FeeBase
Log inGet started
Menu
On this page

CMS RVU26D · Effective 2026-10-01

97035 in Austin

Office / nonfacility

$14.75

Base rate per service

Facility setting

Not available in this setting

Base rate per service

Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.

Physical medicine modality

About 97035: Attended therapeutic ultrasound, each 15 minutes

Therapeutic ultrasound applies acoustic energy to soft tissue with a clinician in constant attendance and is reported in timed 15-minute units.

Therapeutic ultrasound delivers acoustic energy to soft tissue through coupling gel and a moving handheld transducer. Physical therapists, occupational therapists, their assistants, and physicians may use it for localized tendon or muscle symptoms and joint stiffness, commonly in office-based outpatient therapy. The treating clinician remains with the patient throughout application rather than leaving a device running unattended. Phonophoresis, in which ultrasound helps deliver a topical medication, is reported with this code when ultrasound is the delivery method.

Assign 15-minute units using Medicare's timed-service rules, including total timed-treatment minutes when other timed services occur during the visit. Record the actual ultrasound minutes, treated area, treatment settings, and skilled purpose linked to the therapy plan. Use the therapy discipline modifier, GP, GO, or GN, as appropriate. This therapy service has no separately reportable professional or technical component; modifiers 26 and TC are not used. Under the therapy multiple procedure payment reduction, Medicare reduces the practice-expense portion for the second and subsequent therapy units on the same day.

CMS billing rules for 97035

Professional and technical components
Therapy service: the professional component modifier does not apply.
Multiple procedures
Therapy multiple procedure payment reduction: practice expense is reduced for the second and later therapy units on the same day.

Where the value comes from

  • Work RVU0.21 · 49%
  • Practice expense (office) RVU0.21 · 49%
  • Malpractice RVU0.01 · 2%

1.1M

Medicare services in 2024 · #137 by national volume

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.

97035 compared with similar codes

Office rates for Austin, from the same CMS release.

97024

Diathermy

Microwave or other diathermy

$7.60

Diathermy uses electromagnetic energy and is a supervised, untimed modality. Therapeutic ultrasound uses sound waves applied with a handheld transducer and is reported in timed units.

97033

Iontophoresis

Each 15 minutes

$19.60

Choose iontophoresis when electrical current delivers medication. Choose therapeutic ultrasound when sound waves deliver the medication, as in phonophoresis, or when ultrasound is applied without medication.

97032

Electrical stimulation

Attended, timed modality

$15.02

Attended electrical stimulation applies current and requires constant clinician attendance. Therapeutic ultrasound applies acoustic energy through a moving transducer; do not assign the same treatment minutes to both codes.

76882

Extremity ultrasound

Limited joint or soft tissue

$66.31

Code 76882 is a limited diagnostic ultrasound examination of an extremity that produces images for interpretation. Therapeutic ultrasound treats tissue rather than producing diagnostic images.

The same code, a different location

How does Austin compare?

In Beaumont, the office rate for 97035 is $13.71—$1.04 lower than the $14.75 rate in Austin. Both use the same code, release and participation basis.

97035 across payment areas

Same release and payment basis · bars start at $0

  1. Austin · This locality

    $14.75

  2. Beaumont

    $13.71

    $1.04 lower than Austin

  3. Brazoria

    $14.28

    $0.47 lower than Austin

  4. Dallas

    $14.35

    $0.40 lower than Austin

  5. Fort Worth

    $14.28

    $0.47 lower than Austin

  6. Galveston

    $14.31

    $0.44 lower than Austin

  7. Houston

    $14.49

    $0.26 lower than Austin

Other payment areas listed in Texas appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, 97035 ranges from $13.21 in Arkansas to $18.18 in Alaska*. This is a geographic range, not an average.

The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.

Compare all 108 other payment areas

  • Rest Of Texas

    Texas · 97035

    Office

    $13.97

    Facility

    Unavailable

    $0.78 lower than Austin for the office setting.

  • Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    California · 97035

    Office

    $15.82

    Facility

    Unavailable

    $1.07 higher than Austin for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 97035

    Office

    $16.03

    Facility

    Unavailable

    $1.28 higher than Austin for the office setting.

  • Miami

    Florida · 97035

    Office

    $15.16

    Facility

    Unavailable

    $0.41 higher than Austin for the office setting.

  • Chicago

    Illinois · 97035

    Office

    $14.88

    Facility

    Unavailable

    $0.13 higher than Austin for the office setting.

  • Manhattan

    New York · 97035

    Office

    $16.14

    Facility

    Unavailable

    $1.39 higher than Austin for the office setting.

  • Alaska*

    Alaska · 97035

    Office

    $18.18

    Facility

    Unavailable

    $3.43 higher than Austin for the office setting.

  • Alabama

    Alabama · 97035

    Office

    $13.34

    Facility

    Unavailable

    $1.41 lower than Austin for the office setting.

  • Arkansas

    Arkansas · 97035

    Office

    $13.21

    Facility

    Unavailable

    $1.54 lower than Austin for the office setting.

  • Arizona

    Arizona · 97035

    Office

    $14.10

    Facility

    Unavailable

    $0.65 lower than Austin for the office setting.

  • Bakersfield

    California · 97035

    Office

    $15.04

    Facility

    Unavailable

    $0.29 higher than Austin for the office setting.

  • Chico

    California · 97035

    Office

    $15.00

    Facility

    Unavailable

    $0.25 higher than Austin for the office setting.

  • El Centro

    California · 97035

    Office

    $15.00

    Facility

    Unavailable

    $0.25 higher than Austin for the office setting.

  • Fresno

    California · 97035

    Office

    $15.00

    Facility

    Unavailable

    $0.25 higher than Austin for the office setting.

  • Hanford-Corcoran

    California · 97035

    Office

    $15.00

    Facility

    Unavailable

    $0.25 higher than Austin for the office setting.

  • Madera

    California · 97035

    Office

    $15.00

    Facility

    Unavailable

    $0.25 higher than Austin for the office setting.

  • Merced

    California · 97035

    Office

    $15.00

    Facility

    Unavailable

    $0.25 higher than Austin for the office setting.

  • Modesto

    California · 97035

    Office

    $15.00

    Facility

    Unavailable

    $0.25 higher than Austin for the office setting.

  • Napa

    California · 97035

    Office

    $16.87

    Facility

    Unavailable

    $2.12 higher than Austin for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 97035

    Office

    $15.71

    Facility

    Unavailable

    $0.96 higher than Austin for the office setting.

  • Redding

    California · 97035

    Office

    $15.00

    Facility

    Unavailable

    $0.25 higher than Austin for the office setting.

  • Rest Of California

    California · 97035

    Office

    $15.00

    Facility

    Unavailable

    $0.25 higher than Austin for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 97035

    Office

    $15.11

    Facility

    Unavailable

    $0.36 higher than Austin for the office setting.

  • Sacramento-Roseville-Folsom

    California · 97035

    Office

    $15.60

    Facility

    Unavailable

    $0.85 higher than Austin for the office setting.

  • Salinas

    California · 97035

    Office

    $15.54

    Facility

    Unavailable

    $0.79 higher than Austin for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 97035

    Office

    $15.79

    Facility

    Unavailable

    $1.04 higher than Austin for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 97035

    Office

    $17.72

    Facility

    Unavailable

    $2.97 higher than Austin for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 97035

    Office

    $17.71

    Facility

    Unavailable

    $2.96 higher than Austin for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 97035

    Office

    $18.08

    Facility

    Unavailable

    $3.33 higher than Austin for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 97035

    Office

    $18.03

    Facility

    Unavailable

    $3.28 higher than Austin for the office setting.

  • San Luis Obispo-Paso Robles

    California · 97035

    Office

    $15.30

    Facility

    Unavailable

    $0.55 higher than Austin for the office setting.

  • Santa Cruz-Watsonville

    California · 97035

    Office

    $15.86

    Facility

    Unavailable

    $1.11 higher than Austin for the office setting.

  • Santa Maria-Santa Barbara

    California · 97035

    Office

    $15.57

    Facility

    Unavailable

    $0.82 higher than Austin for the office setting.

  • Santa Rosa-Petaluma

    California · 97035

    Office

    $16.02

    Facility

    Unavailable

    $1.27 higher than Austin for the office setting.

  • Stockton

    California · 97035

    Office

    $15.00

    Facility

    Unavailable

    $0.25 higher than Austin for the office setting.

  • Vallejo

    California · 97035

    Office

    $16.85

    Facility

    Unavailable

    $2.10 higher than Austin for the office setting.

  • Visalia

    California · 97035

    Office

    $15.00

    Facility

    Unavailable

    $0.25 higher than Austin for the office setting.

  • Yuba City

    California · 97035

    Office

    $15.00

    Facility

    Unavailable

    $0.25 higher than Austin for the office setting.

  • Colorado

    Colorado · 97035

    Office

    $14.82

    Facility

    Unavailable

    $0.07 higher than Austin for the office setting.

  • Connecticut

    Connecticut · 97035

    Office

    $15.11

    Facility

    Unavailable

    $0.36 higher than Austin for the office setting.

  • Delaware

    Delaware · 97035

    Office

    $14.28

    Facility

    Unavailable

    $0.47 lower than Austin for the office setting.

  • Fort Lauderdale

    Florida · 97035

    Office

    $14.72

    Facility

    Unavailable

    $0.03 lower than Austin for the office setting.

  • Rest Of Florida

    Florida · 97035

    Office

    $14.22

    Facility

    Unavailable

    $0.53 lower than Austin for the office setting.

  • Atlanta

    Georgia · 97035

    Office

    $14.56

    Facility

    Unavailable

    $0.19 lower than Austin for the office setting.

  • Rest Of Georgia

    Georgia · 97035

    Office

    $13.67

    Facility

    Unavailable

    $1.08 lower than Austin for the office setting.

  • Hawaii, Guam

    Hawaii · 97035

    Office

    $15.18

    Facility

    Unavailable

    $0.43 higher than Austin for the office setting.

  • Iowa

    Iowa · 97035

    Office

    $13.56

    Facility

    Unavailable

    $1.19 lower than Austin for the office setting.

  • Idaho

    Idaho · 97035

    Office

    $13.63

    Facility

    Unavailable

    $1.12 lower than Austin for the office setting.

  • East St. Louis

    Illinois · 97035

    Office

    $14.14

    Facility

    Unavailable

    $0.61 lower than Austin for the office setting.

  • Rest Of Illinois

    Illinois · 97035

    Office

    $13.94

    Facility

    Unavailable

    $0.81 lower than Austin for the office setting.

  • Suburban Chicago

    Illinois · 97035

    Office

    $14.86

    Facility

    Unavailable

    $0.11 higher than Austin for the office setting.

  • Indiana

    Indiana · 97035

    Office

    $13.68

    Facility

    Unavailable

    $1.07 lower than Austin for the office setting.

  • Kansas

    Kansas · 97035

    Office

    $13.52

    Facility

    Unavailable

    $1.23 lower than Austin for the office setting.

  • Kentucky

    Kentucky · 97035

    Office

    $13.56

    Facility

    Unavailable

    $1.19 lower than Austin for the office setting.

  • New Orleans

    Louisiana · 97035

    Office

    $13.99

    Facility

    Unavailable

    $0.76 lower than Austin for the office setting.

  • Rest Of Louisiana

    Louisiana · 97035

    Office

    $13.54

    Facility

    Unavailable

    $1.21 lower than Austin for the office setting.

  • Metropolitan Boston

    Massachusetts · 97035

    Office

    $15.97

    Facility

    Unavailable

    $1.22 higher than Austin for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 97035

    Office

    $14.78

    Facility

    Unavailable

    $0.03 higher than Austin for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 97035

    Office

    $15.07

    Facility

    Unavailable

    $0.32 higher than Austin for the office setting.

  • Rest Of Maryland

    Maryland · 97035

    Office

    $14.49

    Facility

    Unavailable

    $0.26 lower than Austin for the office setting.

  • Rest Of Maine

    Maine · 97035

    Office

    $13.67

    Facility

    Unavailable

    $1.08 lower than Austin for the office setting.

  • Southern Maine

    Maine · 97035

    Office

    $14.18

    Facility

    Unavailable

    $0.57 lower than Austin for the office setting.

  • Detroit

    Michigan · 97035

    Office

    $14.35

    Facility

    Unavailable

    $0.40 lower than Austin for the office setting.

  • Rest Of Michigan

    Michigan · 97035

    Office

    $13.80

    Facility

    Unavailable

    $0.95 lower than Austin for the office setting.

  • Minnesota

    Minnesota · 97035

    Office

    $14.33

    Facility

    Unavailable

    $0.42 lower than Austin for the office setting.

  • Metropolitan Kansas City

    Missouri · 97035

    Office

    $13.93

    Facility

    Unavailable

    $0.82 lower than Austin for the office setting.

  • Metropolitan St. Louis

    Missouri · 97035

    Office

    $14.03

    Facility

    Unavailable

    $0.72 lower than Austin for the office setting.

  • Rest Of Missouri

    Missouri · 97035

    Office

    $13.39

    Facility

    Unavailable

    $1.36 lower than Austin for the office setting.

  • Mississippi

    Mississippi · 97035

    Office

    $13.30

    Facility

    Unavailable

    $1.45 lower than Austin for the office setting.

  • Montana**

    Montana · 97035

    Office

    $14.36

    Facility

    Unavailable

    $0.39 lower than Austin for the office setting.

  • North Carolina

    North Carolina · 97035

    Office

    $13.77

    Facility

    Unavailable

    $0.98 lower than Austin for the office setting.

  • North Dakota**

    North Dakota · 97035

    Office

    $14.16

    Facility

    Unavailable

    $0.59 lower than Austin for the office setting.

  • Nebraska

    Nebraska · 97035

    Office

    $13.61

    Facility

    Unavailable

    $1.14 lower than Austin for the office setting.

  • New Hampshire

    New Hampshire · 97035

    Office

    $14.61

    Facility

    Unavailable

    $0.14 lower than Austin for the office setting.

  • Northern Nj

    New Jersey · 97035

    Office

    $15.95

    Facility

    Unavailable

    $1.20 higher than Austin for the office setting.

  • Rest Of New Jersey

    New Jersey · 97035

    Office

    $15.32

    Facility

    Unavailable

    $0.57 higher than Austin for the office setting.

  • New Mexico

    New Mexico · 97035

    Office

    $13.85

    Facility

    Unavailable

    $0.90 lower than Austin for the office setting.

  • Nevada**

    Nevada · 97035

    Office

    $14.31

    Facility

    Unavailable

    $0.44 lower than Austin for the office setting.

  • Nyc Suburbs/Long Island

    New York · 97035

    Office

    $16.42

    Facility

    Unavailable

    $1.67 higher than Austin for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 97035

    Office

    $15.41

    Facility

    Unavailable

    $0.66 higher than Austin for the office setting.

  • Queens

    New York · 97035

    Office

    $16.24

    Facility

    Unavailable

    $1.49 higher than Austin for the office setting.

  • Rest Of New York

    New York · 97035

    Office

    $13.91

    Facility

    Unavailable

    $0.84 lower than Austin for the office setting.

  • Ohio

    Ohio · 97035

    Office

    $13.75

    Facility

    Unavailable

    $1.00 lower than Austin for the office setting.

  • Oklahoma

    Oklahoma · 97035

    Office

    $13.54

    Facility

    Unavailable

    $1.21 lower than Austin for the office setting.

  • Portland

    Oregon · 97035

    Office

    $15.17

    Facility

    Unavailable

    $0.42 higher than Austin for the office setting.

  • Rest Of Oregon

    Oregon · 97035

    Office

    $14.24

    Facility

    Unavailable

    $0.51 lower than Austin for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 97035

    Office

    $14.84

    Facility

    Unavailable

    $0.09 higher than Austin for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 97035

    Office

    $13.77

    Facility

    Unavailable

    $0.98 lower than Austin for the office setting.

  • Puerto Rico

    Puerto Rico · 97035

    Office

    $14.43

    Facility

    Unavailable

    $0.32 lower than Austin for the office setting.

  • Rhode Island

    Rhode Island · 97035

    Office

    $14.69

    Facility

    Unavailable

    $0.06 lower than Austin for the office setting.

  • South Carolina

    South Carolina · 97035

    Office

    $13.78

    Facility

    Unavailable

    $0.97 lower than Austin for the office setting.

  • South Dakota**

    South Dakota · 97035

    Office

    $14.14

    Facility

    Unavailable

    $0.61 lower than Austin for the office setting.

  • Tennessee

    Tennessee · 97035

    Office

    $13.57

    Facility

    Unavailable

    $1.18 lower than Austin for the office setting.

  • Utah

    Utah · 97035

    Office

    $13.91

    Facility

    Unavailable

    $0.84 lower than Austin for the office setting.

  • Virginia

    Virginia · 97035

    Office

    $14.14

    Facility

    Unavailable

    $0.61 lower than Austin for the office setting.

  • Virgin Islands

    United States Virgin Islands · 97035

    Office

    $14.43

    Facility

    Unavailable

    $0.32 lower than Austin for the office setting.

  • Vermont

    Vermont · 97035

    Office

    $14.13

    Facility

    Unavailable

    $0.62 lower than Austin for the office setting.

  • Rest Of Washington

    Washington · 97035

    Office

    $14.75

    Facility

    Unavailable

    The same base rate than Austin for the office setting.

  • Seattle (King Cnty)

    Washington · 97035

    Office

    $16.24

    Facility

    Unavailable

    $1.49 higher than Austin for the office setting.

  • Wisconsin

    Wisconsin · 97035

    Office

    $13.84

    Facility

    Unavailable

    $0.91 lower than Austin for the office setting.

  • West Virginia

    West Virginia · 97035

    Office

    $13.59

    Facility

    Unavailable

    $1.16 lower than Austin for the office setting.

  • Wyoming**

    Wyoming · 97035

    Office

    $14.28

    Facility

    Unavailable

    $0.47 lower than Austin for the office setting.

See how rates vary across the country

97035 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

$13.21

$18.18

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$18.181
AL$13.341
AR$13.211
AZ$14.101
CA$15.00–$18.0829
CO$14.821
CT$15.111
DC$16.031
DE$14.281
FL$14.22–$15.163
GA$13.67–$14.562
GU$15.181
HI$15.181
IA$13.561
ID$13.631
IL$13.94–$14.884
IN$13.681
KS$13.521
KY$13.561
LA$13.54–$13.992
MA$14.78–$15.972
MD$14.49–$16.033
ME$13.67–$14.182
MI$13.80–$14.352
MN$14.331
MO$13.39–$14.033
MS$13.301
MT$14.361
NC$13.771
ND$14.161
NE$13.611
NH$14.611
NJ$15.32–$15.952
NM$13.851
NV$14.311
NY$13.91–$16.425
OH$13.751
OK$13.541
OR$14.24–$15.172
PA$13.77–$14.842
PR$14.431
RI$14.691
SC$13.781
SD$14.141
TN$13.571
TX$13.71–$14.758
UT$13.911
VA$14.14–$16.032
VI$14.431
VT$14.131
WA$14.75–$16.242
WI$13.841
WV$13.591
WY$14.281

Explore 97035 on the national rate map →

Where does this rate apply?

Austin is a Medicare payment area. Our Census mapping connects it to 31 cities and communities in Texas, including the examples shown here.

Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.

Browse all communities in Texas →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 97035 in Austin. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$16.23

$14.75 × 110% = $16.23

A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.

Working with a whole code list?

Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.

Compare your contract offer →

How this local rate is calculated

Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 97035 in Austin.

PPRRVU2026_Oct_nonQPP.csv

12,855

Code
97035
Physician work
0.21
Practice expense
0.21
Malpractice
0.01

GPCI2026.csv

96

Locality
Austin
Physician work
1.002
Practice expense
1.058
Malpractice
0.886
Office / nonfacility calculation for 97035 in Austin
ComponentRVULocality factorAdjusted
Physician work0.21× 1.0020.2104
Practice expense0.21× 1.0580.2222
Malpractice0.01× 0.8860.0089
Total RVUs0.4415
Conversion factor× 33.4009

Office / nonfacility rate, Austin$14.75

Open 97035 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.211.002
Practice expense0.211.058
Malpractice0.010.886

(0.21 × 1.002 + 0.21 × 1.058 + 0.01 × 0.886) × $33.4009 = $14.75

The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.

How this rate has changed

97035 · Office / nonfacility

$14.75

Effective 2026-10-01

The base rate is $0.56 higher than on 2025-10-01, moving from $14.19 to $14.75 (3.9%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release

  1. January 1, 2026

    RVU26A

    $14.19changed to$14.75

    • Conversion factor 32.3465 changed to 33.4009
    • Work GPCI 1.000 changed to 1.002
    • Practice expense GPCI 1.046 changed to 1.058
    • Malpractice GPCI 0.914 changed to 0.886

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $14.19

    Held through RVU25B, RVU25C, RVU25D.

Explore release dates and calculate this code in an earlier period →

Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.

Inspect every release and its CMS source
Effective fromOffice / nonfacilityFacilityCMS release
2026-10-01$14.75Not available in this settingRVU26D
2026-07-01$14.75Not available in this settingRVU26C
2026-04-01$14.75Not available in this settingRVU26B
2026-01-01$14.75Not available in this settingRVU26A
2025-10-01$14.19Not available in this settingRVU25D
2025-07-01$14.19Not available in this settingRVU25C
2025-04-01$14.19Not available in this settingRVU25B
2025-01-01$14.19Not available in this settingRVU25A

97035 billing questions

How are units of this code counted for Medicare?

Medicare uses total timed-service minutes for the visit to determine the allowable units, then assigns units to the timed services performed. Count only minutes of ultrasound actually delivered with the clinician in attendance toward this code.

Is phonophoresis billed with this code or with iontophoresis?

Report phonophoresis with 97035 when ultrasound is the medication delivery method. Iontophoresis uses electrical current to deliver medication and is reported with 97033.

Can a combination ultrasound and electrical stimulation treatment be billed as two timed services?

Do not count the same treatment minutes toward both codes. When both energies are delivered simultaneously through one head, those minutes support only one timed service.

Does a professional or technical component modifier apply?

No. This therapy service has no separately reportable professional or technical component, so modifiers 26 and TC are not used. Use the therapy discipline modifier appropriate to the plan of care.

What documentation supports medical necessity?

Document the treated area, ultrasound settings, minutes of attended treatment, and why skilled treatment is needed. Link the treatment purpose to functional goals in the therapy plan.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.

Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.

RVUs for 97035PPRRVU2026_Oct_nonQPP.csv, line 12,855 (RVU26D)
Geographic factors for AustinGPCI2026.csv, line 96 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet