CPT code 97761: Prosthetic training2026 Medicare rate & RVUs
Reports initial skilled training to use an upper- or lower-extremity prosthesis, including instruction in safe use and functional activities.
Medicare pays $40.42 for 97761 nationally in the office. Local office rates run $36.96–$52.43.
Medicare rate · 97761
Prosthetic training
- Work RVUs
- 0.5
- Total RVUs
- 1.21
- Global days
- XXX
National rate · 2026
$40.42
Office setting, before claim adjustments.
See every locality for 97761 →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.
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On this page 10 sections
What 97761 covers
A physical or occupational therapist typically provides this training after a patient receives an upper- or lower-extremity prosthesis. Treatment may address putting on and removing the device, operating its components, safety, and using it during functional activities such as standing or walking. The service is directed at learning to use the prosthesis, rather than general exercise or a device assessment alone.
Report 97761 for the initial prosthetic-training encounter, in 15-minute units. Documentation should identify the prosthesis, skilled training performed, treatment time, the patient’s response, and progress toward functional goals. This is a therapy service, so a professional-component modifier does not apply. Under the CMS therapy multiple procedure payment reduction, practice expense is reduced for the second and later therapy units furnished on the same day.
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 97761 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
$36.96 to $52.43
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | $37.35 | Unavailable |
| Alaska | $50.14 | Unavailable |
| Arizona | $39.64 | Unavailable |
| Arkansas | $36.96 | Unavailable |
| Atlanta, GA | $40.91 | Unavailable |
| Austin, TX | $41.77 | Unavailable |
| Bakersfield, CA | $42.85 | Unavailable |
| Baltimore area, MD | $42.47 | Unavailable |
| Beaumont, TX | $38.29 | Unavailable |
| Brazoria, TX | $40.26 | Unavailable |
| Chicago, IL | $41.08 | Unavailable |
| Chico, CA | $42.79 | Unavailable |
| Colorado | $42.04 | Unavailable |
| Connecticut | $42.62 | Unavailable |
| Dallas, TX | $40.42 | Unavailable |
| Delaware | $40.18 | Unavailable |
| Detroit, MI | $39.83 | Unavailable |
| East St. Louis, IL | $38.88 | Unavailable |
| El Centro, CA | $42.79 | Unavailable |
| Fort Lauderdale, FL | $40.99 | Unavailable |
| Fort Worth, TX | $40.19 | Unavailable |
| Fresno, CA | $42.79 | Unavailable |
| Galveston, TX | $40.33 | Unavailable |
| Hanford, CA | $42.79 | Unavailable |
| Hawaii, Guam, HI | $43.48 | Unavailable |
| Houston, TX | $40.51 | Unavailable |
| Idaho | $38.37 | Unavailable |
| Indiana | $38.54 | Unavailable |
| Iowa | $38.23 | Unavailable |
| Kansas | $38.00 | Unavailable |
| Kentucky | $37.79 | Unavailable |
| King County, WA | $46.50 | Unavailable |
| Los Angeles, CA | $45.27 | Unavailable |
| Madera, CA | $42.79 | Unavailable |
| Manhattan, NY | $45.47 | Unavailable |
| Marin County, CA | $51.41 | Unavailable |
| Merced, CA | $42.79 | Unavailable |
| Metropolitan Boston, MA | $45.60 | Unavailable |
| Metropolitan Kansas City, MO | $38.98 | Unavailable |
| Metropolitan Philadelphia, PA | $41.74 | Unavailable |
| Metropolitan St. Louis, MO | $39.29 | Unavailable |
| Miami, FL | $41.88 | Unavailable |
| Minnesota | $40.86 | Unavailable |
| Mississippi | $37.08 | Unavailable |
| Modesto, CA | $42.79 | Unavailable |
| Montana | $40.41 | Unavailable |
| Napa, CA | $48.74 | Unavailable |
| Nebraska | $38.41 | Unavailable |
| Nevada | $40.38 | Unavailable |
| New Hampshire | $41.33 | Unavailable |
| New Mexico | $38.54 | Unavailable |
| New Orleans, LA | $39.08 | Unavailable |
| North Carolina | $38.73 | Unavailable |
| North Dakota | $40.22 | Unavailable |
| Northern New Jersey | $45.23 | Unavailable |
| NYC suburbs and Long Island, NY | $46.19 | Unavailable |
| Ohio | $38.38 | Unavailable |
| Oklahoma | $37.84 | Unavailable |
| Oxnard, CA | $45.01 | Unavailable |
| Portland, OR | $43.19 | Unavailable |
| Poughkeepsie and northern NYC suburbs, NY | $43.46 | Unavailable |
| Puerto Rico | $40.67 | Unavailable |
| Queens, NY | $45.89 | Unavailable |
| Redding, CA | $42.79 | Unavailable |
| Rest of California | $42.79 | Unavailable |
| Rest of Florida | $39.55 | Unavailable |
| Rest of Georgia | $37.95 | Unavailable |
| Rest of Illinois | $38.57 | Unavailable |
| Rest of Louisiana | $37.71 | Unavailable |
| Rest of Maine | $38.42 | Unavailable |
| Rest of Maryland | $40.84 | Unavailable |
| Rest of Massachusetts | $41.85 | Unavailable |
| Rest of Michigan | $38.42 | Unavailable |
| Rest of Missouri | $37.18 | Unavailable |
| Rest of New Jersey | $43.27 | Unavailable |
| Rest of New York | $39.15 | Unavailable |
| Rest of Oregon | $40.22 | Unavailable |
| Rest of Pennsylvania | $38.48 | Unavailable |
| Rest of Texas | $39.19 | Unavailable |
| Rest of Washington | $41.79 | Unavailable |
| Rhode Island | $41.47 | Unavailable |
| Riverside, CA | $42.91 | Unavailable |
| Sacramento, CA | $44.67 | Unavailable |
| Salinas, CA | $44.50 | Unavailable |
| San Benito County, CA | $52.43 | Unavailable |
| San Diego, CA | $45.35 | Unavailable |
| San Francisco, CA | $51.40 | Unavailable |
| San Luis Obispo, CA | $43.79 | Unavailable |
| Santa Clara County, CA | $52.38 | Unavailable |
| Santa Cruz, CA | $45.64 | Unavailable |
| Santa Maria, CA | $44.61 | Unavailable |
| Santa Rosa, CA | $46.09 | Unavailable |
| South Carolina | $38.59 | Unavailable |
| South Dakota | $40.19 | Unavailable |
| Southern Maine, ME | $40.08 | Unavailable |
| Stockton, CA | $42.79 | Unavailable |
| Suburban Chicago, IL | $41.42 | Unavailable |
| Tennessee | $38.13 | Unavailable |
| Utah | $38.98 | Unavailable |
| Vallejo, CA | $48.72 | Unavailable |
| Vermont | $40.02 | Unavailable |
| Virgin Islands, VI | $40.67 | Unavailable |
| Virginia | $39.92 | Unavailable |
| Visalia, CA | $42.79 | Unavailable |
| Washington, DC area | $45.52 | Unavailable |
| West Virginia | $37.50 | Unavailable |
| Wisconsin | $39.20 | Unavailable |
| Wyoming | $40.33 | Unavailable |
| Yuba City, CA | $42.79 | Unavailable |
97761 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.
$36.96
$50.14
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 | $50.14 | 1 |
| AL | $37.35 | 1 |
| AR | $36.96 | 1 |
| AZ | $39.64 | 1 |
| CA | $42.79–$52.43 | 29 |
| CO | $42.04 | 1 |
| CT | $42.62 | 1 |
| DC | $45.52 | 1 |
| DE | $40.18 | 1 |
| FL | $39.55–$41.88 | 3 |
| GA | $37.95–$40.91 | 2 |
| GU | $43.48 | 1 |
| HI | $43.48 | 1 |
| IA | $38.23 | 1 |
| ID | $38.37 | 1 |
| IL | $38.57–$41.42 | 4 |
| IN | $38.54 | 1 |
| KS | $38.00 | 1 |
| KY | $37.79 | 1 |
| LA | $37.71–$39.08 | 2 |
| MA | $41.85–$45.60 | 2 |
| MD | $40.84–$45.52 | 3 |
| ME | $38.42–$40.08 | 2 |
| MI | $38.42–$39.83 | 2 |
| MN | $40.86 | 1 |
| MO | $37.18–$39.29 | 3 |
| MS | $37.08 | 1 |
| MT | $40.41 | 1 |
| NC | $38.73 | 1 |
| ND | $40.22 | 1 |
| NE | $38.41 | 1 |
| NH | $41.33 | 1 |
| NJ | $43.27–$45.23 | 2 |
| NM | $38.54 | 1 |
| NV | $40.38 | 1 |
| NY | $39.15–$46.19 | 5 |
| OH | $38.38 | 1 |
| OK | $37.84 | 1 |
| OR | $40.22–$43.19 | 2 |
| PA | $38.48–$41.74 | 2 |
| PR | $40.67 | 1 |
| RI | $41.47 | 1 |
| SC | $38.59 | 1 |
| SD | $40.19 | 1 |
| TN | $38.13 | 1 |
| TX | $38.29–$41.77 | 8 |
| UT | $38.98 | 1 |
| VA | $39.92–$45.52 | 2 |
| VI | $40.67 | 1 |
| VT | $40.02 | 1 |
| WA | $41.79–$46.50 | 2 |
| WI | $39.20 | 1 |
| WV | $37.50 | 1 |
| WY | $40.33 | 1 |
How the 97761 rate is calculated
Each of 97761’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 · 97761
RVUs × geographic indexes × conversion factor
Work0.50
0.50 RVUs× 1.000 GPCI
Practice expense0.70
0.70 RVUs× 1.000 GPCI
Malpractice0.01
0.01 RVUs× 1.000 GPCI
Adjusted RVUs
1.2100
Conversion factor
$33.4009
Medicare rate
$40.42
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 97761
The CMS indicators that decide how 97761 is paid alongside other services.
CMS payment indicators · 97761
Prosthetic training
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 5 | Therapy reduction: practice expense of the second and later units is reduced. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 7 | Therapy service: the split doesn’t apply. |
What modifiers do to the payment
Modifier CQ · payment effect
With and without the modifier
97761 without CQ · national office
$40.42
Prosthetic training
97761-CQ · Allowed amount unchanged
$40.42
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.
97761 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 97760Orthotic training
- 97760 addresses initial training for an orthosis, while 97761 addresses training to use a prosthesis.
- 97763Orthotic/prosthetic care
- 97763 is for subsequent orthotic or prosthetic management and training encounters; 97761 is for the initial prosthetic-training encounter.
- 97116Gait training
- 97116 covers gait training. Choose 97761 for skilled instruction in using the prosthesis; report both only when each service is distinct.
- 97750Performance test
- 97750 is a physical performance test, not hands-on instruction in using a prosthesis.
97761 billing questions
When should 97761 be used instead of 97763?
Use 97761 for the initial prosthetic-training encounter. Use 97763 for subsequent orthotic or prosthetic management and training encounters.
Is 97761 reported in timed units?
Yes. The code is reported in 15-minute units, with documentation supporting the skilled treatment time.
Can a professional-component modifier be appended?
No. CMS identifies this as a therapy service for which a professional-component modifier does not apply.
Can 97761 be reported with gait training?
It may be reported with 97116 when the therapist performs distinct gait-training work in addition to prosthesis-use training and documents each service.
What documentation supports 97761?
Document the prosthesis, the specific instruction or functional practice provided, treatment time, the patient’s response, and progress toward goals.
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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