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CPT code 97755: Assistive technology, face-to-face assessment2026 Medicare rate & RVUs

A therapist evaluates a patient’s functional needs and assistive technology options through a direct, timed assessment to support task performance or access.

CMS RVU26DEffective Oct 1, 2026109 payment localities2K Medicare services in 2024

Medicare pays $37.74 for 97755 nationally in the office. Local office rates run $35.23–$49.03.

Medicare rate · 97755

Assistive technology, face-to-face assessment

Office or facility?

Work RVUs
0.62
Total RVUs
1.13
Global days
XXX

National rate · 2026

$37.74

Office setting, before claim adjustments.

See every locality for 97755 →Billed by an NP, PA or therapist? →

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What 97755 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 97755 covers

An occupational or physical therapist evaluates how a person’s functional limitations affect use of assistive technology and which device or access method could improve task performance or compensate for lost function. Examples include evaluating wheelchair access and control options, computer access, augmentative communication, or environmental controls. The clinician observes the patient’s abilities and may trial options during a one-to-one assessment in an outpatient rehabilitation setting.

Report 97755 for the assessment itself, rather than routine device instruction or orthotic or prosthetic management. Documentation should connect the functional problem to the technology considered, describe relevant trials and findings, state skilled recommendations, and support the direct face-to-face minutes. The service is timed in 15-minute units. This therapy service is billed without a professional-component modifier. When multiple therapy units are furnished on the same day, CMS reduces practice expense for the second and later units, which can affect this code when it falls in that sequence.

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.

Where 97755 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 payment localities

$35.23 to $49.03

$35.23$42.13$49.03
One dot per payment locality, office / nonfacility. Hover a dot to see the locality; select it to open that rate.

109 of 109 payment localities

97755 office and facility rates by payment locality
Payment localityOfficeFacility
Alabama$35.51Unavailable
Alaska$49.03Unavailable
Arizona$37.18Unavailable
Arkansas$35.23Unavailable
Atlanta, GA$38.14Unavailable
Austin, TX$38.71Unavailable
Bakersfield, CA$39.61Unavailable
Baltimore area, MD$39.37Unavailable
Beaumont, TX$36.22Unavailable
Brazoria, TX$37.68Unavailable

97755 rates by state

Office rate range in each state. Select a state to see its payment localities.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

$35.23

$49.03

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

View every state and territory as a table
97755 office rate range by state
State / territoryOffice rate rangeLocalities
AK$49.031
AL$35.511
AR$35.231
AZ$37.181
CA$39.54–$47.2529
CO$38.991
CT$39.511
DC$41.871
DE$37.611
FL$37.18–$38.943
GA$36.00–$38.142
GU$39.891
HI$39.891
IA$36.121
ID$36.231
IL$36.48–$38.604
IN$36.351
KS$35.971
KY$35.861
LA$35.81–$36.802
MA$38.89–$41.802
MD$38.12–$41.873
ME$36.28–$37.472
MI$36.33–$37.392
MN$37.991
MO$35.43–$36.943
MS$35.331
MT$37.741
NC$36.501
ND$37.541
NE$36.251
NH$38.391
NJ$40.14–$41.742
NM$36.421
NV$37.701
NY$36.81–$42.515
OH$36.291
OK$35.881
OR$37.58–$39.842
PA$36.36–$38.862
PR$37.921
RI$38.651
SC$36.421
SD$37.521
TN$36.071
TX$36.22–$38.718
UT$36.711
VA$37.36–$41.872
VI$37.921
VT$37.411
WA$38.82–$42.512
WI$36.811
WV$35.701
WY$37.661

How the 97755 rate is calculated

Each of 97755’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 · 97755

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.62

0.62 RVUs× 1.000 GPCI

Practice expense0.50

0.50 RVUs× 1.000 GPCI

Malpractice0.01

0.01 RVUs× 1.000 GPCI

Adjusted RVUs

1.1300

Conversion factor

$33.4009

Medicare rate

$37.74

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

Payment rules and modifiers for 97755

The CMS indicators that decide how 97755 is paid alongside other services.

CMS payment indicators · 97755

Assistive technology, face-to-face assessment

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

97755 without CQ · national office

$37.74

Assistive technology, face-to-face assessment

97755-CQ · Allowed amount unchanged

$37.74

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.

97755 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 97755

    Assistive technology, face-to-face assessment0.62 wRVU

    $37.74

  • 97750

    Performance test, timed testing with written report0.45 wRVU

    $33.73−$4.01

  • 97760

    Orthotic training, initial encounter0.5 wRVU

    $46.09+$8.35

  • 97761

    Prosthetic training, initial encounter0.5 wRVU

    $40.42+$2.68

How to choose

97750Performance testTimed testing with written report
97750 centers on testing physical performance. Choose 97755 when the skilled work evaluates assistive technology options in relation to functional needs.
97760Orthotic trainingInitial encounter
97760 covers orthotic management and training. 97755 covers assessment of assistive technology needs, rather than orthosis-focused management.
97761Prosthetic trainingInitial encounter
97761 covers prosthetic training. 97755 is the assessment of assistive technology options, not training the patient to use a prosthesis.

Codes related to 97755

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 97755
CodeHow it relatesNational office range
Used instead
97750Performance test, timed testing with written reportUsed for physical performance testing when the service evaluates performance rather than assistive technology needs.$30.98–$43.35
97760Orthotic training, initial encounterUsed when the service is orthotic management or training rather than a broader technology assessment.$41.83–$60.62
97761Prosthetic training, initial encounterUsed for prosthetic training, not assessment of broader assistive technology needs.$36.96–$52.43
97763Orthotic/prosthetic care, subsequent encounterUsed for subsequent orthotic or prosthetic management and training rather than technology assessment.$45.18–$66.62

97755 billing questions

When should 97755 be used instead of orthotic management codes?

Use 97755 for a broader assessment of assistive technology needs and options. Use 97760 or 97763 when the work is orthotic management or training, and 97761 for prosthetic training.

How are units determined?

The service is timed in 15-minute units of direct, one-to-one assessment. Document the face-to-face minutes and the assessment work performed.

Does modifier -26 apply?

No. CMS classifies 97755 as a therapy service, and a professional-component modifier does not apply.

Does 97755 include purchase or routine instruction for a device?

It reports the skilled assessment of technology needs and options, not the device itself or routine instruction. Document any distinct service separately when appropriate.

How does the therapy multiple procedure reduction affect 97755?

CMS reduces practice expense for the second and later therapy units furnished on the same day. The reduction can affect 97755 if it is among those units.

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 97755PPRRVU2026_Oct_nonQPP.csv, line 12,908 (RVU26D)

Open CMS sourceHow we calculate rates

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