CPT code 97755: Assistive technology, face-to-face assessment2026 Medicare rate & RVUs in Massachusetts
A therapist evaluates a patient’s functional needs and assistive technology options through a direct, timed assessment to support task performance or access.
Medicare pays $38.89–$41.80 for 97755 in the office in Massachusetts, from Rest of Massachusetts to Metropolitan Boston, MA. Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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On this page 9 sections
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 in Massachusetts
| Payment locality | Office | Facility |
|---|---|---|
| Metropolitan Boston, MA | $41.80 | Unavailable |
| Rest of Massachusetts | $38.89 | Unavailable |
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
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
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 5 | Therapy reduction: practice expense of the second and later units is reduced. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 7 | Therapy 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
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.
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
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