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CMS RVU26D · Effective 2026-10-01

97140 in Beaumont

Office / nonfacility

$26.53

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 97140: Manual therapy techniques, each 15 minutes

Report timed, one-on-one manual therapy for joint or soft tissue mobilization, manual traction, or lymphatic drainage across one or more body regions.

Manual therapy involves skilled, hands-on treatment applied directly to the patient, including joint mobilization, soft tissue and myofascial mobilization, manual traction, and manual lymphatic drainage for lymphedema. Physical therapists and occupational therapists commonly provide it in outpatient clinics, private practices, and hospital outpatient departments; physicians may also perform it. Typical treatment targets include restricted shoulder motion, neck or back mobility, postoperative joint stiffness, and lymphedema.

Report 97140 for direct, one-on-one manual-therapy time, not for each region treated. Document the technique, regions, treatment minutes, and connection to the plan of care. Medicare determines the number of timed therapy units from combined timed-code minutes for the day, then assigns units to the services performed; minutes cannot be counted under two codes. Use the appropriate GP or GO modifier when reporting the service under a physical or occupational therapy plan. As a therapy service, 97140 has no professional or technical component split. Under the therapy multiple procedure payment reduction, practice expense is reduced for the second and later therapy units on the same day.

CMS billing rules for 97140

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 RVU0.43 · 52%
  • Practice expense (office) RVU0.39 · 47%
  • Malpractice RVU0.01 · 1%

29.3M

Medicare services in 2024 · #7 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.

97140 compared with similar codes

Office rates for Beaumont, from the same CMS release.

97124

Massage therapy

15-minute units

$28.11

Massage describes techniques such as stroking, kneading, and percussion of soft tissue. Manual therapy describes techniques such as targeted mobilization, manual traction, or lymphatic drainage.

98940

Chiropractic adjustment

Spinal, 1–2 regions

$25.67

Chiropractic spinal manipulation is reported by the number of spinal regions treated, not by time. Manual therapy is timed; treatment of the same anatomical region is not separately reportable with the manipulation.

97112

Neuromuscular reeducation

Balance, coordination, proprioception, timed

$31.30

Neuromuscular reeducation trains balance, coordination, proprioception, or movement control through patient activity. Manual therapy is hands-on treatment applied to joints or soft tissue.

97110

Therapeutic exercise

One-on-one, each 15 minutes

$27.80

Therapeutic exercise involves the patient performing exercises for strength, range of motion, or endurance. Report manual therapy for the distinct minutes spent delivering a hands-on manual technique.

The same code, a different location

How does Beaumont compare?

In Austin, the office rate for 97140 is $28.47—$1.94 higher than the $26.53 rate in Beaumont. Both use the same code, release and participation basis.

97140 across payment areas

Same release and payment basis · bars start at $0

  1. Beaumont · This locality

    $26.53

  2. Austin

    $28.47

    $1.94 higher than Beaumont

  3. Brazoria

    $27.65

    $1.12 higher than Beaumont

  4. Dallas

    $27.75

    $1.22 higher than Beaumont

  5. $1.10 higher than Beaumont

  6. Galveston

    $27.69

    $1.16 higher than Beaumont

  7. Houston

    $27.87

    $1.34 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, 97140 ranges from $25.72 in Arkansas to $35.60 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 · 97140

    Office

    $27.03

    Facility

    Unavailable

    $0.50 higher than Beaumont for the office setting.

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

    California · 97140

    Office

    $30.58

    Facility

    Unavailable

    $4.05 higher than Beaumont for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 97140

    Office

    $30.85

    Facility

    Unavailable

    $4.32 higher than Beaumont for the office setting.

  • Miami

    Florida · 97140

    Office

    $28.77

    Facility

    Unavailable

    $2.24 higher than Beaumont for the office setting.

  • Chicago

    Illinois · 97140

    Office

    $28.32

    Facility

    Unavailable

    $1.79 higher than Beaumont for the office setting.

  • Manhattan

    New York · 97140

    Office

    $30.95

    Facility

    Unavailable

    $4.42 higher than Beaumont for the office setting.

  • Alaska*

    Alaska · 97140

    Office

    $35.60

    Facility

    Unavailable

    $9.07 higher than Beaumont for the office setting.

  • Alabama

    Alabama · 97140

    Office

    $25.95

    Facility

    Unavailable

    $0.58 lower than Beaumont for the office setting.

  • Arkansas

    Arkansas · 97140

    Office

    $25.72

    Facility

    Unavailable

    $0.81 lower than Beaumont for the office setting.

  • Arizona

    Arizona · 97140

    Office

    $27.27

    Facility

    Unavailable

    $0.74 higher than Beaumont for the office setting.

  • Bakersfield

    California · 97140

    Office

    $29.12

    Facility

    Unavailable

    $2.59 higher than Beaumont for the office setting.

  • Chico

    California · 97140

    Office

    $29.06

    Facility

    Unavailable

    $2.53 higher than Beaumont for the office setting.

  • El Centro

    California · 97140

    Office

    $29.06

    Facility

    Unavailable

    $2.53 higher than Beaumont for the office setting.

  • Fresno

    California · 97140

    Office

    $29.06

    Facility

    Unavailable

    $2.53 higher than Beaumont for the office setting.

  • Hanford-Corcoran

    California · 97140

    Office

    $29.06

    Facility

    Unavailable

    $2.53 higher than Beaumont for the office setting.

  • Madera

    California · 97140

    Office

    $29.06

    Facility

    Unavailable

    $2.53 higher than Beaumont for the office setting.

  • Merced

    California · 97140

    Office

    $29.06

    Facility

    Unavailable

    $2.53 higher than Beaumont for the office setting.

  • Modesto

    California · 97140

    Office

    $29.06

    Facility

    Unavailable

    $2.53 higher than Beaumont for the office setting.

  • Napa

    California · 97140

    Office

    $32.61

    Facility

    Unavailable

    $6.08 higher than Beaumont for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 97140

    Office

    $30.37

    Facility

    Unavailable

    $3.84 higher than Beaumont for the office setting.

  • Redding

    California · 97140

    Office

    $29.06

    Facility

    Unavailable

    $2.53 higher than Beaumont for the office setting.

  • Rest Of California

    California · 97140

    Office

    $29.06

    Facility

    Unavailable

    $2.53 higher than Beaumont for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 97140

    Office

    $29.18

    Facility

    Unavailable

    $2.65 higher than Beaumont for the office setting.

  • Sacramento-Roseville-Folsom

    California · 97140

    Office

    $30.21

    Facility

    Unavailable

    $3.68 higher than Beaumont for the office setting.

  • Salinas

    California · 97140

    Office

    $30.08

    Facility

    Unavailable

    $3.55 higher than Beaumont for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 97140

    Office

    $30.55

    Facility

    Unavailable

    $4.02 higher than Beaumont for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 97140

    Office

    $34.25

    Facility

    Unavailable

    $7.72 higher than Beaumont for the office setting.

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

    California · 97140

    Office

    $34.24

    Facility

    Unavailable

    $7.71 higher than Beaumont for the office setting.

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

    California · 97140

    Office

    $34.91

    Facility

    Unavailable

    $8.38 higher than Beaumont for the office setting.

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

    California · 97140

    Office

    $34.86

    Facility

    Unavailable

    $8.33 higher than Beaumont for the office setting.

  • San Luis Obispo-Paso Robles

    California · 97140

    Office

    $29.62

    Facility

    Unavailable

    $3.09 higher than Beaumont for the office setting.

  • Santa Cruz-Watsonville

    California · 97140

    Office

    $30.67

    Facility

    Unavailable

    $4.14 higher than Beaumont for the office setting.

  • Santa Maria-Santa Barbara

    California · 97140

    Office

    $30.13

    Facility

    Unavailable

    $3.60 higher than Beaumont for the office setting.

  • Santa Rosa-Petaluma

    California · 97140

    Office

    $30.97

    Facility

    Unavailable

    $4.44 higher than Beaumont for the office setting.

  • Stockton

    California · 97140

    Office

    $29.06

    Facility

    Unavailable

    $2.53 higher than Beaumont for the office setting.

  • Vallejo

    California · 97140

    Office

    $32.59

    Facility

    Unavailable

    $6.06 higher than Beaumont for the office setting.

  • Visalia

    California · 97140

    Office

    $29.06

    Facility

    Unavailable

    $2.53 higher than Beaumont for the office setting.

  • Yuba City

    California · 97140

    Office

    $29.06

    Facility

    Unavailable

    $2.53 higher than Beaumont for the office setting.

  • Colorado

    Colorado · 97140

    Office

    $28.66

    Facility

    Unavailable

    $2.13 higher than Beaumont for the office setting.

  • Connecticut

    Connecticut · 97140

    Office

    $29.08

    Facility

    Unavailable

    $2.55 higher than Beaumont for the office setting.

  • Delaware

    Delaware · 97140

    Office

    $27.60

    Facility

    Unavailable

    $1.07 higher than Beaumont for the office setting.

  • Fort Lauderdale

    Florida · 97140

    Office

    $28.16

    Facility

    Unavailable

    $1.63 higher than Beaumont for the office setting.

  • Rest Of Florida

    Florida · 97140

    Office

    $27.32

    Facility

    Unavailable

    $0.79 higher than Beaumont for the office setting.

  • Atlanta

    Georgia · 97140

    Office

    $28.04

    Facility

    Unavailable

    $1.51 higher than Beaumont for the office setting.

  • Rest Of Georgia

    Georgia · 97140

    Office

    $26.38

    Facility

    Unavailable

    $0.15 lower than Beaumont for the office setting.

  • Hawaii, Guam

    Hawaii · 97140

    Office

    $29.37

    Facility

    Unavailable

    $2.84 higher than Beaumont for the office setting.

  • Iowa

    Iowa · 97140

    Office

    $26.41

    Facility

    Unavailable

    $0.12 lower than Beaumont for the office setting.

  • Idaho

    Idaho · 97140

    Office

    $26.50

    Facility

    Unavailable

    $0.03 lower than Beaumont for the office setting.

  • East St. Louis

    Illinois · 97140

    Office

    $27.02

    Facility

    Unavailable

    $0.49 higher than Beaumont for the office setting.

  • Rest Of Illinois

    Illinois · 97140

    Office

    $26.78

    Facility

    Unavailable

    $0.25 higher than Beaumont for the office setting.

  • Suburban Chicago

    Illinois · 97140

    Office

    $28.43

    Facility

    Unavailable

    $1.90 higher than Beaumont for the office setting.

  • Indiana

    Indiana · 97140

    Office

    $26.60

    Facility

    Unavailable

    $0.07 higher than Beaumont for the office setting.

  • Kansas

    Kansas · 97140

    Office

    $26.31

    Facility

    Unavailable

    $0.22 lower than Beaumont for the office setting.

  • Kentucky

    Kentucky · 97140

    Office

    $26.25

    Facility

    Unavailable

    $0.28 lower than Beaumont for the office setting.

  • New Orleans

    Louisiana · 97140

    Office

    $27.00

    Facility

    Unavailable

    $0.47 higher than Beaumont for the office setting.

  • Rest Of Louisiana

    Louisiana · 97140

    Office

    $26.21

    Facility

    Unavailable

    $0.32 lower than Beaumont for the office setting.

  • Metropolitan Boston

    Massachusetts · 97140

    Office

    $30.80

    Facility

    Unavailable

    $4.27 higher than Beaumont for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 97140

    Office

    $28.58

    Facility

    Unavailable

    $2.05 higher than Beaumont for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 97140

    Office

    $28.98

    Facility

    Unavailable

    $2.45 higher than Beaumont for the office setting.

  • Rest Of Maryland

    Maryland · 97140

    Office

    $28.00

    Facility

    Unavailable

    $1.47 higher than Beaumont for the office setting.

  • Rest Of Maine

    Maine · 97140

    Office

    $26.55

    Facility

    Unavailable

    $0.02 higher than Beaumont for the office setting.

  • Southern Maine

    Maine · 97140

    Office

    $27.48

    Facility

    Unavailable

    $0.95 higher than Beaumont for the office setting.

  • Detroit

    Michigan · 97140

    Office

    $27.50

    Facility

    Unavailable

    $0.97 higher than Beaumont for the office setting.

  • Rest Of Michigan

    Michigan · 97140

    Office

    $26.63

    Facility

    Unavailable

    $0.10 higher than Beaumont for the office setting.

  • Minnesota

    Minnesota · 97140

    Office

    $27.87

    Facility

    Unavailable

    $1.34 higher than Beaumont for the office setting.

  • Metropolitan Kansas City

    Missouri · 97140

    Office

    $26.92

    Facility

    Unavailable

    $0.39 higher than Beaumont for the office setting.

  • Metropolitan St. Louis

    Missouri · 97140

    Office

    $27.10

    Facility

    Unavailable

    $0.57 higher than Beaumont for the office setting.

  • Rest Of Missouri

    Missouri · 97140

    Office

    $25.92

    Facility

    Unavailable

    $0.61 lower than Beaumont for the office setting.

  • Mississippi

    Mississippi · 97140

    Office

    $25.82

    Facility

    Unavailable

    $0.71 lower than Beaumont for the office setting.

  • Montana**

    Montana · 97140

    Office

    $27.72

    Facility

    Unavailable

    $1.19 higher than Beaumont for the office setting.

  • North Carolina

    North Carolina · 97140

    Office

    $26.73

    Facility

    Unavailable

    $0.20 higher than Beaumont for the office setting.

  • North Dakota**

    North Dakota · 97140

    Office

    $27.52

    Facility

    Unavailable

    $0.99 higher than Beaumont for the office setting.

  • Nebraska

    Nebraska · 97140

    Office

    $26.51

    Facility

    Unavailable

    $0.02 lower than Beaumont for the office setting.

  • New Hampshire

    New Hampshire · 97140

    Office

    $28.22

    Facility

    Unavailable

    $1.69 higher than Beaumont for the office setting.

  • Northern Nj

    New Jersey · 97140

    Office

    $30.73

    Facility

    Unavailable

    $4.20 higher than Beaumont for the office setting.

  • Rest Of New Jersey

    New Jersey · 97140

    Office

    $29.53

    Facility

    Unavailable

    $3.00 higher than Beaumont for the office setting.

  • New Mexico

    New Mexico · 97140

    Office

    $26.71

    Facility

    Unavailable

    $0.18 higher than Beaumont for the office setting.

  • Nevada**

    Nevada · 97140

    Office

    $27.68

    Facility

    Unavailable

    $1.15 higher than Beaumont for the office setting.

  • Nyc Suburbs/Long Island

    New York · 97140

    Office

    $31.39

    Facility

    Unavailable

    $4.86 higher than Beaumont for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 97140

    Office

    $29.68

    Facility

    Unavailable

    $3.15 higher than Beaumont for the office setting.

  • Queens

    New York · 97140

    Office

    $31.16

    Facility

    Unavailable

    $4.63 higher than Beaumont for the office setting.

  • Rest Of New York

    New York · 97140

    Office

    $26.97

    Facility

    Unavailable

    $0.44 higher than Beaumont for the office setting.

  • Ohio

    Ohio · 97140

    Office

    $26.59

    Facility

    Unavailable

    $0.06 higher than Beaumont for the office setting.

  • Oklahoma

    Oklahoma · 97140

    Office

    $26.25

    Facility

    Unavailable

    $0.28 lower than Beaumont for the office setting.

  • Portland

    Oregon · 97140

    Office

    $29.31

    Facility

    Unavailable

    $2.78 higher than Beaumont for the office setting.

  • Rest Of Oregon

    Oregon · 97140

    Office

    $27.57

    Facility

    Unavailable

    $1.04 higher than Beaumont for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 97140

    Office

    $28.58

    Facility

    Unavailable

    $2.05 higher than Beaumont for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 97140

    Office

    $26.64

    Facility

    Unavailable

    $0.11 higher than Beaumont for the office setting.

  • Puerto Rico

    Puerto Rico · 97140

    Office

    $27.86

    Facility

    Unavailable

    $1.33 higher than Beaumont for the office setting.

  • Rhode Island

    Rhode Island · 97140

    Office

    $28.39

    Facility

    Unavailable

    $1.86 higher than Beaumont for the office setting.

  • South Carolina

    South Carolina · 97140

    Office

    $26.68

    Facility

    Unavailable

    $0.15 higher than Beaumont for the office setting.

  • South Dakota**

    South Dakota · 97140

    Office

    $27.50

    Facility

    Unavailable

    $0.97 higher than Beaumont for the office setting.

  • Tennessee

    Tennessee · 97140

    Office

    $26.38

    Facility

    Unavailable

    $0.15 lower than Beaumont for the office setting.

  • Utah

    Utah · 97140

    Office

    $26.91

    Facility

    Unavailable

    $0.38 higher than Beaumont for the office setting.

  • Virginia

    Virginia · 97140

    Office

    $27.40

    Facility

    Unavailable

    $0.87 higher than Beaumont for the office setting.

  • Virgin Islands

    United States Virgin Islands · 97140

    Office

    $27.86

    Facility

    Unavailable

    $1.33 higher than Beaumont for the office setting.

  • Vermont

    Vermont · 97140

    Office

    $27.43

    Facility

    Unavailable

    $0.90 higher than Beaumont for the office setting.

  • Rest Of Washington

    Washington · 97140

    Office

    $28.52

    Facility

    Unavailable

    $1.99 higher than Beaumont for the office setting.

  • Seattle (King Cnty)

    Washington · 97140

    Office

    $31.34

    Facility

    Unavailable

    $4.81 higher than Beaumont for the office setting.

  • Wisconsin

    Wisconsin · 97140

    Office

    $26.94

    Facility

    Unavailable

    $0.41 higher than Beaumont for the office setting.

  • West Virginia

    West Virginia · 97140

    Office

    $26.16

    Facility

    Unavailable

    $0.37 lower than Beaumont for the office setting.

  • Wyoming**

    Wyoming · 97140

    Office

    $27.64

    Facility

    Unavailable

    $1.11 higher than Beaumont for the office setting.

See how rates vary across the country

97140 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

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.

$25.72

$35.60

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$35.601
AL$25.951
AR$25.721
AZ$27.271
CA$29.06–$34.9129
CO$28.661
CT$29.081
DC$30.851
DE$27.601
FL$27.32–$28.773
GA$26.38–$28.042
GU$29.371
HI$29.371
IA$26.411
ID$26.501
IL$26.78–$28.434
IN$26.601
KS$26.311
KY$26.251
LA$26.21–$27.002
MA$28.58–$30.802
MD$28.00–$30.853
ME$26.55–$27.482
MI$26.63–$27.502
MN$27.871
MO$25.92–$27.103
MS$25.821
MT$27.721
NC$26.731
ND$27.521
NE$26.511
NH$28.221
NJ$29.53–$30.732
NM$26.711
NV$27.681
NY$26.97–$31.395
OH$26.591
OK$26.251
OR$27.57–$29.312
PA$26.64–$28.582
PR$27.861
RI$28.391
SC$26.681
SD$27.501
TN$26.381
TX$26.53–$28.478
UT$26.911
VA$27.40–$30.852
VI$27.861
VT$27.431
WA$28.52–$31.342
WI$26.941
WV$26.161
WY$27.641

Explore 97140 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.

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 97140 in Beaumont. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$29.18

$26.53 × 110% = $29.18

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

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

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Physical therapy

Compare selected outpatient therapy base rates before claim-level adjustments.

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 97140 in Beaumont.

PPRRVU2026_Oct_nonQPP.csv

12,867

Code
97140
Physician work
0.43
Practice expense
0.39
Malpractice
0.01

GPCI2026.csv

97

Locality
Beaumont
Physician work
1.000
Practice expense
0.910
Malpractice
0.929
Office / nonfacility calculation for 97140 in Beaumont
ComponentRVULocality factorAdjusted
Physician work0.43× 1.0000.4300
Practice expense0.39× 0.9100.3549
Malpractice0.01× 0.9290.0093
Total RVUs0.7942
Conversion factor× 33.4009

Office / nonfacility rate, Beaumont$26.53

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.

Open 97140 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.431
Practice expense0.390.91
Malpractice0.010.929

(0.43 × 1 + 0.39 × 0.91 + 0.01 × 0.929) × $33.4009 = $26.53

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

97140 · Office / nonfacility

$26.53

Effective 2026-10-01

The base rate is $0.63 higher than on 2025-10-01, moving from $25.90 to $26.53 (2.4%).

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

    $25.90changed to$26.53

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 0.40 changed to 0.39
    • 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: $25.90

    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$26.53Not available in this settingRVU26D
2026-07-01$26.53Not available in this settingRVU26C
2026-04-01$26.53Not available in this settingRVU26B
2026-01-01$26.53Not available in this settingRVU26A
2025-10-01$25.90Not available in this settingRVU25D
2025-07-01$25.90Not available in this settingRVU25C
2025-04-01$25.90Not available in this settingRVU25B
2025-01-01$25.90Not available in this settingRVU25A

97140 billing questions

Do I bill one unit per body region treated?

No. Regions do not determine units; direct treatment minutes do. Fifteen minutes of manual therapy across the cervical and thoracic spine is one timed unit when no other timed service changes the day's unit allocation.

Can manual therapy be billed with chiropractic spinal manipulation on the same day?

Manual therapy on the same anatomical region as spinal manipulation is not separately reportable. A distinct region may support modifier 59 or XS on 97140 when documentation meets the applicable NCCI edit requirements; Medicare does not cover 97140 when furnished by a chiropractor.

How is manual therapy different from massage?

Massage covers techniques such as stroking, kneading, and percussion of soft tissue. Choose 97140 for a documented manual-therapy technique such as joint mobilization, manual traction, or lymphatic drainage; do not count the same treatment minutes under both codes.

Can manual lymphatic drainage be reported with this code?

Yes. Document the drainage technique, treated region, and direct treatment minutes. Applying compression bandaging afterward does not automatically create another 97140 unit or a separately billable service.

What modifiers are used on Medicare therapy claims for 97140?

Use GP for treatment under a physical therapy plan or GO for treatment under an occupational therapy plan. Use modifier 59 or an appropriate X modifier only when a documented, distinct service meets the requirements for overriding an applicable NCCI edit.

Are Medicare claims from chiropractors for this code payable?

No. Medicare coverage for services furnished by chiropractors is limited to qualifying spinal manipulation for subluxation; it does not cover manual therapy furnished by a chiropractor.

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 97140PPRRVU2026_Oct_nonQPP.csv, line 12,867 (RVU26D)
Geographic factors for BeaumontGPCI2026.csv, line 97 (RVU26D)