CPT code 97551: Caregiver training, each additional 15 minutes2026 Medicare rate & RVUs in Connecticut

Report this add-on for each additional 15 minutes of individual caregiver training after the initial caregiver training service for functional performance.

CMS RVU26DEffective Oct 1, 2026One payment locality1K Medicare services in 2024

In Connecticut, Medicare pays $27.03 for 97551 in the office and $21.63 when it’s performed in a hospital or facility.

$27.03Office (non-facility)
$21.63Hospital or facility
+3.8%vs the national office rate ($26.05)

Check a contract rate as a % of Medicare · 97551 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 97551 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Connecticut
  2. What 97551 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 97551 covers

A qualified health professional provides face-to-face instruction to a patient's caregiver, without the patient present, on strategies and techniques that support the patient's functional performance at home or in the community. Training may address how to assist with daily activities or carry out techniques needed to support the patient's function. It is used in rehabilitation care when the caregiver needs additional instruction beyond the initial training service.

Report 97551 only with the primary caregiver-training service, 97550, for each additional 15 minutes beyond its initial training. Document the caregiver training provided, its connection to the patient's functional goals, and the time spent supporting the additional units. CMS classifies 97551 as an add-on code: it is billed only with a primary procedure, and payment is handled within that procedure's global period.

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 Connecticut compares for 97551

Across 109 of 109 payment localities, the office rate for 97551 runs from $24.92 in Arkansas to $35.59 in Alaska. Connecticut pays $27.03. The RVUs are the same everywhere; the geographic indexes change the dollars.

97551 in Connecticut vs other payment areas
  1. Connecticut · this page$27.03
  2. Los Angeles, CA · California$28.26+$1.23
  3. Washington, DC area · District of Columbia$28.45+$1.42
  4. Miami, FL · Florida$26.38−$0.65
  5. Chicago, IL · Illinois$26.22−$0.81
  6. Manhattan, NY · New York$28.51+$1.48
  7. Alaska · Alaska$35.59+$8.56

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

Every other payment area

97551 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$25.05$20.67
ArkansasArkansas$24.92$20.62
ArizonaArizona$25.80$20.95
Bakersfield, CACalifornia$27.16$21.67
Chico, CACalifornia$27.13$21.64
El Centro, CACalifornia$27.13$21.64
Fresno, CACalifornia$27.13$21.64
Hanford, CACalifornia$27.13$21.64

97551 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.

$24.92

$35.59

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

View every state and territory as a table
97551 office rate range by state
State / territoryOffice rate rangeLocalities
AK$35.591
AL$25.051
AR$24.921
AZ$25.801
CA$27.13–$31.5829
CO$26.781
CT$27.031
DC$28.451
DE$26.051
FL$25.70–$26.383
GA$25.19–$26.242
GU$27.151
HI$27.151
IA$25.371
ID$25.411
IL$25.36–$26.404
IN$25.471
KS$25.281
KY$25.161
LA$25.13–$25.582
MA$26.77–$28.352
MD$26.33–$28.453
ME$25.41–$25.982
MI$25.36–$25.772
MN$26.291
MO$24.95–$25.673
MS$24.941
MT$26.051
NC$25.521
ND$26.051
NE$25.441
NH$26.381
NJ$27.51–$28.472
NM$25.391
NV$26.061
NY$25.65–$28.725
OH$25.361
OK$25.191
OR$26.02–$27.232
PA$25.40–$26.712
PR$26.141
RI$26.661
SC$25.441
SD$26.051
TN$25.321
TX$25.33–$26.558
UT$25.571
VA$25.92–$28.452
VI$26.141
VT$25.971
WA$26.71–$28.772
WI$25.721
WV$25.001
WY$26.051

See 97551 in every payment locality

How the 97551 rate is calculated

Each of 97551’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 · 97551

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.54

0.54 RVUs× 1.000 GPCI

Practice expense0.24

0.24 RVUs× 1.000 GPCI

Malpractice0.00

0.00 RVUs× 1.000 GPCI

Adjusted RVUs

0.7800

Conversion factor

$33.4009

Medicare rate

$26.05

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

The exact Connecticut inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

12,897

Code
97551
Physician work
0.54
Practice expense
0.24
Malpractice
0.00

GPCI2026.csv

38

Locality
Connecticut
Physician work
1.020
Practice expense
1.077
Malpractice
1.210
Office calculation for 97551 in Connecticut
ComponentRVULocality factorAdjusted
Physician work0.54× 1.0200.5508
Practice expense0.24× 1.0770.2585
Malpractice0.00× 1.2100.0000
Total RVUs0.8093
Conversion factor× 33.4009

Office rate, Connecticut$27.03

Office: (0.54 × 1.02 + 0.24 × 1.077 + 0 × 1.21) × $33.4009 = $27.03

Facility: (0.54 × 1.02 + 0.09 × 1.077 + 0 × 1.21) × $33.4009 = $21.63

Open 97551 in the RVU calculator

Payment rules and modifiers for 97551

The CMS indicators that decide how 97551 is paid alongside other services.

CMS payment indicators · 97551

Caregiver training, each additional 15 minutes

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/technical0Physician service: no professional/technical split.

How 97551 has changed in Connecticut

97551 · Office / nonfacility

$27.03

Effective 2026-10-01

The base rate is $0.32 higher than on 2025-10-01, moving from $26.71 to $27.03 (1.2%).

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

    $26.71changed to$27.03

    • Conversion factor 32.3465 changed to 33.4009
    • Malpractice RVU 0.01 changed to 0.00
    • Work GPCI 1.022 changed to 1.020
    • Practice expense GPCI 1.091 changed to 1.077
    • Malpractice GPCI 1.207 changed to 1.210

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $27.49changed to$26.71

    • Conversion factor 33.2875 changed to 32.3465

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $27.04changed to$27.49

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    No ratechanged to$27.04

  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$27.03$21.63RVU26D
2026-07-01$27.03$21.63RVU26C
2026-04-01$27.03$21.63RVU26B
2026-01-01$27.03$21.63RVU26A
2025-10-01$26.71$24.95RVU25D
2025-07-01$26.71$24.95RVU25C
2025-04-01$26.71$24.95RVU25B
2025-01-01$26.71$24.95RVU25A
2024-10-01$27.49$25.31RVU24D
2024-07-01$27.49$25.31RVU24C
2024-04-01$27.49$25.31RVU24B
2024-03-09$27.49$25.31RVU24AR
2024-01-01$27.04$24.90RVU24A
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 97551 for an earlier date of service

Where the Connecticut rate applies

Connecticut is a Medicare payment area, not a city. Our Census mapping connects it to 215 cities and communities in Connecticut. Some span more than one payment area; confirm with the service ZIP.

  • Ansonia
  • Ball Pond
  • Baltic
  • Bantam
  • Bethel
  • Bethlehem Village
  • Bigelow Corners
  • Blue Hills

Browse all communities in Connecticut

97551 billing questions

When should 97551 be used instead of 97550?

Use 97550 for the initial 30 minutes of individual caregiver training. Report 97551 for each additional 15 minutes of that training.

Can 97551 be billed by itself?

No. It is an add-on code and must be reported with the primary caregiver-training service, 97550.

Does the patient need to be present?

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

How should the additional units be supported?

Document the caregiver instruction, the functional goal it supports, and the additional training time. The code represents each additional 15 minutes.

How does 97551 differ from group caregiver training?

97551 adds time to individual caregiver training reported with 97550. Use 97552 for group caregiver training.

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 97551PPRRVU2026_Oct_nonQPP.csv, line 12,897 (RVU26D)
Geographic factors for ConnecticutGPCI2026.csv, line 38 (RVU26D)

Open CMS sourceHow we calculate rates

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