CPT code 97755: Assistive technology, face-to-face assessment2026 Medicare rate & RVUs in Utah
A therapist evaluates a patient’s functional needs and assistive technology options through a direct, timed assessment to support task performance or access.
In Utah, Medicare pays $36.71 for 97755 in the office.
Check a contract rate as a % of Medicare · 97755 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 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.
How Utah compares for 97755
Across 109 of 109 payment localities, the office rate for 97755 runs from $35.23 in Arkansas to $49.03 in Alaska. Utah pays $36.71. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Utah · this page$36.71
- Los Angeles, CA · California$41.54+$4.83
- Washington, DC area · District of Columbia$41.87+$5.16
- Miami, FL · Florida$38.94+$2.23
- Chicago, IL · Illinois$38.40+$1.69
- Manhattan, NY · New York$41.97+$5.26
- Alaska · Alaska$49.03+$12.32
Other areas in Utah first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $35.51 | — |
| ArkansasArkansas | $35.23 | — |
| ArizonaArizona | $37.18 | — |
| Bakersfield, CACalifornia | $39.61 | — |
| Chico, CACalifornia | $39.54 | — |
| El Centro, CACalifornia | $39.54 | — |
| Fresno, CACalifornia | $39.54 | — |
| Hanford, CACalifornia | $39.54 | — |
| Madera, CACalifornia | $39.54 | — |
| Merced, CACalifornia | $39.54 | — |
| Modesto, CACalifornia | $39.54 | — |
| Napa, CACalifornia | $44.19 | — |
| Oxnard, CACalifornia | $41.24 | — |
| Redding, CACalifornia | $39.54 | — |
| Rest of CaliforniaCalifornia | $39.54 | — |
| Riverside, CACalifornia | $39.67 | — |
| Sacramento, CACalifornia | $41.06 | — |
| Salinas, CACalifornia | $40.89 | — |
| San Diego, CACalifornia | $41.48 | — |
| Marin County, CACalifornia | $46.38 | — |
| San Francisco, CACalifornia | $46.37 | — |
| San Benito County, CACalifornia | $47.25 | — |
| Santa Clara County, CACalifornia | $47.20 | — |
| San Luis Obispo, CACalifornia | $40.26 | — |
| Santa Cruz, CACalifornia | $41.61 | — |
| Santa Maria, CACalifornia | $40.94 | — |
| Santa Rosa, CACalifornia | $42.02 | — |
| Stockton, CACalifornia | $39.54 | — |
| Vallejo, CACalifornia | $44.18 | — |
| Visalia, CACalifornia | $39.54 | — |
| Yuba City, CACalifornia | $39.54 | — |
| ColoradoColorado | $38.99 | — |
| ConnecticutConnecticut | $39.51 | — |
| DelawareDelaware | $37.61 | — |
| Fort Lauderdale, FLFlorida | $38.23 | — |
| Rest of FloridaFlorida | $37.18 | — |
| Atlanta, GAGeorgia | $38.14 | — |
| Rest of GeorgiaGeorgia | $36.00 | — |
| Hawaii, Guam, HIHawaii | $39.89 | — |
| IowaIowa | $36.12 | — |
| IdahoIdaho | $36.23 | — |
| East St. Louis, ILIllinois | $36.75 | — |
| Rest of IllinoisIllinois | $36.48 | — |
| Suburban Chicago, ILIllinois | $38.60 | — |
| IndianaIndiana | $36.35 | — |
| KansasKansas | $35.97 | — |
| KentuckyKentucky | $35.86 | — |
| New Orleans, LALouisiana | $36.80 | — |
| Rest of LouisianaLouisiana | $35.81 | — |
| Metropolitan Boston, MAMassachusetts | $41.80 | — |
| Rest of MassachusettsMassachusetts | $38.89 | — |
| Baltimore area, MDMaryland | $39.37 | — |
| Rest of MarylandMaryland | $38.12 | — |
| Rest of MaineMaine | $36.28 | — |
| Southern Maine, MEMaine | $37.47 | — |
| Detroit, MIMichigan | $37.39 | — |
| Rest of MichiganMichigan | $36.33 | — |
| MinnesotaMinnesota | $37.99 | — |
| Metropolitan Kansas City, MOMissouri | $36.72 | — |
| Metropolitan St. Louis, MOMissouri | $36.94 | — |
| Rest of MissouriMissouri | $35.43 | — |
| MississippiMississippi | $35.33 | — |
| MontanaMontana | $37.74 | — |
| North CarolinaNorth Carolina | $36.50 | — |
| North DakotaNorth Dakota | $37.54 | — |
| NebraskaNebraska | $36.25 | — |
| New HampshireNew Hampshire | $38.39 | — |
| Northern New JerseyNew Jersey | $41.74 | — |
| Rest of New JerseyNew Jersey | $40.14 | — |
| New MexicoNew Mexico | $36.42 | — |
| NevadaNevada | $37.70 | — |
| NYC suburbs and Long Island, NYNew York | $42.51 | — |
| Poughkeepsie and northern NYC suburbs, NYNew York | $40.33 | — |
| Queens, NYNew York | $42.26 | — |
| Rest of New YorkNew York | $36.81 | — |
| OhioOhio | $36.29 | — |
| OklahomaOklahoma | $35.88 | — |
| Portland, OROregon | $39.84 | — |
| Rest of OregonOregon | $37.58 | — |
| Metropolitan Philadelphia, PAPennsylvania | $38.86 | — |
| Rest of PennsylvaniaPennsylvania | $36.36 | — |
| Puerto RicoPuerto Rico | $37.92 | — |
| Rhode IslandRhode Island | $38.65 | — |
| South CarolinaSouth Carolina | $36.42 | — |
| South DakotaSouth Dakota | $37.52 | — |
| TennesseeTennessee | $36.07 | — |
| Austin, TXTexas | $38.71 | — |
| Beaumont, TXTexas | $36.22 | — |
| Brazoria, TXTexas | $37.68 | — |
| Dallas, TXTexas | $37.82 | — |
| Fort Worth, TXTexas | $37.65 | — |
| Galveston, TXTexas | $37.73 | — |
| Houston, TXTexas | $37.92 | — |
| Rest of TexasTexas | $36.86 | — |
| VirginiaVirginia | $37.36 | — |
| Virgin Islands, VIUnited States Virgin Islands | $37.92 | — |
| VermontVermont | $37.41 | — |
| Rest of WashingtonWashington | $38.82 | — |
| King County, WAWashington | $42.51 | — |
| WisconsinWisconsin | $36.81 | — |
| West VirginiaWest Virginia | $35.70 | — |
| WyomingWyoming | $37.66 | — |
97755 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.
$35.23
$49.03
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 | $49.03 | 1 |
| AL | $35.51 | 1 |
| AR | $35.23 | 1 |
| AZ | $37.18 | 1 |
| CA | $39.54–$47.25 | 29 |
| CO | $38.99 | 1 |
| CT | $39.51 | 1 |
| DC | $41.87 | 1 |
| DE | $37.61 | 1 |
| FL | $37.18–$38.94 | 3 |
| GA | $36.00–$38.14 | 2 |
| GU | $39.89 | 1 |
| HI | $39.89 | 1 |
| IA | $36.12 | 1 |
| ID | $36.23 | 1 |
| IL | $36.48–$38.60 | 4 |
| IN | $36.35 | 1 |
| KS | $35.97 | 1 |
| KY | $35.86 | 1 |
| LA | $35.81–$36.80 | 2 |
| MA | $38.89–$41.80 | 2 |
| MD | $38.12–$41.87 | 3 |
| ME | $36.28–$37.47 | 2 |
| MI | $36.33–$37.39 | 2 |
| MN | $37.99 | 1 |
| MO | $35.43–$36.94 | 3 |
| MS | $35.33 | 1 |
| MT | $37.74 | 1 |
| NC | $36.50 | 1 |
| ND | $37.54 | 1 |
| NE | $36.25 | 1 |
| NH | $38.39 | 1 |
| NJ | $40.14–$41.74 | 2 |
| NM | $36.42 | 1 |
| NV | $37.70 | 1 |
| NY | $36.81–$42.51 | 5 |
| OH | $36.29 | 1 |
| OK | $35.88 | 1 |
| OR | $37.58–$39.84 | 2 |
| PA | $36.36–$38.86 | 2 |
| PR | $37.92 | 1 |
| RI | $38.65 | 1 |
| SC | $36.42 | 1 |
| SD | $37.52 | 1 |
| TN | $36.07 | 1 |
| TX | $36.22–$38.71 | 8 |
| UT | $36.71 | 1 |
| VA | $37.36–$41.87 | 2 |
| VI | $37.92 | 1 |
| VT | $37.41 | 1 |
| WA | $38.82–$42.51 | 2 |
| WI | $36.81 | 1 |
| WV | $35.70 | 1 |
| WY | $37.66 | 1 |
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.
The exact Utah inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
12,908
- Code
- 97755
- Physician work
- 0.62
- Practice expense
- 0.50
- 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 | 0.62 | × 1.000 | 0.6200 |
| Practice expense | 0.50 | × 0.940 | 0.4700 |
| Malpractice | 0.01 | × 0.898 | 0.0090 |
| Total RVUs | 1.0990 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Utah$36.71
Office: (0.62 × 1 + 0.5 × 0.94 + 0.01 × 0.898) × $33.4009 = $36.71
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.
How 97755 has changed in Utah
97755 · Office / nonfacility
$36.71
Effective 2026-10-01
The base rate is $0.36 higher than on 2025-10-01, moving from $36.35 to $36.71 (1.0%).
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
$36.35changed to$36.71
- Conversion factor 32.3465 changed to 33.4009
- Practice expense RVU 0.52 changed to 0.50
- Malpractice RVU 0.02 changed to 0.01
- 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
$37.10changed to$36.35
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 0.51 changed to 0.52
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$36.49changed to$37.10
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$37.60changed to$36.49
- Conversion factor 33.8872 changed to 32.7442
- Practice expense GPCI 0.926 changed to 0.933
- Malpractice GPCI 0.865 changed to 0.930
January 1, 2023
RVU23A
$37.27changed to$37.60
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 0.48 changed to 0.51
- Practice expense GPCI 0.919 changed to 0.926
- Malpractice GPCI 0.799 changed to 0.865
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$37.26changed to$37.27
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 0.47 changed to 0.48
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$38.07changed to$37.26
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 0.45 changed to 0.47
- Practice expense GPCI 0.923 changed to 0.919
- Malpractice GPCI 0.982 changed to 0.799
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$37.88changed to$38.07
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 0.44 changed to 0.45
- Practice expense GPCI 0.927 changed to 0.923
- Malpractice GPCI 1.165 changed to 0.982
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$38.84changed to$37.88
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 0.47 changed to 0.44
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$35.37changed to$38.84
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 0.37 changed to 0.47
- Practice expense GPCI 0.925 changed to 0.927
- Malpractice GPCI 1.167 changed to 1.165
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$35.25changed to$35.37
- Conversion factor 35.8043 changed to 35.8887
- Practice expense GPCI 0.922 changed to 0.925
- Malpractice GPCI 1.169 changed to 1.167
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$35.38changed to$35.25
- Conversion factor 35.9335 changed to 35.8043
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$35.20changed to$35.38
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$35.61changed to$35.20
- Conversion factor 35.8228 changed to 35.7547
- Malpractice RVU 0.03 changed to 0.02
- Practice expense GPCI 0.919 changed to 0.922
- Malpractice GPCI 1.136 changed to 1.169
Held through RVU15B.
January 1, 2014
RVU14A
$34.69changed to$35.61
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 0.40 changed to 0.37
- Practice expense GPCI 0.916 changed to 0.919
- Malpractice GPCI 1.102 changed to 1.136
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $34.69
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $36.71 | Not available in this setting | RVU26D |
| 2026-07-01 | $36.71 | Not available in this setting | RVU26C |
| 2026-04-01 | $36.71 | Not available in this setting | RVU26B |
| 2026-01-01 | $36.71 | Not available in this setting | RVU26A |
| 2025-10-01 | $36.35 | Not available in this setting | RVU25D |
| 2025-07-01 | $36.35 | Not available in this setting | RVU25C |
| 2025-04-01 | $36.35 | Not available in this setting | RVU25B |
| 2025-01-01 | $36.35 | Not available in this setting | RVU25A |
| 2024-10-01 | $37.10 | Not available in this setting | RVU24D |
| 2024-07-01 | $37.10 | Not available in this setting | RVU24C |
| 2024-04-01 | $37.10 | Not available in this setting | RVU24B |
| 2024-03-09 | $37.10 | Not available in this setting | RVU24AR |
| 2024-01-01 | $36.49 | Not available in this setting | RVU24A |
| 2023-10-01 | $37.60 | Not available in this setting | RVU23D |
| 2023-07-01 | $37.60 | Not available in this setting | RVU23C |
| 2023-04-01 | $37.60 | Not available in this setting | RVU23B |
| 2023-01-01 | $37.60 | Not available in this setting | RVU23A |
| 2022-10-01 | $37.27 | Not available in this setting | RVU22D |
| 2022-07-01 | $37.27 | Not available in this setting | RVU22C |
| 2022-04-01 | $37.27 | Not available in this setting | RVU22B |
| 2022-01-01 | $37.27 | Not available in this setting | RVU22A |
| 2021-10-01 | $37.26 | Not available in this setting | RVU21D |
| 2021-07-01 | $37.26 | Not available in this setting | RVU21C |
| 2021-04-01 | $37.26 | Not available in this setting | RVU21B |
| 2021-01-01 | $37.26 | Not available in this setting | RVU21A |
| 2020-10-01 | $38.07 | Not available in this setting | RVU20D |
| 2020-07-01 | $38.07 | Not available in this setting | RVU20C |
| 2020-04-01 | $38.07 | Not available in this setting | RVU20B |
| 2020-01-01 | $38.07 | Not available in this setting | RVU20A |
| 2019-10-01 | $37.88 | Not available in this setting | RVU19D |
| 2019-07-01 | $37.88 | Not available in this setting | RVU19C |
| 2019-04-01 | $37.88 | Not available in this setting | RVU19B |
| 2019-01-01 | $37.88 | Not available in this setting | RVU19A |
| 2018-10-01 | $38.84 | Not available in this setting | RVU18D |
| 2018-07-01 | $38.84 | Not available in this setting | RVU18C |
| 2018-04-01 | $38.84 | Not available in this setting | RVU18B |
| 2018-01-01 | $38.84 | Not available in this setting | RVU18AR1 |
| 2017-10-01 | $35.37 | Not available in this setting | RVU17D |
| 2017-07-01 | $35.37 | Not available in this setting | RVU17C |
| 2017-04-01 | $35.37 | Not available in this setting | RVU17B |
| 2017-01-01 | $35.37 | Not available in this setting | RVU17A |
| 2016-10-01 | $35.25 | Not available in this setting | RVU16D |
| 2016-07-01 | $35.25 | Not available in this setting | RVU16C |
| 2016-04-01 | $35.25 | Not available in this setting | RVU16B |
| 2016-01-01 | $35.25 | Not available in this setting | RVU16A |
| 2015-10-01 | $35.38 | Not available in this setting | RVU15D |
| 2015-07-01 | $35.38 | Not available in this setting | RVU15C |
| 2015-04-01 | $35.20 | Not available in this setting | RVU15B |
| 2015-01-01 | $35.20 | Not available in this setting | RVU15A |
| 2014-10-01 | $35.61 | Not available in this setting | RVU14D |
| 2014-07-01 | $35.61 | Not available in this setting | RVU14C |
| 2014-04-01 | $35.61 | Not available in this setting | RVU14B |
| 2014-01-01 | $35.61 | Not available in this setting | RVU14A |
| 2013-10-01 | $34.69 | Not available in this setting | RVU13D |
| 2013-07-01 | $34.69 | Not available in this setting | RVU13C |
| 2013-04-01 | $34.69 | Not available in this setting | RVU13B |
| 2013-01-01 | $34.69 | Not available in this setting | 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
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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