Billing code 97007: Scalp coolingMedicare rate & RVUs
Reports measuring and fitting a mechanical scalp-cooling system for a patient preparing to use scalp cooling during chemotherapy.
Medicare pays $1,695.10 for 97007 nationally in the office. Local office rates run $1,455.74–$2,443.42.
Medicare rate · 97007
Scalp cooling
Swap in your local Medicare rate.
- Work RVUs
- 0
- Total RVUs
- 50.75
- Global days
- XXX
National rate · 2026
$1,695.10
Office setting, before claim adjustments.
See every locality for 97007 → · 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.
On this page 10 sections
What 97007 covers
97007 covers measuring the patient’s head and fitting the mechanical scalp-cooling system, including selecting an appropriately sized cooling cap. Oncology practice staff or trained scalp-cooling personnel typically perform this preparatory service for patients using scalp cooling to reduce chemotherapy-related hair loss. It addresses the fitting stage, rather than preparing and placing the system for a treatment session or providing cooling after chemotherapy.
Select 97007 when the documented service is measurement and fitting; use the neighboring scalp-cooling codes for the other phases actually performed. Documentation should identify the fitting service and the system or cap fitted. CMS PFS data assign 0 work RVUs, 50.72 practice-expense RVUs in both office and facility settings, and 0.03 malpractice RVUs.
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 97007 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
$1455.74 to $2443.42
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | $1,482.90 | Unavailable |
| Alaska* | $1,804.76 | Unavailable |
| Arizona | $1,642.43 | Unavailable |
| Arkansas | $1,455.74 | Unavailable |
| Atlanta | $1,722.40 | Unavailable |
| Austin | $1,793.24 | Unavailable |
| Bakersfield | $1,857.34 | Unavailable |
| Baltimore/Surr. Cntys | $1,819.00 | Unavailable |
| Beaumont | $1,542.56 | Unavailable |
| Brazoria | $1,679.63 | Unavailable |
| Chicago | $1,704.86 | Unavailable |
| Chico | $1,857.26 | Unavailable |
| Colorado | $1,803.30 | Unavailable |
| Connecticut | $1,825.75 | Unavailable |
| Dallas | $1,688.18 | Unavailable |
| Dc + Md/Va Suburbs | $1,996.76 | Unavailable |
| Delaware | $1,674.67 | Unavailable |
| Detroit | $1,636.49 | Unavailable |
| East St. Louis | $1,560.58 | Unavailable |
| El Centro | $1,857.27 | Unavailable |
| Fort Lauderdale | $1,717.93 | Unavailable |
| Fort Worth | $1,671.25 | Unavailable |
| Fresno | $1,857.26 | Unavailable |
| Galveston | $1,683.06 | Unavailable |
| Hanford-Corcoran | $1,857.26 | Unavailable |
| Hawaii, Guam | $1,926.76 | Unavailable |
| Houston | $1,683.61 | Unavailable |
| Idaho | $1,559.04 | Unavailable |
| Indiana | $1,570.91 | Unavailable |
| Iowa | $1,550.49 | Unavailable |
| Kansas | $1,531.97 | Unavailable |
| Kentucky | $1,506.97 | Unavailable |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | $2,004.78 | Unavailable |
| Madera | $1,857.26 | Unavailable |
| Manhattan | $1,970.13 | Unavailable |
| Merced | $1,857.26 | Unavailable |
| Metropolitan Boston | $2,023.64 | Unavailable |
| Metropolitan Kansas City | $1,591.73 | Unavailable |
| Metropolitan Philadelphia | $1,764.75 | Unavailable |
| Metropolitan St. Louis | $1,613.78 | Unavailable |
| Miami | $1,766.09 | Unavailable |
| Minnesota | $1,743.52 | Unavailable |
| Mississippi | $1,459.36 | Unavailable |
| Modesto | $1,857.26 | Unavailable |
| Montana** | $1,695.09 | Unavailable |
| Napa | $2,233.32 | Unavailable |
| Nebraska | $1,564.03 | Unavailable |
| Nevada** | $1,696.62 | Unavailable |
| New Hampshire | $1,764.43 | Unavailable |
| New Mexico | $1,554.69 | Unavailable |
| New Orleans | $1,595.28 | Unavailable |
| North Carolina | $1,581.23 | Unavailable |
| North Dakota** | $1,694.50 | Unavailable |
| Northern Nj | $1,966.22 | Unavailable |
| Nyc Suburbs/Long Island | $2,016.14 | Unavailable |
| Ohio | $1,547.72 | Unavailable |
| Oklahoma | $1,513.60 | Unavailable |
| Oxnard-Thousand Oaks-Ventura | $2,003.04 | Unavailable |
| Portland | $1,882.88 | Unavailable |
| Poughkpsie/N Nyc Suburbs | $1,856.24 | Unavailable |
| Puerto Rico | $1,713.72 | Unavailable |
| Queens | $2,003.86 | Unavailable |
| Redding | $1,857.26 | Unavailable |
| Rest Of California | $1,857.26 | Unavailable |
| Rest Of Florida | $1,621.06 | Unavailable |
| Rest Of Georgia | $1,512.33 | Unavailable |
| Rest Of Illinois | $1,548.27 | Unavailable |
| Rest Of Louisiana | $1,500.23 | Unavailable |
| Rest Of Maine | $1,559.19 | Unavailable |
| Rest Of Maryland | $1,715.34 | Unavailable |
| Rest Of Massachusetts | $1,784.68 | Unavailable |
| Rest Of Michigan | $1,547.84 | Unavailable |
| Rest Of Missouri | $1,461.28 | Unavailable |
| Rest Of New Jersey | $1,851.05 | Unavailable |
| Rest Of New York | $1,610.09 | Unavailable |
| Rest Of Oregon | $1,688.02 | Unavailable |
| Rest Of Pennsylvania | $1,556.12 | Unavailable |
| Rest Of Texas | $1,608.60 | Unavailable |
| Rest Of Washington | $1,784.64 | Unavailable |
| Rhode Island | $1,750.89 | Unavailable |
| Riverside-San Bernardino-Ontario | $1,857.58 | Unavailable |
| Sacramento-Roseville-Folsom | $1,970.77 | Unavailable |
| Salinas | $1,963.99 | Unavailable |
| San Diego-Chula Vista-Carlsbad | $2,026.68 | Unavailable |
| San Francisco-Oakland-Berkeley (Marin Cnty) | $2,389.13 | Unavailable |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | $2,389.10 | Unavailable |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | $2,443.42 | Unavailable |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | $2,443.28 | Unavailable |
| San Luis Obispo-Paso Robles | $1,930.11 | Unavailable |
| Santa Cruz-Watsonville | $2,058.86 | Unavailable |
| Santa Maria-Santa Barbara | $1,975.85 | Unavailable |
| Santa Rosa-Petaluma | $2,080.88 | Unavailable |
| Seattle (King Cnty) | $2,079.47 | Unavailable |
| South Carolina | $1,566.19 | Unavailable |
| South Dakota** | $1,694.43 | Unavailable |
| Southern Maine | $1,679.48 | Unavailable |
| Stockton | $1,857.26 | Unavailable |
| Suburban Chicago | $1,741.61 | Unavailable |
| Tennessee | $1,540.47 | Unavailable |
| Utah | $1,593.35 | Unavailable |
| Vallejo | $2,233.28 | Unavailable |
| Vermont | $1,677.66 | Unavailable |
| Virgin Islands | $1,713.72 | Unavailable |
| Virginia | $1,666.00 | Unavailable |
| Visalia | $1,857.26 | Unavailable |
| West Virginia | $1,473.60 | Unavailable |
| Wisconsin | $1,623.25 | Unavailable |
| Wyoming** | $1,694.84 | Unavailable |
| Yuba City | $1,857.26 | Unavailable |
97007 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.
$1,455.74
$2,150.34
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 | $1,804.76 | 1 |
| AL | $1,482.90 | 1 |
| AR | $1,455.74 | 1 |
| AZ | $1,642.43 | 1 |
| CA | $1,857.26–$2,443.42 | 29 |
| CO | $1,803.30 | 1 |
| CT | $1,825.75 | 1 |
| DC | $1,996.76 | 1 |
| DE | $1,674.67 | 1 |
| FL | $1,621.06–$1,766.09 | 3 |
| GA | $1,512.33–$1,722.40 | 2 |
| GU | $1,926.76 | 1 |
| HI | $1,926.76 | 1 |
| IA | $1,550.49 | 1 |
| ID | $1,559.04 | 1 |
| IL | $1,548.27–$1,741.61 | 4 |
| IN | $1,570.91 | 1 |
| KS | $1,531.97 | 1 |
| KY | $1,506.97 | 1 |
| LA | $1,500.23–$1,595.28 | 2 |
| MA | $1,784.68–$2,023.64 | 2 |
| MD | $1,715.34–$1,996.76 | 3 |
| ME | $1,559.19–$1,679.48 | 2 |
| MI | $1,547.84–$1,636.49 | 2 |
| MN | $1,743.52 | 1 |
| MO | $1,461.28–$1,613.78 | 3 |
| MS | $1,459.36 | 1 |
| MT | $1,695.09 | 1 |
| NC | $1,581.23 | 1 |
| ND | $1,694.50 | 1 |
| NE | $1,564.03 | 1 |
| NH | $1,764.43 | 1 |
| NJ | $1,851.05–$1,966.22 | 2 |
| NM | $1,554.69 | 1 |
| NV | $1,696.62 | 1 |
| NY | $1,610.09–$2,016.14 | 5 |
| OH | $1,547.72 | 1 |
| OK | $1,513.60 | 1 |
| OR | $1,688.02–$1,882.88 | 2 |
| PA | $1,556.12–$1,764.75 | 2 |
| PR | $1,713.72 | 1 |
| RI | $1,750.89 | 1 |
| SC | $1,566.19 | 1 |
| SD | $1,694.43 | 1 |
| TN | $1,540.47 | 1 |
| TX | $1,542.56–$1,793.24 | 8 |
| UT | $1,593.35 | 1 |
| VA | $1,666.00–$1,996.76 | 2 |
| VI | $1,713.72 | 1 |
| VT | $1,677.66 | 1 |
| WA | $1,784.64–$2,079.47 | 2 |
| WI | $1,623.25 | 1 |
| WV | $1,473.60 | 1 |
| WY | $1,694.84 | 1 |
How the 97007 rate is calculated
Each of 97007’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 · 97007
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 0.00Practice expense 50.72Malpractice 0.03
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 97007
97007 has no global surgery period, no multiple-procedure, bilateral or assistant-at-surgery adjustment, and no professional/technical split. What changes the payment is where the service happens: the place of service on the claim decides whether Medicare pays the office or the facility rate.
Place of service · 97007
Which rate does Medicare pay?
The POS code on the claim line (CMS-1500 box 24B).
Non-facility (office) rate · national
$1,695.10
Only one setting is priced for this code.
97007 compared with similar codes
Compare codes
97007 vs 97008 vs 97009 vs 97010: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 97008Scalp cooling
- Choose 97007 for measurement and fitting; choose 97008 when the documented service is preparation and placement of the scalp-cooling system.
- 97009Scalp cooling
- 97009 identifies scalp cooling after chemotherapy, while 97007 identifies measurement and fitting.
- 97010Hot or cold packs therapy
- 97010 describes hot or cold pack therapy. It is not the mechanical scalp-system measurement and fitting service reported with 97007.
97007 billing questions
How does 97007 differ from 97008?
97007 is for measuring and fitting the scalp-cooling system. 97008 identifies preparation and placement for cooling.
Is 97007 the code for cooling after chemotherapy?
No. 97009 identifies the after-chemotherapy cooling phase; 97007 is for measurement and fitting.
Can 97007 describe an ordinary cold pack?
No. It concerns fitting a mechanical scalp-cooling system for chemotherapy-related hair-loss prevention, not hot or cold pack therapy such as 97010.
What should the record show?
Document that measurement and fitting were performed and identify the scalp-cooling system or cap fitted. The record should make clear that the service was fitting, not only preparation, placement, or post-chemotherapy cooling.
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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