CPT code 97750: Performance test, timed testing with written report2026 Medicare rate & RVUs in Queens, NY

Reports timed physical performance testing, such as functional capacity or musculoskeletal measurement, when results are documented in a written report.

CMS RVU26DEffective Oct 1, 2026One payment locality334.8K Medicare services in 2024

In Queens, NY, Medicare pays $38.19 for 97750 in the office.

$38.19Office (non-facility)
Not available in this settingHospital or facility
+13.2%vs the national office rate ($33.73)

Check a contract rate as a % of Medicare · 97750 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 97750 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Queens, NY
  2. What 97750 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 97750 covers

A physical therapist or other qualified rehabilitation professional uses structured tests or measurements to assess a patient's physical performance. Examples include evaluating functional capacity or measuring musculoskeletal performance to document limitations and abilities. The service may be part of an outpatient rehabilitation evaluation or a focused reassessment when test results are needed to characterize performance. A written report of the findings is part of the service.

Report 97750 in 15-minute units for the time spent performing the testing and measurement. Documentation should identify the tests or measures performed, the findings, and the written report; distinguish testing time from separately performed treatment. This is a therapy service, so a professional component modifier does not apply. When multiple therapy units are reported on the same day, the practice expense for the second and later units is subject to the therapy multiple procedure payment reduction.

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 Queens, NY compares for 97750

Across 109 of 109 payment localities, the office rate for 97750 runs from $30.98 in Arkansas to $43.35 in San Benito County, CA. Queens, NY pays $38.19. The RVUs are the same everywhere; the geographic indexes change the dollars.

97750 in Queens, NY vs other payment areas
  1. Queens, NY · this page$38.19
  2. Manhattan, NY · New York$37.87−$0.32
  3. NYC suburbs and Long Island, NY · New York$38.46+$0.27
  4. Rest of New York · New York$32.72−$5.47
  5. Los Angeles, CA · California$37.60−$0.59
  6. Washington, DC area · District of Columbia$37.85−$0.34

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

Every other payment area

97750 in every other Medicare payment locality
Payment localityOfficeFacility
Miami, FLFlorida$35.00—
Chicago, ILIllinois$34.36—
AlaskaAlaska$42.29—
AlabamaAlabama$31.29—
ArkansasArkansas$30.98—
ArizonaArizona$33.12—
Bakersfield, CACalifornia$35.65—
Chico, CACalifornia$35.60—

97750 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.

$30.98

$42.29

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

View every state and territory as a table
97750 office rate range by state
State / territoryOffice rate rangeLocalities
AK$42.291
AL$31.291
AR$30.981
AZ$33.121
CA$35.60–$43.3529
CO$35.021
CT$35.521
DC$37.851
DE$33.561
FL$33.09–$35.003
GA$31.82–$34.142
GU$36.111
HI$36.111
IA$31.971
ID$32.091
IL$32.32–$34.594
IN$32.221
KS$31.811
KY$31.671
LA$31.61–$32.702
MA$34.88–$37.882
MD$34.08–$37.853
ME$32.14–$33.452
MI$32.18–$33.322
MN$34.031
MO$31.19–$32.853
MS$31.091
MT$33.731
NC$32.381
ND$33.541
NE$32.111
NH$34.451
NJ$36.06–$37.642
NM$32.281
NV$33.701
NY$32.72–$38.465
OH$32.141
OK$31.691
OR$33.56–$35.932
PA$32.21–$34.822
PR$33.931
RI$34.591
SC$32.291
SD$33.511
TN$31.911
TX$32.06–$34.798
UT$32.601
VA$33.32–$37.852
VI$33.931
VT$33.391
WA$34.82–$38.602
WI$32.731
WV$31.471
WY$33.651

See 97750 in every payment locality

How the 97750 rate is calculated

Each of 97750’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 · 97750

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.45

0.45 RVUs× 1.000 GPCI

Practice expense0.55

0.55 RVUs× 1.000 GPCI

Malpractice0.01

0.01 RVUs× 1.000 GPCI

Adjusted RVUs

1.0100

Conversion factor

$33.4009

Medicare rate

$33.73

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

The exact Queens, NY inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

12,907

Code
97750
Physician work
0.45
Practice expense
0.55
Malpractice
0.01

GPCI2026.csv

81

Locality
Queens, NY
Physician work
1.064
Practice expense
1.182
Malpractice
1.442
Office calculation for 97750 in Queens, NY
ComponentRVULocality factorAdjusted
Physician work0.45× 1.0640.4788
Practice expense0.55× 1.1820.6501
Malpractice0.01× 1.4420.0144
Total RVUs1.1433
Conversion factor× 33.4009

Office rate, Queens, NY$38.19

Office: (0.45 × 1.064 + 0.55 × 1.182 + 0.01 × 1.442) × $33.4009 = $38.19

Open 97750 in the RVU calculator

Payment rules and modifiers for 97750

The CMS indicators that decide how 97750 is paid alongside other services.

CMS payment indicators · 97750

Performance test, timed testing with written report

RuleCMS valueWhat it means
Global periodXXXThe global surgery concept doesn’t apply.
Multiple procedures5Therapy reduction: practice expense of the second and later units is reduced.
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/technical7Therapy service: the split doesn’t apply.

What modifiers do to the payment

Modifier CQ · payment effect

With and without the modifier

97750 without CQ · national office

$33.73

Performance test, timed testing with written report

97750-CQ · Allowed amount unchanged

$33.73

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 97750 has changed in Queens, NY

97750 · Office / nonfacility

$38.19

Effective 2026-10-01

The base rate is $0.18 higher than on 2025-10-01, moving from $38.01 to $38.19 (0.5%).

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

    $38.01changed to$38.19

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 0.57 changed to 0.55
    • Work GPCI 1.065 changed to 1.064
    • Practice expense GPCI 1.195 changed to 1.182
    • Malpractice GPCI 1.462 changed to 1.442

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $38.72changed to$38.01

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 0.56 changed to 0.57

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $38.08changed to$38.72

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $39.47changed to$38.08

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 0.55 changed to 0.56
    • Work GPCI 1.061 changed to 1.065
    • Practice expense GPCI 1.212 changed to 1.195
    • Malpractice GPCI 2.061 changed to 1.462
  5. January 1, 2023

    RVU23A

    $40.38changed to$39.47

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 0.52 changed to 0.55
    • Malpractice RVU 0.02 changed to 0.01
    • Work GPCI 1.056 changed to 1.061
    • Practice expense GPCI 1.228 changed to 1.212
    • Malpractice GPCI 2.661 changed to 2.061

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $40.72changed to$40.38

    • Conversion factor 34.8931 changed to 34.6062

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $41.63changed to$40.72

    • Conversion factor 36.0896 changed to 34.8931
    • Work GPCI 1.054 changed to 1.056
    • Practice expense GPCI 1.214 changed to 1.228
    • Malpractice GPCI 2.391 changed to 2.661

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $41.08changed to$41.63

    • Conversion factor 36.0391 changed to 36.0896
    • Work GPCI 1.052 changed to 1.054
    • Practice expense GPCI 1.200 changed to 1.214
    • Malpractice GPCI 2.121 changed to 2.391

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $44.49changed to$41.08

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 0.60 changed to 0.52

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $38.34changed to$44.49

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 0.46 changed to 0.60
    • Malpractice GPCI 2.151 changed to 2.121

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $38.26changed to$38.34

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense GPCI 1.199 changed to 1.200
    • Malpractice GPCI 2.181 changed to 2.151

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $38.40changed to$38.26

    • Conversion factor 35.9335 changed to 35.8043

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $38.21changed to$38.40

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $38.74changed to$38.21

    • Conversion factor 35.8228 changed to 35.7547
    • Malpractice RVU 0.03 changed to 0.02
    • Work GPCI 1.057 changed to 1.052
    • Practice expense GPCI 1.197 changed to 1.199
    • Malpractice GPCI 1.836 changed to 2.181

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $38.11changed to$38.74

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 0.50 changed to 0.46
    • Work GPCI 1.062 changed to 1.057
    • Practice expense GPCI 1.195 changed to 1.197
    • Malpractice GPCI 1.491 changed to 1.836

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $38.11

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$38.19Not available in this settingRVU26D
2026-07-01$38.19Not available in this settingRVU26C
2026-04-01$38.19Not available in this settingRVU26B
2026-01-01$38.19Not available in this settingRVU26A
2025-10-01$38.01Not available in this settingRVU25D
2025-07-01$38.01Not available in this settingRVU25C
2025-04-01$38.01Not available in this settingRVU25B
2025-01-01$38.01Not available in this settingRVU25A
2024-10-01$38.72Not available in this settingRVU24D
2024-07-01$38.72Not available in this settingRVU24C
2024-04-01$38.72Not available in this settingRVU24B
2024-03-09$38.72Not available in this settingRVU24AR
2024-01-01$38.08Not available in this settingRVU24A
2023-10-01$39.47Not available in this settingRVU23D
2023-07-01$39.47Not available in this settingRVU23C
2023-04-01$39.47Not available in this settingRVU23B
2023-01-01$39.47Not available in this settingRVU23A
2022-10-01$40.38Not available in this settingRVU22D
2022-07-01$40.38Not available in this settingRVU22C
2022-04-01$40.38Not available in this settingRVU22B
2022-01-01$40.38Not available in this settingRVU22A
2021-10-01$40.72Not available in this settingRVU21D
2021-07-01$40.72Not available in this settingRVU21C
2021-04-01$40.72Not available in this settingRVU21B
2021-01-01$40.72Not available in this settingRVU21A
2020-10-01$41.63Not available in this settingRVU20D
2020-07-01$41.63Not available in this settingRVU20C
2020-04-01$41.63Not available in this settingRVU20B
2020-01-01$41.63Not available in this settingRVU20A
2019-10-01$41.08Not available in this settingRVU19D
2019-07-01$41.08Not available in this settingRVU19C
2019-04-01$41.08Not available in this settingRVU19B
2019-01-01$41.08Not available in this settingRVU19A
2018-10-01$44.49Not available in this settingRVU18D
2018-07-01$44.49Not available in this settingRVU18C
2018-04-01$44.49Not available in this settingRVU18B
2018-01-01$44.49Not available in this settingRVU18AR1
2017-10-01$38.34Not available in this settingRVU17D
2017-07-01$38.34Not available in this settingRVU17C
2017-04-01$38.34Not available in this settingRVU17B
2017-01-01$38.34Not available in this settingRVU17A
2016-10-01$38.26Not available in this settingRVU16D
2016-07-01$38.26Not available in this settingRVU16C
2016-04-01$38.26Not available in this settingRVU16B
2016-01-01$38.26Not available in this settingRVU16A
2015-10-01$38.40Not available in this settingRVU15D
2015-07-01$38.40Not available in this settingRVU15C
2015-04-01$38.21Not available in this settingRVU15B
2015-01-01$38.21Not available in this settingRVU15A
2014-10-01$38.74Not available in this settingRVU14D
2014-07-01$38.74Not available in this settingRVU14C
2014-04-01$38.74Not available in this settingRVU14B
2014-01-01$38.74Not available in this settingRVU14A
2013-10-01$38.11Not available in this settingRVU13D
2013-07-01$38.11Not available in this settingRVU13C
2013-04-01$38.11Not available in this settingRVU13B
2013-01-01$38.11Not available in this settingRVU13AR

Price 97750 for an earlier date of service

Where the Queens, NY rate applies

Queens, NY is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in New York. Some span more than one payment area; confirm with the service ZIP.

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97750 billing questions

How is 97750 different from therapeutic exercise?

97750 captures physical performance testing and measurement with a written report. Therapeutic exercise, such as 97110, reports exercises performed to improve function rather than testing used to measure it.

How many units can be reported?

The code is reported in 15-minute units. Document the testing time supporting the units and do not count the same minutes again as another timed therapy service.

Can 97750 be reported with treatment codes on the same date?

It may be reported with separately performed services such as therapeutic activities when the testing and treatment are distinct. The record should separate the testing, report, and treatment work and time.

Is a professional component modifier used?

No. CMS identifies 97750 as a therapy service for which the professional component modifier does not apply.

What documentation supports 97750?

Record the tests or measurements performed, the time spent, the results, and the written report. The documentation should show that the service measured physical performance rather than providing treatment alone.

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 97750PPRRVU2026_Oct_nonQPP.csv, line 12,907 (RVU26D)
Geographic factors for Queens, NYGPCI2026.csv, line 81 (RVU26D)

Open CMS sourceHow we calculate rates

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