NebraskaNebraska | $0.00 | $0.00 |
| New HampshireNew Hampshire | $0.00 | $0.00 |
| Northern New JerseyNew Jersey | $0.00 | $0.00 |
| Rest of New JerseyNew Jersey | $0.00 | $0.00 |
| New MexicoNew Mexico | $0.00 | $0.00 |
| NevadaNevada | $0.00 | $0.00 |
| NYC suburbs and Long Island, NYNew York | $0.00 | $0.00 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $0.00 | $0.00 |
| Queens, NYNew York | $0.00 | $0.00 |
| Rest of New YorkNew York | $0.00 | $0.00 |
| OhioOhio | $0.00 | $0.00 |
| OklahomaOklahoma | $0.00 | $0.00 |
| Portland, OROregon | $0.00 | $0.00 |
| Rest of OregonOregon | $0.00 | $0.00 |
| Metropolitan Philadelphia, PAPennsylvania | $0.00 | $0.00 |
| Rest of PennsylvaniaPennsylvania | $0.00 | $0.00 |
| Puerto RicoPuerto Rico | $0.00 | $0.00 |
| Rhode IslandRhode Island | $0.00 | $0.00 |
| South CarolinaSouth Carolina | $0.00 | $0.00 |
| South DakotaSouth Dakota | $0.00 | $0.00 |
| TennesseeTennessee | $0.00 | $0.00 |
| Austin, TXTexas | $0.00 | $0.00 |
| Beaumont, TXTexas | $0.00 | $0.00 |
| Brazoria, TXTexas | $0.00 | $0.00 |
| Dallas, TXTexas | $0.00 | $0.00 |
| Fort Worth, TXTexas | $0.00 | $0.00 |
| Galveston, TXTexas | $0.00 | $0.00 |
| Houston, TXTexas | $0.00 | $0.00 |
| Rest of TexasTexas | $0.00 | $0.00 |
| UtahUtah | $0.00 | $0.00 |
| VirginiaVirginia | $0.00 | $0.00 |
| Virgin Islands, VIUnited States Virgin Islands | $0.00 | $0.00 |
| VermontVermont | $0.00 | $0.00 |
| Rest of WashingtonWashington | $0.00 | $0.00 |
| King County, WAWashington | $0.00 | $0.00 |
| WisconsinWisconsin | $0.00 | $0.00 |
| West VirginiaWest Virginia | $0.00 | $0.00 |
| WyomingWyoming | $0.00 | $0.00 |
97546 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.
$0.00
$0.00
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $0.00 | 1 |
| AL | $0.00 | 1 |
| AR | $0.00 | 1 |
| AZ | $0.00 | 1 |
| CA | $0.00 | 29 |
| CO | $0.00 | 1 |
| CT | $0.00 | 1 |
| DC | $0.00 | 1 |
| DE | $0.00 | 1 |
| FL | $0.00 | 3 |
| GA | $0.00 | 2 |
| GU | $0.00 | 1 |
| HI | $0.00 | 1 |
| IA | $0.00 | 1 |
| ID | $0.00 | 1 |
| IL | $0.00 | 4 |
| IN | $0.00 | 1 |
| KS | $0.00 | 1 |
| KY | $0.00 | 1 |
| LA | $0.00 | 2 |
| MA | $0.00 | 2 |
| MD | $0.00 | 3 |
| ME | $0.00 | 2 |
| MI | $0.00 | 2 |
| MN | $0.00 | 1 |
| MO | $0.00 | 3 |
| MS | $0.00 | 1 |
| MT | $0.00 | 1 |
| NC | $0.00 | 1 |
| ND | $0.00 | 1 |
| NE | $0.00 | 1 |
| NH | $0.00 | 1 |
| NJ | $0.00 | 2 |
| NM | $0.00 | 1 |
| NV | $0.00 | 1 |
| NY | $0.00 | 5 |
| OH | $0.00 | 1 |
| OK | $0.00 | 1 |
| OR | $0.00 | 2 |
| PA | $0.00 | 2 |
| PR | $0.00 | 1 |
| RI | $0.00 | 1 |
| SC | $0.00 | 1 |
| SD | $0.00 | 1 |
| TN | $0.00 | 1 |
| TX | $0.00 | 8 |
| UT | $0.00 | 1 |
| VA | $0.00 | 2 |
| VI | $0.00 | 1 |
| VT | $0.00 | 1 |
| WA | $0.00 | 2 |
| WI | $0.00 | 1 |
| WV | $0.00 | 1 |
| WY | $0.00 | 1 |
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
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.
The exact Kentucky inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
12,895
- Code
- 97546
- Physician work
- 0.00
- Practice expense
- 0.00
- Malpractice
- 0.00
GPCI2026.csv
55
- Locality
- Kentucky
- Physician work
- 1.000
- Practice expense
- 0.889
- Malpractice
- 0.915
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.00 | × 1.000 | 0.0000 |
| Practice expense | 0.00 | × 0.889 | 0.0000 |
| Malpractice | 0.00 | × 0.915 | 0.0000 |
| Total RVUs | 0.0000 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Kentucky$0.00
Office: (0 × 1 + 0 × 0.889 + 0 × 0.915) × $33.4009 = $0.00
Facility: (0 × 1 + 0 × 0.889 + 0 × 0.915) × $33.4009 = $0.00
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
| Rule | CMS value | What it means |
|---|---|---|
| Global period | ZZZ | Add-on code: falls within the primary procedure’s global period. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 7 | Therapy 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.
How 97546 has changed in Kentucky
97546 · Office / nonfacility
$0.00
Effective 2026-10-01
The base rate is unchanged from 2025-10-01: $0.00 in both releases.
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$0.00changed to$0.00
- Conversion factor 32.3465 changed to 33.4009
- Practice expense GPCI 0.877 changed to 0.889
- Malpractice GPCI 0.913 changed to 0.915
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$0.00changed to$0.00
- Conversion factor 33.2875 changed to 32.3465
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$0.00changed to$0.00
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$0.00changed to$0.00
- Conversion factor 33.8872 changed to 32.7442
- Practice expense GPCI 0.873 changed to 0.877
- Malpractice GPCI 0.870 changed to 0.913
January 1, 2023
RVU23A
$0.00changed to$0.00
- Conversion factor 34.6062 changed to 33.8872
- Practice expense GPCI 0.869 changed to 0.873
- Malpractice GPCI 0.827 changed to 0.870
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$0.00changed to$0.00
- Conversion factor 34.8931 changed to 34.6062
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$0.00changed to$0.00
- Conversion factor 36.0896 changed to 34.8931
- Practice expense GPCI 0.874 changed to 0.869
- Malpractice GPCI 0.823 changed to 0.827
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$0.00changed to$0.00
- Conversion factor 36.0391 changed to 36.0896
- Practice expense GPCI 0.880 changed to 0.874
- Malpractice GPCI 0.819 changed to 0.823
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$0.00changed to$0.00
- Conversion factor 35.9996 changed to 36.0391
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$0.00changed to$0.00
- Conversion factor 35.8887 changed to 35.9996
- Practice expense GPCI 0.876 changed to 0.880
- Malpractice GPCI 0.807 changed to 0.819
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$0.00changed to$0.00
- Conversion factor 35.8043 changed to 35.8887
- Practice expense GPCI 0.872 changed to 0.876
- Malpractice GPCI 0.795 changed to 0.807
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$0.00changed to$0.00
- Conversion factor 35.9335 changed to 35.8043
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$0.00changed to$0.00
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$0.00changed to$0.00
- Conversion factor 35.8228 changed to 35.7547
- Malpractice GPCI 0.774 changed to 0.795
Held through RVU15B.
January 1, 2014
RVU14A
$0.00changed to$0.00
- Conversion factor 34.0230 changed to 35.8228
- Practice expense GPCI 0.871 changed to 0.872
- Malpractice GPCI 0.752 changed to 0.774
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $0.00
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $0.00 | $0.00 | RVU26D |
| 2026-07-01 | $0.00 | $0.00 | RVU26C |
| 2026-04-01 | $0.00 | $0.00 | RVU26B |
| 2026-01-01 | $0.00 | $0.00 | RVU26A |
| 2025-10-01 | $0.00 | $0.00 | RVU25D |
| 2025-07-01 | $0.00 | $0.00 | RVU25C |
| 2025-04-01 | $0.00 | $0.00 | RVU25B |
| 2025-01-01 | $0.00 | $0.00 | RVU25A |
| 2024-10-01 | $0.00 | $0.00 | RVU24D |
| 2024-07-01 | $0.00 | $0.00 | RVU24C |
| 2024-04-01 | $0.00 | $0.00 | RVU24B |
| 2024-03-09 | $0.00 | $0.00 | RVU24AR |
| 2024-01-01 | $0.00 | $0.00 | RVU24A |
| 2023-10-01 | $0.00 | $0.00 | RVU23D |
| 2023-07-01 | $0.00 | $0.00 | RVU23C |
| 2023-04-01 | $0.00 | $0.00 | RVU23B |
| 2023-01-01 | $0.00 | $0.00 | RVU23A |
| 2022-10-01 | $0.00 | $0.00 | RVU22D |
| 2022-07-01 | $0.00 | $0.00 | RVU22C |
| 2022-04-01 | $0.00 | $0.00 | RVU22B |
| 2022-01-01 | $0.00 | $0.00 | RVU22A |
| 2021-10-01 | $0.00 | $0.00 | RVU21D |
| 2021-07-01 | $0.00 | $0.00 | RVU21C |
| 2021-04-01 | $0.00 | $0.00 | RVU21B |
| 2021-01-01 | $0.00 | $0.00 | RVU21A |
| 2020-10-01 | $0.00 | $0.00 | RVU20D |
| 2020-07-01 | $0.00 | $0.00 | RVU20C |
| 2020-04-01 | $0.00 | $0.00 | RVU20B |
| 2020-01-01 | $0.00 | $0.00 | RVU20A |
| 2019-10-01 | $0.00 | $0.00 | RVU19D |
| 2019-07-01 | $0.00 | $0.00 | RVU19C |
| 2019-04-01 | $0.00 | $0.00 | RVU19B |
| 2019-01-01 | $0.00 | $0.00 | RVU19A |
| 2018-10-01 | $0.00 | $0.00 | RVU18D |
| 2018-07-01 | $0.00 | $0.00 | RVU18C |
| 2018-04-01 | $0.00 | $0.00 | RVU18B |
| 2018-01-01 | $0.00 | $0.00 | RVU18AR1 |
| 2017-10-01 | $0.00 | $0.00 | RVU17D |
| 2017-07-01 | $0.00 | $0.00 | RVU17C |
| 2017-04-01 | $0.00 | $0.00 | RVU17B |
| 2017-01-01 | $0.00 | $0.00 | RVU17A |
| 2016-10-01 | $0.00 | $0.00 | RVU16D |
| 2016-07-01 | $0.00 | $0.00 | RVU16C |
| 2016-04-01 | $0.00 | $0.00 | RVU16B |
| 2016-01-01 | $0.00 | $0.00 | RVU16A |
| 2015-10-01 | $0.00 | $0.00 | RVU15D |
| 2015-07-01 | $0.00 | $0.00 | RVU15C |
| 2015-04-01 | $0.00 | $0.00 | RVU15B |
| 2015-01-01 | $0.00 | $0.00 | RVU15A |
| 2014-10-01 | $0.00 | $0.00 | RVU14D |
| 2014-07-01 | $0.00 | $0.00 | RVU14C |
| 2014-04-01 | $0.00 | $0.00 | RVU14B |
| 2014-01-01 | $0.00 | $0.00 | RVU14A |
| 2013-10-01 | $0.00 | $0.00 | RVU13D |
| 2013-07-01 | $0.00 | $0.00 | RVU13C |
| 2013-04-01 | $0.00 | $0.00 | RVU13B |
| 2013-01-01 | $0.00 | $0.00 | RVU13AR |
Where the Kentucky rate applies
Kentucky is a Medicare payment area, not a city. Our Census mapping connects it to 553 cities and communities in Kentucky. Some span more than one payment area; confirm with the service ZIP.
- Adairville
- Ages
- Albany
- Alexandria
- Allen
- Allensville
- Anchorage
- Annville
97546 billing questions
How does 97546 relate to 97545?
97545 represents the initial two-hour work-hardening period. Report 97546 with 97545 for each additional hour.
Can 97546 be billed by itself?
No. It is an add-on and must be reported with 97545.
What time and treatment details should the note include?
Document the additional treatment time, skilled work-related activities, the patient’s response, and progress toward work-related goals.
Should modifier 26 be appended?
No. The professional component modifier does not apply to this therapy service.
Does Medicare pay 97546 in every work-hardening case?
No. CMS identifies coverage as restricted to specific circumstances, so payment depends on whether the applicable coverage requirements are met.
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
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