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CMS RVU26D · Effective 2026-10-01

97036 in Beaumont

Office / nonfacility

$32.46

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 therapy

About 97036: Hubbard tank hydrotherapy

Reports timed Hubbard tank hydrotherapy when a therapist applies immersion-based water treatment to one or more areas during a rehabilitation visit.

This service covers therapeutic immersion in a Hubbard tank, a large tank used to treat one or more body areas with water. Physical therapists and other qualified therapy clinicians may use it during rehabilitation when tank-based hydrotherapy is part of the treatment plan, including care involving multiple extremities or a larger body area. The code represents the water modality, not active exercise performed in a pool or tank.

Report one unit for each 15 minutes of service, supported by documentation of the treatment provided and its duration. Distinguish this service from localized whirlpool treatment and from active aquatic exercise. Medicare treats it as a therapy service rather than separate professional and technical components, so it is not split with a professional-component modifier. Under the therapy multiple procedure payment reduction, practice expense is reduced for the second and later therapy units furnished on the same day.

CMS billing rules for 97036

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 RVU0.28 · 27%
  • Practice expense (office) RVU0.75 · 72%
  • Malpractice RVU0.01 · 1%

2.1K

Medicare services in 2024 · #2440 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.

97036 compared with similar codes

Office rates for Beaumont, from the same CMS release.

97022

Whirlpool therapy

Agitated water immersion

$14.80

Choose 97036 for Hubbard tank treatment. Choose 97022 when the service is whirlpool therapy rather than Hubbard tank immersion.

97034

Contrast baths

Each 15 minutes

$13.40

97034 is for contrast bath treatment using alternating temperatures; 97036 is for Hubbard tank hydrotherapy.

97113

Aquatic therapy

Pool-based exercise, per 15 minutes

$35.19

97113 describes active therapeutic exercise in water. This code describes application of a Hubbard tank modality, not exercise.

The same code, a different location

How does Beaumont compare?

In Austin, the office rate for 97036 is $36.17—$3.71 higher than the $32.46 rate in Beaumont. Both use the same code, release and participation basis.

97036 across payment areas

Same release and payment basis · bars start at $0

  1. Beaumont · This locality

    $32.46

  2. Austin

    $36.17

    $3.71 higher than Beaumont

  3. Brazoria

    $34.51

    $2.05 higher than Beaumont

  4. Dallas

    $34.67

    $2.21 higher than Beaumont

  5. Fort Worth

    $34.43

    $1.97 higher than Beaumont

  6. Galveston

    $34.58

    $2.12 higher than Beaumont

  7. Houston

    $34.76

    $2.30 higher than Beaumont

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, 97036 ranges from $31.04 in Arkansas to $46.68 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). 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 · 97036

    Office

    $33.43

    Facility

    Unavailable

    $0.97 higher than Beaumont for the office setting.

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

    California · 97036

    Office

    $39.59

    Facility

    Unavailable

    $7.13 higher than Beaumont for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 97036

    Office

    $39.74

    Facility

    Unavailable

    $7.28 higher than Beaumont for the office setting.

  • Miami

    Florida · 97036

    Office

    $36.27

    Facility

    Unavailable

    $3.81 higher than Beaumont for the office setting.

  • Chicago

    Illinois · 97036

    Office

    $35.36

    Facility

    Unavailable

    $2.90 higher than Beaumont for the office setting.

  • Manhattan

    New York · 97036

    Office

    $39.59

    Facility

    Unavailable

    $7.13 higher than Beaumont for the office setting.

  • Alaska*

    Alaska · 97036

    Office

    $40.89

    Facility

    Unavailable

    $8.43 higher than Beaumont for the office setting.

  • Alabama

    Alabama · 97036

    Office

    $31.46

    Facility

    Unavailable

    $1.00 lower than Beaumont for the office setting.

  • Arkansas

    Arkansas · 97036

    Office

    $31.04

    Facility

    Unavailable

    $1.42 lower than Beaumont for the office setting.

  • Arizona

    Arizona · 97036

    Office

    $33.91

    Facility

    Unavailable

    $1.45 higher than Beaumont for the office setting.

  • Bakersfield

    California · 97036

    Office

    $37.19

    Facility

    Unavailable

    $4.73 higher than Beaumont for the office setting.

  • Chico

    California · 97036

    Office

    $37.15

    Facility

    Unavailable

    $4.69 higher than Beaumont for the office setting.

  • El Centro

    California · 97036

    Office

    $37.15

    Facility

    Unavailable

    $4.69 higher than Beaumont for the office setting.

  • Fresno

    California · 97036

    Office

    $37.15

    Facility

    Unavailable

    $4.69 higher than Beaumont for the office setting.

  • Hanford-Corcoran

    California · 97036

    Office

    $37.15

    Facility

    Unavailable

    $4.69 higher than Beaumont for the office setting.

  • Madera

    California · 97036

    Office

    $37.15

    Facility

    Unavailable

    $4.69 higher than Beaumont for the office setting.

  • Merced

    California · 97036

    Office

    $37.15

    Facility

    Unavailable

    $4.69 higher than Beaumont for the office setting.

  • Modesto

    California · 97036

    Office

    $37.15

    Facility

    Unavailable

    $4.69 higher than Beaumont for the office setting.

  • Napa

    California · 97036

    Office

    $43.13

    Facility

    Unavailable

    $10.67 higher than Beaumont for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 97036

    Office

    $39.43

    Facility

    Unavailable

    $6.97 higher than Beaumont for the office setting.

  • Redding

    California · 97036

    Office

    $37.15

    Facility

    Unavailable

    $4.69 higher than Beaumont for the office setting.

  • Rest Of California

    California · 97036

    Office

    $37.15

    Facility

    Unavailable

    $4.69 higher than Beaumont for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 97036

    Office

    $37.26

    Facility

    Unavailable

    $4.80 higher than Beaumont for the office setting.

  • Sacramento-Roseville-Folsom

    California · 97036

    Office

    $39.00

    Facility

    Unavailable

    $6.54 higher than Beaumont for the office setting.

  • Salinas

    California · 97036

    Office

    $38.85

    Facility

    Unavailable

    $6.39 higher than Beaumont for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 97036

    Office

    $39.77

    Facility

    Unavailable

    $7.31 higher than Beaumont for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 97036

    Office

    $45.72

    Facility

    Unavailable

    $13.26 higher than Beaumont for the office setting.

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

    California · 97036

    Office

    $45.70

    Facility

    Unavailable

    $13.24 higher than Beaumont for the office setting.

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

    California · 97036

    Office

    $46.68

    Facility

    Unavailable

    $14.22 higher than Beaumont for the office setting.

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

    California · 97036

    Office

    $46.64

    Facility

    Unavailable

    $14.18 higher than Beaumont for the office setting.

  • San Luis Obispo-Paso Robles

    California · 97036

    Office

    $38.22

    Facility

    Unavailable

    $5.76 higher than Beaumont for the office setting.

  • Santa Cruz-Watsonville

    California · 97036

    Office

    $40.16

    Facility

    Unavailable

    $7.70 higher than Beaumont for the office setting.

  • Santa Maria-Santa Barbara

    California · 97036

    Office

    $39.00

    Facility

    Unavailable

    $6.54 higher than Beaumont for the office setting.

  • Santa Rosa-Petaluma

    California · 97036

    Office

    $40.57

    Facility

    Unavailable

    $8.11 higher than Beaumont for the office setting.

  • Stockton

    California · 97036

    Office

    $37.15

    Facility

    Unavailable

    $4.69 higher than Beaumont for the office setting.

  • Vallejo

    California · 97036

    Office

    $43.11

    Facility

    Unavailable

    $10.65 higher than Beaumont for the office setting.

  • Visalia

    California · 97036

    Office

    $37.15

    Facility

    Unavailable

    $4.69 higher than Beaumont for the office setting.

  • Yuba City

    California · 97036

    Office

    $37.15

    Facility

    Unavailable

    $4.69 higher than Beaumont for the office setting.

  • Colorado

    Colorado · 97036

    Office

    $36.38

    Facility

    Unavailable

    $3.92 higher than Beaumont for the office setting.

  • Connecticut

    Connecticut · 97036

    Office

    $36.92

    Facility

    Unavailable

    $4.46 higher than Beaumont for the office setting.

  • Delaware

    Delaware · 97036

    Office

    $34.45

    Facility

    Unavailable

    $1.99 higher than Beaumont for the office setting.

  • Fort Lauderdale

    Florida · 97036

    Office

    $35.33

    Facility

    Unavailable

    $2.87 higher than Beaumont for the office setting.

  • Rest Of Florida

    Florida · 97036

    Office

    $33.80

    Facility

    Unavailable

    $1.34 higher than Beaumont for the office setting.

  • Atlanta

    Georgia · 97036

    Office

    $35.23

    Facility

    Unavailable

    $2.77 higher than Beaumont for the office setting.

  • Rest Of Georgia

    Georgia · 97036

    Office

    $32.10

    Facility

    Unavailable

    $0.36 lower than Beaumont for the office setting.

  • Hawaii, Guam

    Hawaii · 97036

    Office

    $38.03

    Facility

    Unavailable

    $5.57 higher than Beaumont for the office setting.

  • Iowa

    Iowa · 97036

    Office

    $32.41

    Facility

    Unavailable

    $0.05 lower than Beaumont for the office setting.

  • Idaho

    Idaho · 97036

    Office

    $32.56

    Facility

    Unavailable

    $0.10 higher than Beaumont for the office setting.

  • East St. Louis

    Illinois · 97036

    Office

    $33.07

    Facility

    Unavailable

    $0.61 higher than Beaumont for the office setting.

  • Rest Of Illinois

    Illinois · 97036

    Office

    $32.75

    Facility

    Unavailable

    $0.29 higher than Beaumont for the office setting.

  • Suburban Chicago

    Illinois · 97036

    Office

    $35.74

    Facility

    Unavailable

    $3.28 higher than Beaumont for the office setting.

  • Indiana

    Indiana · 97036

    Office

    $32.74

    Facility

    Unavailable

    $0.28 higher than Beaumont for the office setting.

  • Kansas

    Kansas · 97036

    Office

    $32.17

    Facility

    Unavailable

    $0.29 lower than Beaumont for the office setting.

  • Kentucky

    Kentucky · 97036

    Office

    $31.93

    Facility

    Unavailable

    $0.53 lower than Beaumont for the office setting.

  • New Orleans

    Louisiana · 97036

    Office

    $33.30

    Facility

    Unavailable

    $0.84 higher than Beaumont for the office setting.

  • Rest Of Louisiana

    Louisiana · 97036

    Office

    $31.84

    Facility

    Unavailable

    $0.62 lower than Beaumont for the office setting.

  • Metropolitan Boston

    Massachusetts · 97036

    Office

    $39.94

    Facility

    Unavailable

    $7.48 higher than Beaumont for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 97036

    Office

    $36.15

    Facility

    Unavailable

    $3.69 higher than Beaumont for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 97036

    Office

    $36.79

    Facility

    Unavailable

    $4.33 higher than Beaumont for the office setting.

  • Rest Of Maryland

    Maryland · 97036

    Office

    $35.10

    Facility

    Unavailable

    $2.64 higher than Beaumont for the office setting.

  • Rest Of Maine

    Maine · 97036

    Office

    $32.61

    Facility

    Unavailable

    $0.15 higher than Beaumont for the office setting.

  • Southern Maine

    Maine · 97036

    Office

    $34.39

    Facility

    Unavailable

    $1.93 higher than Beaumont for the office setting.

  • Detroit

    Michigan · 97036

    Office

    $34.09

    Facility

    Unavailable

    $1.63 higher than Beaumont for the office setting.

  • Rest Of Michigan

    Michigan · 97036

    Office

    $32.60

    Facility

    Unavailable

    $0.14 higher than Beaumont for the office setting.

  • Minnesota

    Minnesota · 97036

    Office

    $35.23

    Facility

    Unavailable

    $2.77 higher than Beaumont for the office setting.

  • Metropolitan Kansas City

    Missouri · 97036

    Office

    $33.20

    Facility

    Unavailable

    $0.74 higher than Beaumont for the office setting.

  • Metropolitan St. Louis

    Missouri · 97036

    Office

    $33.54

    Facility

    Unavailable

    $1.08 higher than Beaumont for the office setting.

  • Rest Of Missouri

    Missouri · 97036

    Office

    $31.27

    Facility

    Unavailable

    $1.19 lower than Beaumont for the office setting.

  • Mississippi

    Mississippi · 97036

    Office

    $31.17

    Facility

    Unavailable

    $1.29 lower than Beaumont for the office setting.

  • Montana**

    Montana · 97036

    Office

    $34.74

    Facility

    Unavailable

    $2.28 higher than Beaumont for the office setting.

  • North Carolina

    North Carolina · 97036

    Office

    $32.94

    Facility

    Unavailable

    $0.48 higher than Beaumont for the office setting.

  • North Dakota**

    North Dakota · 97036

    Office

    $34.54

    Facility

    Unavailable

    $2.08 higher than Beaumont for the office setting.

  • Nebraska

    Nebraska · 97036

    Office

    $32.60

    Facility

    Unavailable

    $0.14 higher than Beaumont for the office setting.

  • New Hampshire

    New Hampshire · 97036

    Office

    $35.72

    Facility

    Unavailable

    $3.26 higher than Beaumont for the office setting.

  • Northern Nj

    New Jersey · 97036

    Office

    $39.36

    Facility

    Unavailable

    $6.90 higher than Beaumont for the office setting.

  • Rest Of New Jersey

    New Jersey · 97036

    Office

    $37.45

    Facility

    Unavailable

    $4.99 higher than Beaumont for the office setting.

  • New Mexico

    New Mexico · 97036

    Office

    $32.72

    Facility

    Unavailable

    $0.26 higher than Beaumont for the office setting.

  • Nevada**

    Nevada · 97036

    Office

    $34.71

    Facility

    Unavailable

    $2.25 higher than Beaumont for the office setting.

  • Nyc Suburbs/Long Island

    New York · 97036

    Office

    $40.36

    Facility

    Unavailable

    $7.90 higher than Beaumont for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 97036

    Office

    $37.61

    Facility

    Unavailable

    $5.15 higher than Beaumont for the office setting.

  • Queens

    New York · 97036

    Office

    $40.04

    Facility

    Unavailable

    $7.58 higher than Beaumont for the office setting.

  • Rest Of New York

    New York · 97036

    Office

    $33.39

    Facility

    Unavailable

    $0.93 higher than Beaumont for the office setting.

  • Ohio

    Ohio · 97036

    Office

    $32.56

    Facility

    Unavailable

    $0.10 higher than Beaumont for the office setting.

  • Oklahoma

    Oklahoma · 97036

    Office

    $31.98

    Facility

    Unavailable

    $0.48 lower than Beaumont for the office setting.

  • Portland

    Oregon · 97036

    Office

    $37.58

    Facility

    Unavailable

    $5.12 higher than Beaumont for the office setting.

  • Rest Of Oregon

    Oregon · 97036

    Office

    $34.54

    Facility

    Unavailable

    $2.08 higher than Beaumont for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 97036

    Office

    $36.00

    Facility

    Unavailable

    $3.54 higher than Beaumont for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 97036

    Office

    $32.66

    Facility

    Unavailable

    $0.20 higher than Beaumont for the office setting.

  • Puerto Rico

    Puerto Rico · 97036

    Office

    $35.01

    Facility

    Unavailable

    $2.55 higher than Beaumont for the office setting.

  • Rhode Island

    Rhode Island · 97036

    Office

    $35.71

    Facility

    Unavailable

    $3.25 higher than Beaumont for the office setting.

  • South Carolina

    South Carolina · 97036

    Office

    $32.78

    Facility

    Unavailable

    $0.32 higher than Beaumont for the office setting.

  • South Dakota**

    South Dakota · 97036

    Office

    $34.52

    Facility

    Unavailable

    $2.06 higher than Beaumont for the office setting.

  • Tennessee

    Tennessee · 97036

    Office

    $32.30

    Facility

    Unavailable

    $0.16 lower than Beaumont for the office setting.

  • Utah

    Utah · 97036

    Office

    $33.20

    Facility

    Unavailable

    $0.74 higher than Beaumont for the office setting.

  • Virginia

    Virginia · 97036

    Office

    $34.21

    Facility

    Unavailable

    $1.75 higher than Beaumont for the office setting.

  • Virgin Islands

    United States Virgin Islands · 97036

    Office

    $35.01

    Facility

    Unavailable

    $2.55 higher than Beaumont for the office setting.

  • Vermont

    Vermont · 97036

    Office

    $34.32

    Facility

    Unavailable

    $1.86 higher than Beaumont for the office setting.

  • Rest Of Washington

    Washington · 97036

    Office

    $36.11

    Facility

    Unavailable

    $3.65 higher than Beaumont for the office setting.

  • Seattle (King Cnty)

    Washington · 97036

    Office

    $40.83

    Facility

    Unavailable

    $8.37 higher than Beaumont for the office setting.

  • Wisconsin

    Wisconsin · 97036

    Office

    $33.45

    Facility

    Unavailable

    $0.99 higher than Beaumont for the office setting.

  • West Virginia

    West Virginia · 97036

    Office

    $31.60

    Facility

    Unavailable

    $0.86 lower than Beaumont for the office setting.

  • Wyoming**

    Wyoming · 97036

    Office

    $34.65

    Facility

    Unavailable

    $2.19 higher than Beaumont for the office setting.

See how rates vary across the country

97036 · 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.

$31.04

$41.92

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$40.891
AL$31.461
AR$31.041
AZ$33.911
CA$37.15–$46.6829
CO$36.381
CT$36.921
DC$39.741
DE$34.451
FL$33.80–$36.273
GA$32.10–$35.232
GU$38.031
HI$38.031
IA$32.411
ID$32.561
IL$32.75–$35.744
IN$32.741
KS$32.171
KY$31.931
LA$31.84–$33.302
MA$36.15–$39.942
MD$35.10–$39.743
ME$32.61–$34.392
MI$32.60–$34.092
MN$35.231
MO$31.27–$33.543
MS$31.171
MT$34.741
NC$32.941
ND$34.541
NE$32.601
NH$35.721
NJ$37.45–$39.362
NM$32.721
NV$34.711
NY$33.39–$40.365
OH$32.561
OK$31.981
OR$34.54–$37.582
PA$32.66–$36.002
PR$35.011
RI$35.711
SC$32.781
SD$34.521
TN$32.301
TX$32.46–$36.178
UT$33.201
VA$34.21–$39.742
VI$35.011
VT$34.321
WA$36.11–$40.832
WI$33.451
WV$31.601
WY$34.651

Explore 97036 on the national rate map →

Where does this rate apply?

Beaumont is a Medicare payment area. Our Census mapping connects it to 13 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 97036 in Beaumont. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$35.71

$32.46 × 110% = $35.71

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 97036 in Beaumont.

PPRRVU2026_Oct_nonQPP.csv

12,856

Code
97036
Physician work
0.28
Practice expense
0.75
Malpractice
0.01

GPCI2026.csv

97

Locality
Beaumont
Physician work
1.000
Practice expense
0.910
Malpractice
0.929
Office / nonfacility calculation for 97036 in Beaumont
ComponentRVULocality factorAdjusted
Physician work0.28× 1.0000.2800
Practice expense0.75× 0.9100.6825
Malpractice0.01× 0.9290.0093
Total RVUs0.9718
Conversion factor× 33.4009

Office / nonfacility rate, Beaumont$32.46

Open 97036 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.281
Practice expense0.750.91
Malpractice0.010.929

(0.28 × 1 + 0.75 × 0.91 + 0.01 × 0.929) × $33.4009 = $32.46

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

97036 · Office / nonfacility

$32.46

Effective 2026-10-01

The base rate is $0.61 higher than on 2025-10-01, moving from $31.85 to $32.46 (1.9%).

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

    $31.85changed to$32.46

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 0.77 changed to 0.75
    • Practice expense GPCI 0.903 changed to 0.910
    • Malpractice GPCI 0.947 changed to 0.929

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $31.85

    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$32.46Not available in this settingRVU26D
2026-07-01$32.46Not available in this settingRVU26C
2026-04-01$32.46Not available in this settingRVU26B
2026-01-01$32.46Not available in this settingRVU26A
2025-10-01$31.85Not available in this settingRVU25D
2025-07-01$31.85Not available in this settingRVU25C
2025-04-01$31.85Not available in this settingRVU25B
2025-01-01$31.85Not available in this settingRVU25A

97036 billing questions

When should this code be chosen instead of whirlpool therapy?

Use this code for Hubbard tank treatment. Whirlpool therapy is a separate modality; select the code that matches the equipment and treatment actually provided.

How are units reported?

The code is reported in 15-minute units. Document the treatment duration to support the units billed.

Can active aquatic exercise be reported with this service?

This code represents the tank modality, while aquatic exercise is an active therapeutic procedure. Report both only when each distinct service was provided and documented.

Should modifier 26 be appended?

No. Medicare treats this as a therapy service, not as separate professional and technical components.

What happens to payment when multiple therapy units are billed on the same day?

Medicare reduces the practice expense for the second and later therapy units furnished that day under the therapy multiple procedure payment reduction.

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 97036PPRRVU2026_Oct_nonQPP.csv, line 12,856 (RVU26D)
Geographic factors for BeaumontGPCI2026.csv, line 97 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet