CPT code 97552: Caregiver training, group, per 15 minutes2026 Medicare rate & RVUs in Nevada

Reports face-to-face group instruction for two or more caregivers when a patient’s condition requires caregiver support for function at home or in the community.

CMS RVU26DEffective Oct 1, 2026One payment locality148 Medicare services in 2024

In Nevada, Medicare pays $22.00 for 97552 in the office and $9.30 when it’s performed in a hospital or facility.

$22.00Office (non-facility)
$9.30Hospital or facility
−0.2%vs the national office rate ($22.04)

Check a contract rate as a % of Medicare · 97552 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 97552 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Nevada
  2. What 97552 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 97552 covers

A qualified health professional trains two or more caregivers together in strategies that support a patient’s functional performance at home or in the community. Instruction may address practical caregiving tasks such as mobility, transfers, daily activities, communication, feeding, problem-solving, or safety. The patient is not present during the training. The service is distinct from treating the patient directly or giving one caregiver individual instruction.

Report this code for each 15 minutes of qualifying group training. Documentation should identify the caregivers, the patient’s need for caregiver assistance, the skilled strategies taught, and the face-to-face training time. CMS assigns the service work and practice-expense values, with separate practice-expense inputs for office and facility settings. The code is part of the caregiver-training family; individual caregiver instruction is reported with the corresponding individual-training codes.

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 Nevada compares for 97552

Across 109 of 109 payment localities, the office rate for 97552 runs from $19.90 in Arkansas to $28.94 in San Benito County, CA. Nevada pays $22.00. The RVUs are the same everywhere; the geographic indexes change the dollars.

97552 in Nevada vs other payment areas
  1. Nevada · this page$22.00
  2. Los Angeles, CA · California$24.81+$2.81
  3. Washington, DC area · District of Columbia$24.99+$2.99
  4. Miami, FL · Florida$23.13+$1.13
  5. Chicago, IL · Illinois$22.60+$0.60
  6. Manhattan, NY · New York$25.00+$3.00
  7. Alaska · Alaska$26.65+$4.65

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

Every other payment area

97552 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$20.15$9.04
ArkansasArkansas$19.90$9.00
ArizonaArizona$21.56$9.26
Bakersfield, CACalifornia$23.41$9.50
Chico, CACalifornia$23.37$9.46
El Centro, CACalifornia$23.37$9.46
Fresno, CACalifornia$23.37$9.46
Hanford, CACalifornia$23.37$9.46

97552 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.

$19.90

$26.65

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

View every state and territory as a table
97552 office rate range by state
State / territoryOffice rate rangeLocalities
AK$26.651
AL$20.151
AR$19.901
AZ$21.561
CA$23.37–$28.9429
CO$22.961
CT$23.351
DC$24.991
DE$21.881
FL$21.60–$23.133
GA$20.59–$22.362
GU$23.831
HI$23.831
IA$20.651
ID$20.751
IL$21.01–$22.734
IN$20.851
KS$20.531
KY$20.461
LA$20.42–$21.262
MA$22.84–$25.042
MD$22.26–$24.993
ME$20.80–$21.802
MI$20.87–$21.782
MN$22.221
MO$20.10–$21.373
MS$20.011
MT$22.041
NC$20.981
ND$21.851
NE$20.761
NH$22.581
NJ$23.67–$24.802
NM$20.951
NV$22.001
NY$21.24–$25.475
OH$20.831
OK$20.471
OR$21.89–$23.642
PA$20.88–$22.822
PR$22.191
RI$22.621
SC$20.931
SD$21.821
TN$20.611
TX$20.76–$22.848
UT$21.171
VA$21.71–$24.992
VI$22.191
VT$21.741
WA$22.81–$25.552
WI$21.221
WV$20.351
WY$21.961

See 97552 in every payment locality

How the 97552 rate is calculated

Each of 97552’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 · 97552

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.23

0.23 RVUs× 1.000 GPCI

Practice expense0.42

0.42 RVUs× 1.000 GPCI

Malpractice0.01

0.01 RVUs× 1.000 GPCI

Adjusted RVUs

0.6600

Conversion factor

$33.4009

Medicare rate

$22.04

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

The exact Nevada inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

12,898

Code
97552
Physician work
0.23
Practice expense
0.42
Malpractice
0.01

GPCI2026.csv

73

Locality
Nevada
Physician work
1.000
Practice expense
1.001
Malpractice
0.833
Office calculation for 97552 in Nevada
ComponentRVULocality factorAdjusted
Physician work0.23× 1.0000.2300
Practice expense0.42× 1.0010.4204
Malpractice0.01× 0.8330.0083
Total RVUs0.6587
Conversion factor× 33.4009

Office rate, Nevada$22.00

Office: (0.23 × 1 + 0.42 × 1.001 + 0.01 × 0.833) × $33.4009 = $22.00

Facility: (0.23 × 1 + 0.04 × 1.001 + 0.01 × 0.833) × $33.4009 = $9.30

Open 97552 in the RVU calculator

Payment rules and modifiers for 97552

97552 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 · 97552

Which rate does Medicare pay?

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

POS 11 · non-facility rate · national

$22.04

Non-facility (office)
$22.04
Facility
$9.35

Higher because the practice carries its own overhead.

How 97552 has changed in Nevada

97552 · Office / nonfacility

$22.00

Effective 2026-10-01

The base rate is $0.05 higher than on 2025-10-01, moving from $21.95 to $22.00 (0.2%).

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

    $21.95changed to$22.00

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 0.44 changed to 0.42
    • Practice expense GPCI 1.000 changed to 1.001
    • Malpractice GPCI 0.844 changed to 0.833

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $22.25changed to$21.95

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 0.43 changed to 0.44

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $21.89changed to$22.25

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    No ratechanged to$21.89

  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$22.00$9.30RVU26D
2026-07-01$22.00$9.30RVU26C
2026-04-01$22.00$9.30RVU26B
2026-01-01$22.00$9.30RVU26A
2025-10-01$21.95$10.30RVU25D
2025-07-01$21.95$10.30RVU25C
2025-04-01$21.95$10.30RVU25B
2025-01-01$21.95$10.30RVU25A
2024-10-01$22.25$10.60RVU24D
2024-07-01$22.25$10.60RVU24C
2024-04-01$22.25$10.60RVU24B
2024-03-09$22.25$10.60RVU24AR
2024-01-01$21.89$10.43RVU24A
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 97552 for an earlier date of service

Where the Nevada rate applies

Nevada is a Medicare payment area, not a city. Our Census mapping connects it to 138 cities and communities in Nevada. Some span more than one payment area; confirm with the service ZIP.

  • Alamo
  • Amargosa Valley
  • Austin
  • Baker
  • Battle Mountain
  • Beatty
  • Beaverdam
  • Bennett Springs

Browse all communities in Nevada

97552 billing questions

When should this code be used instead of 97550?

Use 97552 when two or more caregivers receive the training together. Code 97550 describes individual caregiver training.

Does the patient attend the group training?

No. This caregiver-training service is performed face-to-face with the caregivers while the patient is absent.

How are units reported?

Report one unit for each 15 minutes of qualifying group training, supported by documentation of the face-to-face training time.

Can this be reported for teaching the patient directly?

No. The service is for caregiver instruction without the patient present. Direct self-care or home-management training for the patient is represented by 97535 when its requirements are met.

What documentation supports the service?

Document why the patient needs caregiver assistance, who attended, the functional strategies taught, and the time spent in face-to-face group instruction.

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 97552PPRRVU2026_Oct_nonQPP.csv, line 12,898 (RVU26D)
Geographic factors for NevadaGPCI2026.csv, line 73 (RVU26D)

Open CMS sourceHow we calculate rates

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