Billing code 97012: Mechanical tractionMedicare rate & RVUs

Reports device-applied traction during therapy, commonly for cervical or lumbar conditions when mechanical pulling is part of the documented treatment plan.

CMS RVU26DEffective Oct 1, 2026109 payment localities429.7K Medicare services in 2024

Medicare pays $14.36 for 97012 nationally in the office. Local office rates run $13.35–$18.61.

Medicare rate · 97012

Mechanical traction

Work RVUs
0.24
Total RVUs
0.43
Global days
XXX

National rate · 2026

$14.36

Office setting, before claim adjustments.

See every locality for 97012 →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
  1. Medicare rate
  2. What 97012 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 97012 covers

Mechanical traction uses a device to apply a pulling force to a body region, commonly the cervical or lumbar spine. Physical therapists and other qualified therapy professionals may use it during outpatient rehabilitation for conditions such as neck or low-back pain or radiating symptoms. The device may provide sustained or intermittent traction; this code distinguishes device-applied treatment from hands-on manual traction. It is a modality rather than an active exercise service.

Report the service when mechanical traction is actually provided and supported by the treatment plan. Documentation should identify the treated region, the clinical rationale, relevant device settings or application method, and the patient’s response. This is not a timed, 15-minute service; therapy coding guidance generally treats it as one unit per treatment date. The professional component modifier does not apply. Under the therapy multiple procedure payment reduction, CMS reduces practice expense for the second and later therapy units on the same day; the reduction can affect this service when it falls in that group.

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 97012 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

$13.35 to $18.61

$13.35$15.98$18.61
One dot per payment locality, office / nonfacility. Hover a dot to see the locality; select it to open that rate.

109 of 109 payment localities

97012 office and facility rates by payment locality
Payment localityOfficeFacility
Alabama$13.47Unavailable
Alaska*$18.61Unavailable
Arizona$14.13Unavailable
Arkansas$13.35Unavailable
Atlanta$14.55Unavailable
Austin$14.69Unavailable
Bakersfield$14.96Unavailable
Baltimore/Surr. Cntys$15.01Unavailable
Beaumont$13.80Unavailable
Brazoria$14.30Unavailable

97012 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.

$13.35

$18.61

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

View every state and territory as a table
97012 office rate range by state
State / territoryOffice rate rangeLocalities
AK$18.611
AL$13.471
AR$13.351
AZ$14.131
CA$14.92–$17.7529
CO$14.771
CT$15.061
DC$15.901
DE$14.301
FL$14.27–$15.123
GA$13.78–$14.552
GU$15.051
HI$15.051
IA$13.651
ID$13.711
IL$14.03–$14.884
IN$13.751
KS$13.621
KY$13.671
LA$13.66–$14.052
MA$14.74–$15.822
MD$14.49–$15.903
ME$13.76–$14.192
MI$13.88–$14.382
MN$14.301
MO$13.52–$14.073
MS$13.441
MT$14.361
NC$13.841
ND$14.161
NE$13.691
NH$14.571
NJ$15.27–$15.852
NM$13.931
NV$14.311
NY$13.96–$16.305
OH$13.841
OK$13.641
OR$14.24–$15.072
PA$13.85–$14.822
PR$14.421
RI$14.681
SC$13.861
SD$14.141
TN$13.661
TX$13.80–$14.698
UT$13.971
VA$14.16–$15.902
VI$14.421
VT$14.141
WA$14.71–$16.072
WI$13.881
WV$13.721
WY$14.281

How the 97012 rate is calculated

Each of 97012’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 · 97012

RVUs × geographic indexes × conversion factor

Work0.24

0.24 RVUs× 1.000 GPCI

Practice expense0.18

0.18 RVUs× 1.000 GPCI

Malpractice0.01

0.01 RVUs× 1.000 GPCI

Adjusted RVUs

0.4300

Conversion factor

$33.4009

Medicare rate

$14.36

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

Payment rules and modifiers for 97012

The CMS indicators that decide how 97012 is paid alongside other services.

CMS payment indicators · 97012

Mechanical traction

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

97012 without CQ · national office

$14.36

Mechanical traction

97012-CQ · Allowed amount unchanged

$14.36

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.

97012 compared with similar codes

Compare codes · National

4 codes, side by side

  • 97012

    Mechanical traction0.24 wRVU

    $14.36

  • 97140

    Manual therapy0.43 wRVU

    $27.72+$13.36

  • 97110

    Therapeutic exercise0.45 wRVU

    $29.06+$14.70

  • 97014

    Not on the physician fee schedule0.18 wRVU

    Not priced

How to choose

97140Manual therapy
Choose 97012 when a mechanical device applies traction. Choose 97140 for qualifying hands-on manual therapy, including manual traction.
97110Therapeutic exercise
97012 describes device-applied traction; 97110 describes therapeutic exercises. A visit may include both when each service is performed and documented separately.
97014Electric stimulation therapy
97012 is mechanical traction, while 97014 is electrical stimulation therapy. Select the code for the modality actually furnished.

97012 billing questions

How is mechanical traction different from manual traction?

Report 97012 for traction applied with a mechanical device. Hands-on manual traction is generally reported as manual therapy under 97140 when the service meets that code’s requirements.

Is 97012 billed in 15-minute units?

No. It is an untimed modality, generally reported as one unit per treatment date rather than in 15-minute increments.

Can traction be reported with therapeutic exercise?

Yes, when both services are performed and independently supported by the treatment plan and documentation. For example, a visit may include device-applied traction and a separate therapeutic exercise program.

What documentation supports this service?

Record the treated region, reason for traction, device application or settings, and the patient’s response. The note should show that a mechanical device was used, rather than describing only hands-on treatment.

Should a professional component modifier be appended?

No. CMS identifies this therapy service as one to which the professional component modifier does not apply.

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 97012PPRRVU2026_Oct_nonQPP.csv, line 12,844 (RVU26D)

Open CMS sourceHow we calculate rates

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