CPT code 97550: Caregiver training, initial 30 minutes2026 Medicare rate & RVUs in Vermont

Reports face-to-face, individual training for a caregiver on strategies that support a patient's functional performance at home or in the community, with the patient absent.

CMS RVU26DEffective Oct 1, 2026One payment locality12.1K Medicare services in 2024

In Vermont, Medicare pays $52.42 for 97550 in the office and $39.52 when it’s performed in a hospital or facility.

$52.42Office (non-facility)
$39.52Hospital or facility
−0.7%vs the national office rate ($52.77)

Check a contract rate as a % of Medicare · 97550 nationwide

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 97550 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Vermont
  2. What 97550 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 97550 covers

A qualified health professional trains a caregiver in practical strategies for supporting a patient's function at home or in the community. The patient is not present during this face-to-face service. Training may address safe transfers, mobility, dressing and other daily activities, communication, feeding, swallowing, problem-solving, or safety practices. For example, an occupational therapist may teach a family member how to assist a patient with dressing and transfers after a stroke. Physical and speech-language therapists may also provide training within their areas of practice, in an outpatient clinic or rehabilitation setting.

Report 97550 for the initial 30 minutes of individual caregiver training. Use 97551 for qualifying additional training time, and use 97552 when the caregiver training is provided to a group. Documentation should identify the caregiver, the patient's functional need, the strategies taught, and the face-to-face training time. The physician fee schedule values the service through work, practice-expense, and malpractice components.

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 Vermont compares for 97550

Across 109 of 109 payment localities, the office rate for 97550 runs from $49.93 in Arkansas to $70.56 in Alaska. Vermont pays $52.42. The RVUs are the same everywhere; the geographic indexes change the dollars.

97550 in Vermont vs other payment areas
  1. Vermont · this page$52.42
  2. Los Angeles, CA · California$57.51+$5.09
  3. Washington, DC area · District of Columbia$58.00+$5.58
  4. Miami, FL · Florida$54.06+$1.64
  5. Chicago, IL · Illinois$53.53+$1.11
  6. Manhattan, NY · New York$58.19+$5.77
  7. Alaska · Alaska$70.56+$18.14

Other areas in Vermont first, then benchmark localities. Bars start at $0.

Every other payment area

97550 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$50.25$38.85
ArkansasArkansas$49.93$38.74
ArizonaArizona$52.14$39.51
Bakersfield, CACalifornia$55.11$40.83
Chico, CACalifornia$55.01$40.74
El Centro, CACalifornia$55.02$40.74
Fresno, CACalifornia$55.01$40.74
Hanford, CACalifornia$55.01$40.74

97550 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.

$49.93

$70.56

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
97550 office rate range by state
State / territoryOffice rate rangeLocalities
AK$70.561
AL$50.251
AR$49.931
AZ$52.141
CA$55.01–$64.7129
CO$54.321
CT$54.981
DC$58.001
DE$52.681
FL$52.10–$54.063
GA$50.78–$53.252
GU$55.241
HI$55.241
IA$50.951
ID$51.071
IL$51.31–$53.784
IN$51.211
KS$50.781
KY$50.631
LA$50.57–$51.702
MA$54.25–$57.802
MD$53.31–$58.003
ME$51.12–$52.482
MI$51.16–$52.342
MN$53.091
MO$50.14–$51.863
MS$50.041
MT$52.771
NC$51.381
ND$52.581
NE$51.101
NH$53.511
NJ$55.89–$57.952
NM$51.261
NV$52.741
NY$51.72–$58.805
OH$51.121
OK$50.661
OR$52.60–$55.342
PA$51.19–$54.222
PR$52.981
RI$54.001
SC$51.281
SD$52.551
TN$50.891
TX$51.04–$53.918
UT$51.601
VA$52.35–$58.002
VI$52.981
VT$52.421
WA$54.14–$58.702
WI$51.741
WV$50.421
WY$52.691

See 97550 in every payment locality

How the 97550 rate is calculated

Each of 97550’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 · 97550

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.00

1.00 RVUs× 1.000 GPCI

Practice expense0.57

0.57 RVUs× 1.000 GPCI

Malpractice0.01

0.01 RVUs× 1.000 GPCI

Adjusted RVUs

1.5800

Conversion factor

$33.4009

Medicare rate

$52.77

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

The exact Vermont inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

12,896

Code
97550
Physician work
1.00
Practice expense
0.57
Malpractice
0.01

GPCI2026.csv

105

Locality
Vermont
Physician work
1.000
Practice expense
0.990
Malpractice
0.506
Office calculation for 97550 in Vermont
ComponentRVULocality factorAdjusted
Physician work1.00× 1.0001.0000
Practice expense0.57× 0.9900.5643
Malpractice0.01× 0.5060.0051
Total RVUs1.5694
Conversion factor× 33.4009

Office rate, Vermont$52.42

Office: (1 × 1 + 0.57 × 0.99 + 0.01 × 0.506) × $33.4009 = $52.42

Facility: (1 × 1 + 0.18 × 0.99 + 0.01 × 0.506) × $33.4009 = $39.52

Open 97550 in the RVU calculator

Payment rules and modifiers for 97550

97550 has no global surgery period, no multiple-procedure, bilateral or assistant-at-surgery adjustment, and no professional/technical split. What changes the payment is where the service happens: the place of service on the claim decides whether Medicare pays the office or the facility rate.

Place of service · 97550

Which rate does Medicare pay?

The POS code on the claim line (CMS-1500 box 24B).

POS 11 · non-facility rate · national

$52.77

Non-facility (office)
$52.77
Facility
$39.75

Higher because the practice carries its own overhead.

How 97550 has changed in Vermont

97550 · Office / nonfacility

$52.42

Effective 2026-10-01

The base rate is $0.94 higher than on 2025-10-01, moving from $51.48 to $52.42 (1.8%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

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
  1. January 1, 2026

    RVU26A

    $51.48changed to$52.42

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 0.58 changed to 0.57
    • Malpractice RVU 0.03 changed to 0.01
    • Practice expense GPCI 0.993 changed to 0.990
    • Malpractice GPCI 0.518 changed to 0.506

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $52.32changed to$51.48

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 0.56 changed to 0.58

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $51.46changed to$52.32

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    No ratechanged to$51.46

  5. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D, RVU17A, RVU17B, RVU17C, RVU17D, RVU18AR1, RVU18B, RVU18C, RVU18D, RVU19A, RVU19B, RVU19C, RVU19D, RVU20A, RVU20B, RVU20C, RVU20D, RVU21A, RVU21B, RVU21C, RVU21D, RVU22A, RVU22B, RVU22C, RVU22D, RVU23A, RVU23B, RVU23C, RVU23D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$52.42$39.52RVU26D
2026-07-01$52.42$39.52RVU26C
2026-04-01$52.42$39.52RVU26B
2026-01-01$52.42$39.52RVU26A
2025-10-01$51.48$44.09RVU25D
2025-07-01$51.48$44.09RVU25C
2025-04-01$51.48$44.09RVU25B
2025-01-01$51.48$44.09RVU25A
2024-10-01$52.32$44.71RVU24D
2024-07-01$52.32$44.71RVU24C
2024-04-01$52.32$44.71RVU24B
2024-03-09$52.32$44.71RVU24AR
2024-01-01$51.46$43.98RVU24A
2023-10-01Not in this releaseNot in this releaseRVU23D
2023-07-01Not in this releaseNot in this releaseRVU23C
2023-04-01Not in this releaseNot in this releaseRVU23B
2023-01-01Not in this releaseNot in this releaseRVU23A
2022-10-01Not in this releaseNot in this releaseRVU22D
2022-07-01Not in this releaseNot in this releaseRVU22C
2022-04-01Not in this releaseNot in this releaseRVU22B
2022-01-01Not in this releaseNot in this releaseRVU22A
2021-10-01Not in this releaseNot in this releaseRVU21D
2021-07-01Not in this releaseNot in this releaseRVU21C
2021-04-01Not in this releaseNot in this releaseRVU21B
2021-01-01Not in this releaseNot in this releaseRVU21A
2020-10-01Not in this releaseNot in this releaseRVU20D
2020-07-01Not in this releaseNot in this releaseRVU20C
2020-04-01Not in this releaseNot in this releaseRVU20B
2020-01-01Not in this releaseNot in this releaseRVU20A
2019-10-01Not in this releaseNot in this releaseRVU19D
2019-07-01Not in this releaseNot in this releaseRVU19C
2019-04-01Not in this releaseNot in this releaseRVU19B
2019-01-01Not in this releaseNot in this releaseRVU19A
2018-10-01Not in this releaseNot in this releaseRVU18D
2018-07-01Not in this releaseNot in this releaseRVU18C
2018-04-01Not in this releaseNot in this releaseRVU18B
2018-01-01Not in this releaseNot in this releaseRVU18AR1
2017-10-01Not in this releaseNot in this releaseRVU17D
2017-07-01Not in this releaseNot in this releaseRVU17C
2017-04-01Not in this releaseNot in this releaseRVU17B
2017-01-01Not in this releaseNot in this releaseRVU17A
2016-10-01Not in this releaseNot in this releaseRVU16D
2016-07-01Not in this releaseNot in this releaseRVU16C
2016-04-01Not in this releaseNot in this releaseRVU16B
2016-01-01Not in this releaseNot in this releaseRVU16A
2015-10-01Not in this releaseNot in this releaseRVU15D
2015-07-01Not in this releaseNot in this releaseRVU15C
2015-04-01Not in this releaseNot in this releaseRVU15B
2015-01-01Not in this releaseNot in this releaseRVU15A
2014-10-01Not in this releaseNot in this releaseRVU14D
2014-07-01Not in this releaseNot in this releaseRVU14C
2014-04-01Not in this releaseNot in this releaseRVU14B
2014-01-01Not in this releaseNot in this releaseRVU14A
2013-10-01Not in this releaseNot in this releaseRVU13D
2013-07-01Not in this releaseNot in this releaseRVU13C
2013-04-01Not in this releaseNot in this releaseRVU13B
2013-01-01Not in this releaseNot in this releaseRVU13AR

Price 97550 for an earlier date of service

Where the Vermont rate applies

Vermont is a Medicare payment area, not a city. Our Census mapping connects it to 180 cities and communities in Vermont. Some span more than one payment area; confirm with the service ZIP.

  • Albany
  • Alburgh
  • Algiers
  • Arlington
  • Ascutney
  • Bakersfield
  • Barnet
  • Barre

Browse all communities in Vermont

97550 billing questions

Is the patient present during 97550?

No. The service is face-to-face caregiver training provided without the patient present.

When should 97551 be reported with 97550?

97551 is the add-on code for qualifying additional caregiver-training time after the initial 30 minutes reported with 97550.

How does 97550 differ from 97552?

97550 describes individual caregiver training. Use 97552 for caregiver training delivered to a group.

How does 97550 differ from 97535?

97550 is training for a caregiver while the patient is absent. 97535 is self-care or home-management training provided to the patient.

What should the note support?

Document who received the training, the patient's functional need, the techniques taught, and the face-to-face time spent training the caregiver.

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 97550PPRRVU2026_Oct_nonQPP.csv, line 12,896 (RVU26D)
Geographic factors for VermontGPCI2026.csv, line 105 (RVU26D)

Open CMS sourceHow we calculate rates

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