Billing code 97124: Massage therapyMedicare rate & RVUs

Report 97124 for timed, hands-on massage techniques used as a therapeutic intervention during rehabilitation, such as treatment for soft-tissue pain or muscle tightness.

CMS RVU26DEffective Oct 1, 2026109 payment localities339.7K Medicare services in 2024

Medicare pays $29.73 for 97124 nationally in the office. Local office rates run $27.07–$38.68.

Medicare rate · 97124

Massage therapy

Swap in your local Medicare rate.

Work RVUs
0.35
Total RVUs
0.89
Global days
XXX

National rate · 2026

$29.73

Office setting, before claim adjustments.

See every locality for 97124 → · 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 97124 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 97124 covers

A therapist uses hands-on stroking, kneading, or percussion techniques to address soft-tissue symptoms such as muscle tightness or pain within a rehabilitation plan. The service is commonly furnished during outpatient physical therapy; the treatment should relate to the patient’s documented functional goals rather than being merely relaxation massage.

Report the code in 15-minute units based on direct treatment time and applicable Medicare timed-code counting rules. Document the techniques, treated area, skilled service, time, and the patient’s response or progress toward goals. When other therapy services are furnished on the same day, CMS reduces practice expense for the second and later therapy units. This is a therapy service, not a separately billed professional component, so a professional-component modifier does not apply.

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 97124 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

$27.07 to $38.68

$27.07$32.88$38.68
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

97124 office and facility rates by payment locality
Payment localityOfficeFacility
Alabama$27.37Unavailable
Alaska*$36.57Unavailable
Arizona$29.13Unavailable
Arkansas$27.07Unavailable
Atlanta$30.11Unavailable
Austin$30.74Unavailable
Bakersfield$31.52Unavailable
Baltimore/Surr. Cntys$31.29Unavailable
Beaumont$28.11Unavailable
Brazoria$29.59Unavailable

97124 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.

$27.07

$36.57

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

View every state and territory as a table
97124 office rate range by state
State / territoryOffice rate rangeLocalities
AK$36.571
AL$27.371
AR$27.071
AZ$29.131
CA$31.47–$38.6829
CO$30.931
CT$31.391
DC$33.551
DE$29.541
FL$29.12–$30.963
GA$27.88–$30.112
GU$32.011
HI$32.011
IA$28.021
ID$28.131
IL$28.37–$30.544
IN$28.261
KS$27.861
KY$27.731
LA$27.68–$28.732
MA$30.78–$33.602
MD$30.03–$33.553
ME$28.18–$29.442
MI$28.23–$29.342
MN$30.011
MO$27.28–$28.883
MS$27.181
MT$29.731
NC$28.421
ND$29.531
NE$28.161
NH$30.411
NJ$31.86–$33.322
NM$28.321
NV$29.691
NY$28.74–$34.115
OH$28.191
OK$27.761
OR$29.56–$31.792
PA$28.26–$30.732
PR$29.921
RI$30.501
SC$28.331
SD$29.511
TN$27.961
TX$28.11–$30.748
UT$28.631
VA$29.33–$33.552
VI$29.921
VT$29.381
WA$30.74–$34.272
WI$28.751
WV$27.551
WY$29.641

How the 97124 rate is calculated

Each of 97124’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 · 97124

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 0.35Practice expense 0.53Malpractice 0.01

0.8900 adjusted RVUs×$33.4009 conversion factor=$29.73

All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.

Payment rules and modifiers for 97124

The CMS indicators that decide how 97124 is paid alongside other services.

CMS payment indicators · 97124

Massage therapy

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

97124 without CQ · national office

$29.73

Massage therapy

97124-CQ · Allowed amount unchanged

$29.73

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.

97124 compared with similar codes

Compare codes

97124 vs 97140 vs 97110 vs 97112: national Medicare rates

Swap in your local Medicare rate.

  • 97124
    Massage therapy · 0.35 wRVU
    $29.73
  • 97140
    Manual therapy · 0.43 wRVU
    $27.72−$2.01
  • 97110
    Therapeutic exercise · 0.45 wRVU
    $29.06−$0.67
  • 97112
    Neuromuscular reeducation · 0.5 wRVU
    $32.73+$3.00

How to choose

97140Manual therapy
97124 is for massage techniques such as stroking, kneading, or percussion. 97140 describes manual therapy interventions such as mobilization, manipulation, or manual traction.
97110Therapeutic exercise
97110 is for therapeutic exercise, such as prescribed strengthening or range-of-motion activity. 97124 is hands-on massage treatment.
97112Neuromuscular reeducation
97112 addresses neuromuscular control, balance, coordination, or proprioceptive training. 97124 describes hands-on massage techniques, not neuromuscular training.

97124 billing questions

When should 97124 be chosen instead of 97140?

Use 97124 for massage techniques such as stroking, kneading, or percussion. Use 97140 when the intervention is a manual therapy technique such as joint mobilization or manual traction.

How are units reported?

The code represents 15-minute units. Count the direct treatment time under applicable Medicare timed-code rules and document the time supporting the units billed.

Can 97124 and 97140 be reported on the same date?

They may describe distinct interventions, but the time and service for each must be separately supported; the same minutes cannot support both codes.

Does 97124 have a professional component?

No separate professional component is reported for this therapy service. A professional-component modifier does not apply.

How does the same-day therapy reduction affect 97124?

CMS reduces practice expense for the second and later therapy units furnished on the same day. The reduction is based on therapy-unit order that day.

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 97124PPRRVU2026_Oct_nonQPP.csv, line 12,863 (RVU26D)

Open CMS sourceHow we calculate rates

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