CPT code 97552: Caregiver training, group, per 15 minutes2026 Medicare rate & RVUs in Utah
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.
In Utah, Medicare pays $21.17 for 97552 in the office and $9.24 when it’s performed in a hospital or facility.
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.
On this page 11 sections
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 Utah 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. Utah pays $21.17. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Utah · this page$21.17
- Los Angeles, CA · California$24.81+$3.64
- Washington, DC area · District of Columbia$24.99+$3.82
- Miami, FL · Florida$23.13+$1.96
- Chicago, IL · Illinois$22.60+$1.43
- Manhattan, NY · New York$25.00+$3.83
- Alaska · Alaska$26.65+$5.48
Other areas in Utah first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| 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 |
| Madera, CACalifornia | $23.37 | $9.46 |
| Merced, CACalifornia | $23.37 | $9.46 |
| Modesto, CACalifornia | $23.37 | $9.46 |
| Napa, CACalifornia | $26.83 | $10.10 |
| Oxnard, CACalifornia | $24.69 | $9.68 |
| Redding, CACalifornia | $23.37 | $9.46 |
| Rest of CaliforniaCalifornia | $23.37 | $9.46 |
| Riverside, CACalifornia | $23.48 | $9.57 |
| Sacramento, CACalifornia | $24.45 | $9.69 |
| Salinas, CACalifornia | $24.36 | $9.65 |
| San Diego, CACalifornia | $24.87 | $9.69 |
| Marin County, CACalifornia | $28.35 | $10.45 |
| San Francisco, CACalifornia | $28.33 | $10.44 |
| San Benito County, CACalifornia | $28.94 | $10.63 |
| Santa Clara County, CACalifornia | $28.89 | $10.59 |
| San Luis Obispo, CACalifornia | $23.97 | $9.51 |
| Santa Cruz, CACalifornia | $25.07 | $9.65 |
| Santa Maria, CACalifornia | $24.43 | $9.63 |
| Santa Rosa, CACalifornia | $25.32 | $9.73 |
| Stockton, CACalifornia | $23.37 | $9.46 |
| Vallejo, CACalifornia | $26.81 | $10.08 |
| Visalia, CACalifornia | $23.37 | $9.46 |
| Yuba City, CACalifornia | $23.37 | $9.46 |
| ColoradoColorado | $22.96 | $9.46 |
| ConnecticutConnecticut | $23.35 | $9.68 |
| DelawareDelaware | $21.88 | $9.34 |
| Fort Lauderdale, FLFlorida | $22.50 | $9.64 |
| Rest of FloridaFlorida | $21.60 | $9.46 |
| Atlanta, GAGeorgia | $22.36 | $9.46 |
| Rest of GeorgiaGeorgia | $20.59 | $9.27 |
| Hawaii, Guam, HIHawaii | $23.83 | $9.39 |
| IowaIowa | $20.65 | $9.04 |
| IdahoIdaho | $20.75 | $9.07 |
| East St. Louis, ILIllinois | $21.26 | $9.58 |
| Rest of IllinoisIllinois | $21.01 | $9.42 |
| Suburban Chicago, ILIllinois | $22.73 | $9.70 |
| IndianaIndiana | $20.85 | $9.08 |
| KansasKansas | $20.53 | $9.06 |
| KentuckyKentucky | $20.46 | $9.18 |
| New Orleans, LALouisiana | $21.26 | $9.32 |
| Rest of LouisianaLouisiana | $20.42 | $9.18 |
| Metropolitan Boston, MAMassachusetts | $25.04 | $9.89 |
| Rest of MassachusettsMassachusetts | $22.84 | $9.48 |
| Baltimore area, MDMaryland | $23.27 | $9.65 |
| Rest of MarylandMaryland | $22.26 | $9.42 |
| Rest of MaineMaine | $20.80 | $9.12 |
| Southern Maine, MEMaine | $21.80 | $9.22 |
| Detroit, MIMichigan | $21.78 | $9.53 |
| Rest of MichiganMichigan | $20.87 | $9.28 |
| MinnesotaMinnesota | $22.22 | $9.16 |
| Metropolitan Kansas City, MOMissouri | $21.18 | $9.26 |
| Metropolitan St. Louis, MOMissouri | $21.37 | $9.29 |
| Rest of MissouriMissouri | $20.10 | $9.16 |
| MississippiMississippi | $20.01 | $9.08 |
| MontanaMontana | $22.04 | $9.35 |
| North CarolinaNorth Carolina | $20.98 | $9.14 |
| North DakotaNorth Dakota | $21.85 | $9.15 |
| NebraskaNebraska | $20.76 | $9.04 |
| New HampshireNew Hampshire | $22.58 | $9.37 |
| Northern New JerseyNew Jersey | $24.80 | $10.07 |
| Rest of New JerseyNew Jersey | $23.67 | $9.81 |
| New MexicoNew Mexico | $20.95 | $9.31 |
| NevadaNevada | $22.00 | $9.30 |
| NYC suburbs and Long Island, NYNew York | $25.47 | $10.38 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $23.79 | $9.90 |
| Queens, NYNew York | $25.24 | $10.23 |
| Rest of New YorkNew York | $21.24 | $9.19 |
| OhioOhio | $20.83 | $9.24 |
| OklahomaOklahoma | $20.47 | $9.13 |
| Portland, OROregon | $23.64 | $9.54 |
| Rest of OregonOregon | $21.89 | $9.25 |
| Metropolitan Philadelphia, PAPennsylvania | $22.82 | $9.61 |
| Rest of PennsylvaniaPennsylvania | $20.88 | $9.22 |
| Puerto RicoPuerto Rico | $22.19 | $9.36 |
| Rhode IslandRhode Island | $22.62 | $9.51 |
| South CarolinaSouth Carolina | $20.93 | $9.20 |
| South DakotaSouth Dakota | $21.82 | $9.13 |
| TennesseeTennessee | $20.61 | $9.08 |
| Austin, TXTexas | $22.84 | $9.41 |
| Beaumont, TXTexas | $20.76 | $9.21 |
| Brazoria, TXTexas | $21.91 | $9.33 |
| Dallas, TXTexas | $22.01 | $9.37 |
| Fort Worth, TXTexas | $21.87 | $9.36 |
| Galveston, TXTexas | $21.95 | $9.35 |
| Houston, TXTexas | $22.13 | $9.53 |
| Rest of TexasTexas | $21.30 | $9.25 |
| VirginiaVirginia | $21.71 | $9.23 |
| Virgin Islands, VIUnited States Virgin Islands | $22.19 | $9.36 |
| VermontVermont | $21.74 | $9.17 |
| Rest of WashingtonWashington | $22.81 | $9.44 |
| King County, WAWashington | $25.55 | $9.98 |
| WisconsinWisconsin | $21.22 | $9.07 |
| West VirginiaWest Virginia | $20.35 | $9.32 |
| WyomingWyoming | $21.96 | $9.27 |
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
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $26.65 | 1 |
| AL | $20.15 | 1 |
| AR | $19.90 | 1 |
| AZ | $21.56 | 1 |
| CA | $23.37–$28.94 | 29 |
| CO | $22.96 | 1 |
| CT | $23.35 | 1 |
| DC | $24.99 | 1 |
| DE | $21.88 | 1 |
| FL | $21.60–$23.13 | 3 |
| GA | $20.59–$22.36 | 2 |
| GU | $23.83 | 1 |
| HI | $23.83 | 1 |
| IA | $20.65 | 1 |
| ID | $20.75 | 1 |
| IL | $21.01–$22.73 | 4 |
| IN | $20.85 | 1 |
| KS | $20.53 | 1 |
| KY | $20.46 | 1 |
| LA | $20.42–$21.26 | 2 |
| MA | $22.84–$25.04 | 2 |
| MD | $22.26–$24.99 | 3 |
| ME | $20.80–$21.80 | 2 |
| MI | $20.87–$21.78 | 2 |
| MN | $22.22 | 1 |
| MO | $20.10–$21.37 | 3 |
| MS | $20.01 | 1 |
| MT | $22.04 | 1 |
| NC | $20.98 | 1 |
| ND | $21.85 | 1 |
| NE | $20.76 | 1 |
| NH | $22.58 | 1 |
| NJ | $23.67–$24.80 | 2 |
| NM | $20.95 | 1 |
| NV | $22.00 | 1 |
| NY | $21.24–$25.47 | 5 |
| OH | $20.83 | 1 |
| OK | $20.47 | 1 |
| OR | $21.89–$23.64 | 2 |
| PA | $20.88–$22.82 | 2 |
| PR | $22.19 | 1 |
| RI | $22.62 | 1 |
| SC | $20.93 | 1 |
| SD | $21.82 | 1 |
| TN | $20.61 | 1 |
| TX | $20.76–$22.84 | 8 |
| UT | $21.17 | 1 |
| VA | $21.71–$24.99 | 2 |
| VI | $22.19 | 1 |
| VT | $21.74 | 1 |
| WA | $22.81–$25.55 | 2 |
| WI | $21.22 | 1 |
| WV | $20.35 | 1 |
| WY | $21.96 | 1 |
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
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 Utah 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
104
- Locality
- Utah
- Physician work
- 1.000
- Practice expense
- 0.940
- Malpractice
- 0.898
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.23 | × 1.000 | 0.2300 |
| Practice expense | 0.42 | × 0.940 | 0.3948 |
| Malpractice | 0.01 | × 0.898 | 0.0090 |
| Total RVUs | 0.6338 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Utah$21.17
Office: (0.23 × 1 + 0.42 × 0.94 + 0.01 × 0.898) × $33.4009 = $21.17
Facility: (0.23 × 1 + 0.04 × 0.94 + 0.01 × 0.898) × $33.4009 = $9.24
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 Utah
97552 · Office / nonfacility
$21.17
Effective 2026-10-01
The base rate is $0.15 higher than on 2025-10-01, moving from $21.02 to $21.17 (0.7%).
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
$21.02changed to$21.17
- Conversion factor 32.3465 changed to 33.4009
- Practice expense RVU 0.44 changed to 0.42
- Practice expense GPCI 0.933 changed to 0.940
- Malpractice GPCI 0.930 changed to 0.898
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$21.32changed to$21.02
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 0.43 changed to 0.44
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$20.97changed to$21.32
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
No ratechanged to$20.97
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.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $21.17 | $9.24 | RVU26D |
| 2026-07-01 | $21.17 | $9.24 | RVU26C |
| 2026-04-01 | $21.17 | $9.24 | RVU26B |
| 2026-01-01 | $21.17 | $9.24 | RVU26A |
| 2025-10-01 | $21.02 | $10.15 | RVU25D |
| 2025-07-01 | $21.02 | $10.15 | RVU25C |
| 2025-04-01 | $21.02 | $10.15 | RVU25B |
| 2025-01-01 | $21.02 | $10.15 | RVU25A |
| 2024-10-01 | $21.32 | $10.45 | RVU24D |
| 2024-07-01 | $21.32 | $10.45 | RVU24C |
| 2024-04-01 | $21.32 | $10.45 | RVU24B |
| 2024-03-09 | $21.32 | $10.45 | RVU24AR |
| 2024-01-01 | $20.97 | $10.28 | RVU24A |
| 2023-10-01 | Not in this release | Not in this release | RVU23D |
| 2023-07-01 | Not in this release | Not in this release | RVU23C |
| 2023-04-01 | Not in this release | Not in this release | RVU23B |
| 2023-01-01 | Not in this release | Not in this release | RVU23A |
| 2022-10-01 | Not in this release | Not in this release | RVU22D |
| 2022-07-01 | Not in this release | Not in this release | RVU22C |
| 2022-04-01 | Not in this release | Not in this release | RVU22B |
| 2022-01-01 | Not in this release | Not in this release | RVU22A |
| 2021-10-01 | Not in this release | Not in this release | RVU21D |
| 2021-07-01 | Not in this release | Not in this release | RVU21C |
| 2021-04-01 | Not in this release | Not in this release | RVU21B |
| 2021-01-01 | Not in this release | Not in this release | RVU21A |
| 2020-10-01 | Not in this release | Not in this release | RVU20D |
| 2020-07-01 | Not in this release | Not in this release | RVU20C |
| 2020-04-01 | Not in this release | Not in this release | RVU20B |
| 2020-01-01 | Not in this release | Not in this release | RVU20A |
| 2019-10-01 | Not in this release | Not in this release | RVU19D |
| 2019-07-01 | Not in this release | Not in this release | RVU19C |
| 2019-04-01 | Not in this release | Not in this release | RVU19B |
| 2019-01-01 | Not in this release | Not in this release | RVU19A |
| 2018-10-01 | Not in this release | Not in this release | RVU18D |
| 2018-07-01 | Not in this release | Not in this release | RVU18C |
| 2018-04-01 | Not in this release | Not in this release | RVU18B |
| 2018-01-01 | Not in this release | Not in this release | RVU18AR1 |
| 2017-10-01 | Not in this release | Not in this release | RVU17D |
| 2017-07-01 | Not in this release | Not in this release | RVU17C |
| 2017-04-01 | Not in this release | Not in this release | RVU17B |
| 2017-01-01 | Not in this release | Not in this release | RVU17A |
| 2016-10-01 | Not in this release | Not in this release | RVU16D |
| 2016-07-01 | Not in this release | Not in this release | RVU16C |
| 2016-04-01 | Not in this release | Not in this release | RVU16B |
| 2016-01-01 | Not in this release | Not in this release | RVU16A |
| 2015-10-01 | Not in this release | Not in this release | RVU15D |
| 2015-07-01 | Not in this release | Not in this release | RVU15C |
| 2015-04-01 | Not in this release | Not in this release | RVU15B |
| 2015-01-01 | Not in this release | Not in this release | RVU15A |
| 2014-10-01 | Not in this release | Not in this release | RVU14D |
| 2014-07-01 | Not in this release | Not in this release | RVU14C |
| 2014-04-01 | Not in this release | Not in this release | RVU14B |
| 2014-01-01 | Not in this release | Not in this release | RVU14A |
| 2013-10-01 | Not in this release | Not in this release | RVU13D |
| 2013-07-01 | Not in this release | Not in this release | RVU13C |
| 2013-04-01 | Not in this release | Not in this release | RVU13B |
| 2013-01-01 | Not in this release | Not in this release | RVU13AR |
Where the Utah rate applies
Utah is a Medicare payment area, not a city. Our Census mapping connects it to 334 cities and communities in Utah. Some span more than one payment area; confirm with the service ZIP.
- Alpine
- Alta
- Altamont
- Alton
- Amalga
- American Fork
- Aneth
- Annabella
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
Fee sheets
Put 97552 and the rest of your codes on one sheet
Your codes at your locality, with payer contracts beside Medicare.
Build my fee sheet