Billing code 97112: Neuromuscular reeducationMedicare rate & RVUs

Medicare pays $32.73 for 97112 nationally in the office. Local office rates run $30.36–$41.95.

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

What 97112 covers

Neuromuscular reeducation addresses impaired balance, coordination, posture, movement control, and awareness of joint position during sitting or standing activities. A physical or occupational therapist or therapy assistant may use weight-shifting drills, balance-board exercises, perturbations, or proprioceptive training to help a patient regain motor control after stroke, ankle sprain, or knee ligament reconstruction. It is typically delivered in an outpatient therapy clinic or private practice; the treatment goal is retraining movement control rather than simply building strength.

Report 97112 for each 15 minutes of direct, one-on-one treatment. Under Medicare's timed-code method, total timed treatment minutes determine billable units across timed codes; record minutes for each service without counting overlapping time twice. Document the deficit, activities, skilled cueing, and response to distinguish reeducation from therapeutic exercise or gait training. Use GP or GO for the applicable therapy plan, and CQ or CO when assistant services require them. This therapy service has no professional/technical split; do not append modifier 26 or TC. Under the therapy multiple procedure payment reduction, practice expense is reduced for the second and later therapy units that day, including additional 97112 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 97112 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

97112 rates by state

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

How the 97112 rate is calculated

Each of 97112’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 97112

The CMS indicators that decide how 97112 is paid alongside other services.

What modifiers do to the payment

97112 compared with similar codes

How to choose

97110Therapeutic exercise

97110 targets strength, endurance, flexibility, and range of motion. 97112 targets balance, coordination, posture, proprioception, and motor control.

97530Therapeutic activities

97530 covers dynamic functional tasks such as lifting or transfers to improve performance. 97112 targets neuromuscular control deficits, even when drills involve functional movements.

97116Gait training

97116 applies when training targets walking or stair negotiation. Balance and weight-shifting drills not centered on ambulation support 97112.

97150Group therapy

97150 describes group therapy delivered to two or more patients together. 97112 requires direct one-on-one contact and is reported in 15-minute units.

Codes related to 97112

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