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

Report orthotic management and training for skilled assessment, fitting, adjustment, or instruction in use of an orthosis during an initial encounter.

CMS RVU26DEffective Oct 1, 2026One payment locality57.4K Medicare services in 2024

In Oklahoma, Medicare pays $42.91 for 97760 in the office.

$42.91Office (non-facility)
Not available in this settingHospital or facility
−6.9%vs the national office rate ($46.09)

Check a contract rate as a % of Medicare · 97760 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 97760 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Oklahoma
  2. What 97760 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 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.

How Oklahoma compares for 97760

Across 109 of 109 payment localities, the office rate for 97760 runs from $41.83 in Arkansas to $60.62 in San Benito County, CA. Oklahoma pays $42.91. The RVUs are the same everywhere; the geographic indexes change the dollars.

97760 in Oklahoma vs other payment areas
  1. Oklahoma · this page$42.91
  2. Los Angeles, CA · California$51.98+$9.07
  3. Washington, DC area · District of Columbia$52.21+$9.30
  4. Miami, FL · Florida$47.80+$4.89
  5. Chicago, IL · Illinois$46.79+$3.88
  6. Manhattan, NY · New York$52.07+$9.16
  7. Alaska · Alaska$56.18+$13.27

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

Every other payment area

97760 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$42.32—
ArkansasArkansas$41.83—
ArizonaArizona$45.14—
Bakersfield, CACalifornia$49.07—
Chico, CACalifornia$49.01—
El Centro, CACalifornia$49.01—
Fresno, CACalifornia$49.01—
Hanford, CACalifornia$49.01—

97760 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.

$41.83

$56.18

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

View every state and territory as a table
97760 office rate range by state
State / territoryOffice rate rangeLocalities
AK$56.181
AL$42.321
AR$41.831
AZ$45.141
CA$49.01–$60.6229
CO$48.081
CT$48.731
DC$52.211
DE$45.791
FL$44.98–$47.803
GA$43.02–$46.682
GU$49.931
HI$49.931
IA$43.421
ID$43.591
IL$43.75–$47.254
IN$43.801
KS$43.141
KY$42.841
LA$42.74–$44.422
MA$47.83–$52.382
MD$46.58–$52.213
ME$43.64–$45.712
MI$43.61–$45.312
MN$46.701
MO$42.07–$44.703
MS$41.971
MT$46.091
NC$44.031
ND$45.891
NE$43.651
NH$47.241
NJ$49.47–$51.822
NM$43.751
NV$46.071
NY$44.54–$52.945
OH$43.571
OK$42.911
OR$45.88–$49.502
PA$43.69–$47.652
PR$46.411
RI$47.331
SC$43.831
SD$45.871
TN$43.291
TX$43.45–$47.778
UT$44.321
VA$45.50–$52.212
VI$46.411
VT$45.641
WA$47.77–$53.462
WI$44.641
WV$42.431
WY$46.011

See 97760 in every payment locality

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.

How the rate is built · 97760

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.50

0.50 RVUs× 1.000 GPCI

Practice expense0.87

0.87 RVUs× 1.000 GPCI

Malpractice0.01

0.01 RVUs× 1.000 GPCI

Adjusted RVUs

1.3800

Conversion factor

$33.4009

Medicare rate

$46.09

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

The exact Oklahoma inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

12,909

Code
97760
Physician work
0.50
Practice expense
0.87
Malpractice
0.01

GPCI2026.csv

86

Locality
Oklahoma
Physician work
1.000
Practice expense
0.893
Malpractice
0.777
Office calculation for 97760 in Oklahoma
ComponentRVULocality factorAdjusted
Physician work0.50× 1.0000.5000
Practice expense0.87× 0.8930.7769
Malpractice0.01× 0.7770.0078
Total RVUs1.2847
Conversion factor× 33.4009

Office rate, Oklahoma$42.91

Office: (0.5 × 1 + 0.87 × 0.893 + 0.01 × 0.777) × $33.4009 = $42.91

Open 97760 in the RVU calculator

Payment rules and modifiers for 97760

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

CMS payment indicators · 97760

Orthotic training, initial encounter

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

97760 without CQ · national office

$46.09

Orthotic training, initial encounter

97760-CQ · Allowed amount unchanged

$46.09

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 97760 has changed in Oklahoma

97760 · Office / nonfacility

$42.91

Effective 2026-10-01

The base rate is $0.25 higher than on 2025-10-01, moving from $42.66 to $42.91 (0.6%).

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

    $42.66changed to$42.91

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 0.91 changed to 0.87
    • Practice expense GPCI 0.891 changed to 0.893
    • Malpractice GPCI 0.813 changed to 0.777

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $44.20changed to$42.66

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 0.92 changed to 0.91

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $43.48changed to$44.20

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $45.44changed to$43.48

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 0.94 changed to 0.92
    • Practice expense GPCI 0.886 changed to 0.891
    • Malpractice GPCI 0.798 changed to 0.813
  5. January 1, 2023

    RVU23A

    $45.89changed to$45.44

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 0.92 changed to 0.94
    • Malpractice RVU 0.02 changed to 0.01
    • Practice expense GPCI 0.881 changed to 0.886
    • Malpractice GPCI 0.782 changed to 0.798

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $46.27changed to$45.89

    • Conversion factor 34.8931 changed to 34.6062

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $46.81changed to$46.27

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 0.88 changed to 0.92
    • Practice expense GPCI 0.886 changed to 0.881
    • Malpractice GPCI 0.868 changed to 0.782

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $45.36changed to$46.81

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 0.83 changed to 0.88
    • Practice expense GPCI 0.891 changed to 0.886
    • Malpractice GPCI 0.954 changed to 0.868

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $44.67changed to$45.36

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 0.81 changed to 0.83

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $36.10changed to$44.67

    • Conversion factor 35.8887 changed to 35.9996
    • Work RVU 0.45 changed to 0.50
    • Practice expense RVU 0.61 changed to 0.81
    • Practice expense GPCI 0.882 changed to 0.891
    • Malpractice GPCI 0.900 changed to 0.954

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $35.45changed to$36.10

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 0.60 changed to 0.61
    • Practice expense GPCI 0.872 changed to 0.882
    • Malpractice GPCI 0.845 changed to 0.900

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $35.58changed to$35.45

    • Conversion factor 35.9335 changed to 35.8043

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $35.40changed to$35.58

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $35.54changed to$35.40

    • Conversion factor 35.8228 changed to 35.7547
    • Malpractice RVU 0.03 changed to 0.02
    • Practice expense GPCI 0.864 changed to 0.872
    • Malpractice GPCI 0.790 changed to 0.845

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $34.99changed to$35.54

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 0.65 changed to 0.60
    • Practice expense GPCI 0.856 changed to 0.864
    • Malpractice GPCI 0.734 changed to 0.790

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $34.99

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$42.91Not available in this settingRVU26D
2026-07-01$42.91Not available in this settingRVU26C
2026-04-01$42.91Not available in this settingRVU26B
2026-01-01$42.91Not available in this settingRVU26A
2025-10-01$42.66Not available in this settingRVU25D
2025-07-01$42.66Not available in this settingRVU25C
2025-04-01$42.66Not available in this settingRVU25B
2025-01-01$42.66Not available in this settingRVU25A
2024-10-01$44.20Not available in this settingRVU24D
2024-07-01$44.20Not available in this settingRVU24C
2024-04-01$44.20Not available in this settingRVU24B
2024-03-09$44.20Not available in this settingRVU24AR
2024-01-01$43.48Not available in this settingRVU24A
2023-10-01$45.44Not available in this settingRVU23D
2023-07-01$45.44Not available in this settingRVU23C
2023-04-01$45.44Not available in this settingRVU23B
2023-01-01$45.44Not available in this settingRVU23A
2022-10-01$45.89Not available in this settingRVU22D
2022-07-01$45.89Not available in this settingRVU22C
2022-04-01$45.89Not available in this settingRVU22B
2022-01-01$45.89Not available in this settingRVU22A
2021-10-01$46.27Not available in this settingRVU21D
2021-07-01$46.27Not available in this settingRVU21C
2021-04-01$46.27Not available in this settingRVU21B
2021-01-01$46.27Not available in this settingRVU21A
2020-10-01$46.81Not available in this settingRVU20D
2020-07-01$46.81Not available in this settingRVU20C
2020-04-01$46.81Not available in this settingRVU20B
2020-01-01$46.81Not available in this settingRVU20A
2019-10-01$45.36Not available in this settingRVU19D
2019-07-01$45.36Not available in this settingRVU19C
2019-04-01$45.36Not available in this settingRVU19B
2019-01-01$45.36Not available in this settingRVU19A
2018-10-01$44.67Not available in this settingRVU18D
2018-07-01$44.67Not available in this settingRVU18C
2018-04-01$44.67Not available in this settingRVU18B
2018-01-01$44.67Not available in this settingRVU18AR1
2017-10-01$36.10Not available in this settingRVU17D
2017-07-01$36.10Not available in this settingRVU17C
2017-04-01$36.10Not available in this settingRVU17B
2017-01-01$36.10Not available in this settingRVU17A
2016-10-01$35.45Not available in this settingRVU16D
2016-07-01$35.45Not available in this settingRVU16C
2016-04-01$35.45Not available in this settingRVU16B
2016-01-01$35.45Not available in this settingRVU16A
2015-10-01$35.58Not available in this settingRVU15D
2015-07-01$35.58Not available in this settingRVU15C
2015-04-01$35.40Not available in this settingRVU15B
2015-01-01$35.40Not available in this settingRVU15A
2014-10-01$35.54Not available in this settingRVU14D
2014-07-01$35.54Not available in this settingRVU14C
2014-04-01$35.54Not available in this settingRVU14B
2014-01-01$35.54Not available in this settingRVU14A
2013-10-01$34.99Not available in this settingRVU13D
2013-07-01$34.99Not available in this settingRVU13C
2013-04-01$34.99Not available in this settingRVU13B
2013-01-01$34.99Not available in this settingRVU13AR

Price 97760 for an earlier date of service

Where the Oklahoma rate applies

Oklahoma is a Medicare payment area, not a city. Our Census mapping connects it to 846 cities and communities in Oklahoma. Some span more than one payment area; confirm with the service ZIP.

  • Lahoma
  • Achille
  • Ada
  • Adair
  • Adams
  • Adamson
  • Addington
  • Afton

Browse all communities in Oklahoma

97760 billing questions

How is 97760 different from 97763?

97760 is for an initial orthotic management encounter. Use 97763 for subsequent orthotic management encounters.

When should 97761 be used instead?

Use 97761 for prosthetic training, such as instruction in using a prosthesis. Use 97760 for management and training involving an orthosis.

Can orthotic fitting or assessment be billed separately?

Assessment and fitting integral to the orthotic management service are included when not otherwise reported. Document any distinct service before considering separate reporting.

How are units counted?

The service is timed in 15-minute units. The record should support the skilled orthotic work and the time reported.

Should modifier 26 be appended?

No. This therapy service is not divided into professional and technical components.

What happens when other therapy units are billed on the same day?

Practice expense is reduced for the second and later therapy units furnished that day, including applicable units of this service.

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 97760PPRRVU2026_Oct_nonQPP.csv, line 12,909 (RVU26D)
Geographic factors for OklahomaGPCI2026.csv, line 86 (RVU26D)

Open CMS sourceHow we calculate rates

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