CPT code 97760: Orthotic training, initial encounter2026 Medicare rate & RVUs

Medicare pays $46.09 for 97760 nationally in the office. Local office rates run $41.83–$60.62.

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

What 97760 covers

A physical or occupational therapist typically reports this service while assessing how an orthosis fits and functions, making adjustments, and teaching the patient or caregiver how to apply, remove, or use it. The orthosis may support an upper or lower extremity or the trunk. Common settings include outpatient rehabilitation and hospital therapy departments. Assessment and fitting that are integral to the orthotic management service are included when not separately reported.

Choose this code for an initial orthotic management encounter rather than prosthetic training or a subsequent orthotic management encounter. Document the orthosis and body area, the skilled assessment or adjustments performed, the instruction provided, and the treatment time. The service is timed in 15-minute units. It is a therapy service without separate professional and technical components, so modifier 26 does not apply. When multiple therapy units are furnished on the same day, practice expense is reduced for the second and later units.

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 97760 pays more and less

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

109 of 109 payment localities

97760 rates by state

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

How the 97760 rate is calculated

Each of 97760’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.

Payment rules and modifiers for 97760

The CMS indicators that decide how 97760 is paid alongside other services.

What modifiers do to the payment

97760 compared with similar codes

How to choose

97763Orthotic/prosthetic careSubsequent encounter

97760 represents an initial orthotic management encounter; 97763 represents a subsequent encounter for orthotic management and training.

97761Prosthetic trainingInitial encounter

Choose 97760 for orthosis management and training. Choose 97761 when the training concerns a prosthesis.

97755Assistive technologyFace-to-face assessment

97755 is for assessment of assistive technology needs; 97760 covers skilled management, fitting, adjustment, or use training for an orthosis.

Codes related to 97760

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

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

Open CMS sourceHow we calculate rates