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CMS RVU26D · Effective 2026-10-01

97537 in Beaumont

Office / nonfacility

$30.63

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 97537: Community and work reintegration training

Reports skilled, one-on-one training that helps a patient manage practical activities in community settings or prepare for participation in a work environment.

A therapist works directly with the patient on functional skills needed outside the clinic, such as navigating public transportation, shopping, managing money, or carrying out tasks related to a work setting. Work-focused services may include analyzing job tasks or the work environment and training the patient to use adaptive equipment. Occupational therapists commonly provide this rehabilitation service; physical therapists may provide it when the training fits the plan of care. Activities address the patient’s functional goals rather than general exercise alone.

Report one unit for each 15 minutes of direct, one-on-one service. Documentation should identify the activity practiced, its connection to the patient’s functional goals, the skilled instruction or adaptation provided, and the treatment time. Distinguish community or work reintegration from self-care instruction, general therapeutic activities, and work-hardening programs based on the activity and purpose. The professional component modifier does not apply to this therapy service. When multiple therapy units are reported on the same day, CMS reduces practice expense for the second and later units.

CMS billing rules for 97537

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 RVU0.48 · 50%
  • Practice expense (office) RVU0.47 · 49%
  • Malpractice RVU0.01 · 1%

10.7K

Medicare services in 2024 · #1438 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.

97537 compared with similar codes

Office rates for Beaumont, from the same CMS release.

97535

Self-care training

ADL and home management, per 15 minutes

$30.84

Choose 97535 for training in personal self-care or home-management tasks. Choose 97537 for functional activities in community settings or work-related contexts.

97530

Therapeutic activities

One-on-one, each 15 minutes

$33.24

97530 covers functional therapeutic activities; 97537 is directed to practical community or work participation, such as transportation or work-task adaptation.

97545

Work hardening

No office rate

97545 is for a work-hardening program. Use 97537 for separately provided community or work reintegration training, not the work-hardening service itself.

97542

Wheelchair training

Assessment, fitting, and use

$29.72

97542 is specific to wheelchair management training. Use 97537 for broader community or work reintegration activities rather than wheelchair skills alone.

The same code, a different location

How does Beaumont compare?

In Austin, the office rate for 97537 is $32.97—$2.34 higher than the $30.63 rate in Beaumont. Both use the same code, release and participation basis.

97537 across payment areas

Same release and payment basis · bars start at $0

  1. Beaumont · This locality

    $30.63

  2. Austin

    $32.97

    $2.34 higher than Beaumont

  3. Brazoria

    $31.98

    $1.35 higher than Beaumont

  4. Dallas

    $32.10

    $1.47 higher than Beaumont

  5. Fort Worth

    $31.95

    $1.32 higher than Beaumont

  6. Galveston

    $32.03

    $1.40 higher than Beaumont

  7. Houston

    $32.21

    $1.58 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, 97537 ranges from $29.69 in Arkansas to $40.95 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 · 97537

    Office

    $31.23

    Facility

    Unavailable

    $0.60 higher than Beaumont for the office setting.

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

    California · 97537

    Office

    $35.48

    Facility

    Unavailable

    $4.85 higher than Beaumont for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 97537

    Office

    $35.76

    Facility

    Unavailable

    $5.13 higher than Beaumont for the office setting.

  • Miami

    Florida · 97537

    Office

    $33.22

    Facility

    Unavailable

    $2.59 higher than Beaumont for the office setting.

  • Chicago

    Illinois · 97537

    Office

    $32.69

    Facility

    Unavailable

    $2.06 higher than Beaumont for the office setting.

  • Manhattan

    New York · 97537

    Office

    $35.83

    Facility

    Unavailable

    $5.20 higher than Beaumont for the office setting.

  • Alaska*

    Alaska · 97537

    Office

    $40.95

    Facility

    Unavailable

    $10.32 higher than Beaumont for the office setting.

  • Alabama

    Alabama · 97537

    Office

    $29.96

    Facility

    Unavailable

    $0.67 lower than Beaumont for the office setting.

  • Arkansas

    Arkansas · 97537

    Office

    $29.69

    Facility

    Unavailable

    $0.94 lower than Beaumont for the office setting.

  • Arizona

    Arizona · 97537

    Office

    $31.53

    Facility

    Unavailable

    $0.90 higher than Beaumont for the office setting.

  • Bakersfield

    California · 97537

    Office

    $33.75

    Facility

    Unavailable

    $3.12 higher than Beaumont for the office setting.

  • Chico

    California · 97537

    Office

    $33.69

    Facility

    Unavailable

    $3.06 higher than Beaumont for the office setting.

  • El Centro

    California · 97537

    Office

    $33.69

    Facility

    Unavailable

    $3.06 higher than Beaumont for the office setting.

  • Fresno

    California · 97537

    Office

    $33.69

    Facility

    Unavailable

    $3.06 higher than Beaumont for the office setting.

  • Hanford-Corcoran

    California · 97537

    Office

    $33.69

    Facility

    Unavailable

    $3.06 higher than Beaumont for the office setting.

  • Madera

    California · 97537

    Office

    $33.69

    Facility

    Unavailable

    $3.06 higher than Beaumont for the office setting.

  • Merced

    California · 97537

    Office

    $33.69

    Facility

    Unavailable

    $3.06 higher than Beaumont for the office setting.

  • Modesto

    California · 97537

    Office

    $33.69

    Facility

    Unavailable

    $3.06 higher than Beaumont for the office setting.

  • Napa

    California · 97537

    Office

    $37.90

    Facility

    Unavailable

    $7.27 higher than Beaumont for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 97537

    Office

    $35.24

    Facility

    Unavailable

    $4.61 higher than Beaumont for the office setting.

  • Redding

    California · 97537

    Office

    $33.69

    Facility

    Unavailable

    $3.06 higher than Beaumont for the office setting.

  • Rest Of California

    California · 97537

    Office

    $33.69

    Facility

    Unavailable

    $3.06 higher than Beaumont for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 97537

    Office

    $33.81

    Facility

    Unavailable

    $3.18 higher than Beaumont for the office setting.

  • Sacramento-Roseville-Folsom

    California · 97537

    Office

    $35.05

    Facility

    Unavailable

    $4.42 higher than Beaumont for the office setting.

  • Salinas

    California · 97537

    Office

    $34.90

    Facility

    Unavailable

    $4.27 higher than Beaumont for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 97537

    Office

    $35.47

    Facility

    Unavailable

    $4.84 higher than Beaumont for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 97537

    Office

    $39.84

    Facility

    Unavailable

    $9.21 higher than Beaumont for the office setting.

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

    California · 97537

    Office

    $39.83

    Facility

    Unavailable

    $9.20 higher than Beaumont for the office setting.

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

    California · 97537

    Office

    $40.61

    Facility

    Unavailable

    $9.98 higher than Beaumont for the office setting.

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

    California · 97537

    Office

    $40.57

    Facility

    Unavailable

    $9.94 higher than Beaumont for the office setting.

  • San Luis Obispo-Paso Robles

    California · 97537

    Office

    $34.36

    Facility

    Unavailable

    $3.73 higher than Beaumont for the office setting.

  • Santa Cruz-Watsonville

    California · 97537

    Office

    $35.62

    Facility

    Unavailable

    $4.99 higher than Beaumont for the office setting.

  • Santa Maria-Santa Barbara

    California · 97537

    Office

    $34.96

    Facility

    Unavailable

    $4.33 higher than Beaumont for the office setting.

  • Santa Rosa-Petaluma

    California · 97537

    Office

    $35.97

    Facility

    Unavailable

    $5.34 higher than Beaumont for the office setting.

  • Stockton

    California · 97537

    Office

    $33.69

    Facility

    Unavailable

    $3.06 higher than Beaumont for the office setting.

  • Vallejo

    California · 97537

    Office

    $37.89

    Facility

    Unavailable

    $7.26 higher than Beaumont for the office setting.

  • Visalia

    California · 97537

    Office

    $33.69

    Facility

    Unavailable

    $3.06 higher than Beaumont for the office setting.

  • Yuba City

    California · 97537

    Office

    $33.69

    Facility

    Unavailable

    $3.06 higher than Beaumont for the office setting.

  • Colorado

    Colorado · 97537

    Office

    $33.19

    Facility

    Unavailable

    $2.56 higher than Beaumont for the office setting.

  • Connecticut

    Connecticut · 97537

    Office

    $33.66

    Facility

    Unavailable

    $3.03 higher than Beaumont for the office setting.

  • Delaware

    Delaware · 97537

    Office

    $31.92

    Facility

    Unavailable

    $1.29 higher than Beaumont for the office setting.

  • Fort Lauderdale

    Florida · 97537

    Office

    $32.54

    Facility

    Unavailable

    $1.91 higher than Beaumont for the office setting.

  • Rest Of Florida

    Florida · 97537

    Office

    $31.54

    Facility

    Unavailable

    $0.91 higher than Beaumont for the office setting.

  • Atlanta

    Georgia · 97537

    Office

    $32.43

    Facility

    Unavailable

    $1.80 higher than Beaumont for the office setting.

  • Rest Of Georgia

    Georgia · 97537

    Office

    $30.43

    Facility

    Unavailable

    $0.20 lower than Beaumont for the office setting.

  • Hawaii, Guam

    Hawaii · 97537

    Office

    $34.07

    Facility

    Unavailable

    $3.44 higher than Beaumont for the office setting.

  • Iowa

    Iowa · 97537

    Office

    $30.53

    Facility

    Unavailable

    $0.10 lower than Beaumont for the office setting.

  • Idaho

    Idaho · 97537

    Office

    $30.63

    Facility

    Unavailable

    The same base rate than Beaumont for the office setting.

  • East St. Louis

    Illinois · 97537

    Office

    $31.15

    Facility

    Unavailable

    $0.52 higher than Beaumont for the office setting.

  • Rest Of Illinois

    Illinois · 97537

    Office

    $30.89

    Facility

    Unavailable

    $0.26 higher than Beaumont for the office setting.

  • Suburban Chicago

    Illinois · 97537

    Office

    $32.86

    Facility

    Unavailable

    $2.23 higher than Beaumont for the office setting.

  • Indiana

    Indiana · 97537

    Office

    $30.75

    Facility

    Unavailable

    $0.12 higher than Beaumont for the office setting.

  • Kansas

    Kansas · 97537

    Office

    $30.39

    Facility

    Unavailable

    $0.24 lower than Beaumont for the office setting.

  • Kentucky

    Kentucky · 97537

    Office

    $30.29

    Facility

    Unavailable

    $0.34 lower than Beaumont for the office setting.

  • New Orleans

    Louisiana · 97537

    Office

    $31.18

    Facility

    Unavailable

    $0.55 higher than Beaumont for the office setting.

  • Rest Of Louisiana

    Louisiana · 97537

    Office

    $30.25

    Facility

    Unavailable

    $0.38 lower than Beaumont for the office setting.

  • Metropolitan Boston

    Massachusetts · 97537

    Office

    $35.73

    Facility

    Unavailable

    $5.10 higher than Beaumont for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 97537

    Office

    $33.09

    Facility

    Unavailable

    $2.46 higher than Beaumont for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 97537

    Office

    $33.55

    Facility

    Unavailable

    $2.92 higher than Beaumont for the office setting.

  • Rest Of Maryland

    Maryland · 97537

    Office

    $32.39

    Facility

    Unavailable

    $1.76 higher than Beaumont for the office setting.

  • Rest Of Maine

    Maine · 97537

    Office

    $30.68

    Facility

    Unavailable

    $0.05 higher than Beaumont for the office setting.

  • Southern Maine

    Maine · 97537

    Office

    $31.80

    Facility

    Unavailable

    $1.17 higher than Beaumont for the office setting.

  • Detroit

    Michigan · 97537

    Office

    $31.74

    Facility

    Unavailable

    $1.11 higher than Beaumont for the office setting.

  • Rest Of Michigan

    Michigan · 97537

    Office

    $30.74

    Facility

    Unavailable

    $0.11 higher than Beaumont for the office setting.

  • Minnesota

    Minnesota · 97537

    Office

    $32.28

    Facility

    Unavailable

    $1.65 higher than Beaumont for the office setting.

  • Metropolitan Kansas City

    Missouri · 97537

    Office

    $31.10

    Facility

    Unavailable

    $0.47 higher than Beaumont for the office setting.

  • Metropolitan St. Louis

    Missouri · 97537

    Office

    $31.31

    Facility

    Unavailable

    $0.68 higher than Beaumont for the office setting.

  • Rest Of Missouri

    Missouri · 97537

    Office

    $29.89

    Facility

    Unavailable

    $0.74 lower than Beaumont for the office setting.

  • Mississippi

    Mississippi · 97537

    Office

    $29.80

    Facility

    Unavailable

    $0.83 lower than Beaumont for the office setting.

  • Montana**

    Montana · 97537

    Office

    $32.06

    Facility

    Unavailable

    $1.43 higher than Beaumont for the office setting.

  • North Carolina

    North Carolina · 97537

    Office

    $30.89

    Facility

    Unavailable

    $0.26 higher than Beaumont for the office setting.

  • North Dakota**

    North Dakota · 97537

    Office

    $31.87

    Facility

    Unavailable

    $1.24 higher than Beaumont for the office setting.

  • Nebraska

    Nebraska · 97537

    Office

    $30.65

    Facility

    Unavailable

    $0.02 higher than Beaumont for the office setting.

  • New Hampshire

    New Hampshire · 97537

    Office

    $32.67

    Facility

    Unavailable

    $2.04 higher than Beaumont for the office setting.

  • Northern Nj

    New Jersey · 97537

    Office

    $35.61

    Facility

    Unavailable

    $4.98 higher than Beaumont for the office setting.

  • Rest Of New Jersey

    New Jersey · 97537

    Office

    $34.18

    Facility

    Unavailable

    $3.55 higher than Beaumont for the office setting.

  • New Mexico

    New Mexico · 97537

    Office

    $30.83

    Facility

    Unavailable

    $0.20 higher than Beaumont for the office setting.

  • Nevada**

    Nevada · 97537

    Office

    $32.02

    Facility

    Unavailable

    $1.39 higher than Beaumont for the office setting.

  • Nyc Suburbs/Long Island

    New York · 97537

    Office

    $36.34

    Facility

    Unavailable

    $5.71 higher than Beaumont for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 97537

    Office

    $34.35

    Facility

    Unavailable

    $3.72 higher than Beaumont for the office setting.

  • Queens

    New York · 97537

    Office

    $36.10

    Facility

    Unavailable

    $5.47 higher than Beaumont for the office setting.

  • Rest Of New York

    New York · 97537

    Office

    $31.18

    Facility

    Unavailable

    $0.55 higher than Beaumont for the office setting.

  • Ohio

    Ohio · 97537

    Office

    $30.70

    Facility

    Unavailable

    $0.07 higher than Beaumont for the office setting.

  • Oklahoma

    Oklahoma · 97537

    Office

    $30.31

    Facility

    Unavailable

    $0.32 lower than Beaumont for the office setting.

  • Portland

    Oregon · 97537

    Office

    $33.98

    Facility

    Unavailable

    $3.35 higher than Beaumont for the office setting.

  • Rest Of Oregon

    Oregon · 97537

    Office

    $31.90

    Facility

    Unavailable

    $1.27 higher than Beaumont for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 97537

    Office

    $33.06

    Facility

    Unavailable

    $2.43 higher than Beaumont for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 97537

    Office

    $30.76

    Facility

    Unavailable

    $0.13 higher than Beaumont for the office setting.

  • Puerto Rico

    Puerto Rico · 97537

    Office

    $32.23

    Facility

    Unavailable

    $1.60 higher than Beaumont for the office setting.

  • Rhode Island

    Rhode Island · 97537

    Office

    $32.85

    Facility

    Unavailable

    $2.22 higher than Beaumont for the office setting.

  • South Carolina

    South Carolina · 97537

    Office

    $30.82

    Facility

    Unavailable

    $0.19 higher than Beaumont for the office setting.

  • South Dakota**

    South Dakota · 97537

    Office

    $31.84

    Facility

    Unavailable

    $1.21 higher than Beaumont for the office setting.

  • Tennessee

    Tennessee · 97537

    Office

    $30.48

    Facility

    Unavailable

    $0.15 lower than Beaumont for the office setting.

  • Utah

    Utah · 97537

    Office

    $31.09

    Facility

    Unavailable

    $0.46 higher than Beaumont for the office setting.

  • Virginia

    Virginia · 97537

    Office

    $31.70

    Facility

    Unavailable

    $1.07 higher than Beaumont for the office setting.

  • Virgin Islands

    United States Virgin Islands · 97537

    Office

    $32.23

    Facility

    Unavailable

    $1.60 higher than Beaumont for the office setting.

  • Vermont

    Vermont · 97537

    Office

    $31.74

    Facility

    Unavailable

    $1.11 higher than Beaumont for the office setting.

  • Rest Of Washington

    Washington · 97537

    Office

    $33.03

    Facility

    Unavailable

    $2.40 higher than Beaumont for the office setting.

  • Seattle (King Cnty)

    Washington · 97537

    Office

    $36.37

    Facility

    Unavailable

    $5.74 higher than Beaumont for the office setting.

  • Wisconsin

    Wisconsin · 97537

    Office

    $31.17

    Facility

    Unavailable

    $0.54 higher than Beaumont for the office setting.

  • West Virginia

    West Virginia · 97537

    Office

    $30.15

    Facility

    Unavailable

    $0.48 lower than Beaumont for the office setting.

  • Wyoming**

    Wyoming · 97537

    Office

    $31.98

    Facility

    Unavailable

    $1.35 higher than Beaumont for the office setting.

See how rates vary across the country

97537 · 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.

$29.69

$40.95

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$40.951
AL$29.961
AR$29.691
AZ$31.531
CA$33.69–$40.6129
CO$33.191
CT$33.661
DC$35.761
DE$31.921
FL$31.54–$33.223
GA$30.43–$32.432
GU$34.071
HI$34.071
IA$30.531
ID$30.631
IL$30.89–$32.864
IN$30.751
KS$30.391
KY$30.291
LA$30.25–$31.182
MA$33.09–$35.732
MD$32.39–$35.763
ME$30.68–$31.802
MI$30.74–$31.742
MN$32.281
MO$29.89–$31.313
MS$29.801
MT$32.061
NC$30.891
ND$31.871
NE$30.651
NH$32.671
NJ$34.18–$35.612
NM$30.831
NV$32.021
NY$31.18–$36.345
OH$30.701
OK$30.311
OR$31.90–$33.982
PA$30.76–$33.062
PR$32.231
RI$32.851
SC$30.821
SD$31.841
TN$30.481
TX$30.63–$32.978
UT$31.091
VA$31.70–$35.762
VI$32.231
VT$31.741
WA$33.03–$36.372
WI$31.171
WV$30.151
WY$31.981

Explore 97537 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 97537 in Beaumont. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$33.69

$30.63 × 110% = $33.69

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.

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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 97537 in Beaumont.

PPRRVU2026_Oct_nonQPP.csv

12,892

Code
97537
Physician work
0.48
Practice expense
0.47
Malpractice
0.01

GPCI2026.csv

97

Locality
Beaumont
Physician work
1.000
Practice expense
0.910
Malpractice
0.929
Office / nonfacility calculation for 97537 in Beaumont
ComponentRVULocality factorAdjusted
Physician work0.48× 1.0000.4800
Practice expense0.47× 0.9100.4277
Malpractice0.01× 0.9290.0093
Total RVUs0.9170
Conversion factor× 33.4009

Office / nonfacility rate, Beaumont$30.63

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

Open 97537 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.481
Practice expense0.470.91
Malpractice0.010.929

(0.48 × 1 + 0.47 × 0.91 + 0.01 × 0.929) × $33.4009 = $30.63

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

97537 · Office / nonfacility

$30.63

Effective 2026-10-01

The base rate is $0.49 higher than on 2025-10-01, moving from $30.14 to $30.63 (1.6%).

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

    $30.14changed to$30.63

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 0.49 changed to 0.47
    • 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: $30.14

    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$30.63Not available in this settingRVU26D
2026-07-01$30.63Not available in this settingRVU26C
2026-04-01$30.63Not available in this settingRVU26B
2026-01-01$30.63Not available in this settingRVU26A
2025-10-01$30.14Not available in this settingRVU25D
2025-07-01$30.14Not available in this settingRVU25C
2025-04-01$30.14Not available in this settingRVU25B
2025-01-01$30.14Not available in this settingRVU25A

97537 billing questions

How does this differ from self-care training?

Use this code for skilled practice of community or work-related activities, such as transportation or job-task adaptation. Self-care training focuses on activities such as dressing, bathing, or other personal care tasks.

Is each unit 15 minutes?

Yes. Report one unit for each 15 minutes of direct, one-on-one training, supported by documentation of the activity and treatment time.

Can this be reported with therapeutic activities on the same day?

They may be reported when each service is distinct and separately supported. Document the reintegration task separately from the therapeutic activity and account for all treatment time.

Does a professional component modifier apply?

No. CMS identifies this as a therapy service for which the professional component modifier does not apply.

How does the therapy multiple procedure reduction affect payment?

For multiple therapy units on the same day, CMS reduces practice expense for the second and later units. The rule concerns practice expense.

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 97537PPRRVU2026_Oct_nonQPP.csv, line 12,892 (RVU26D)
Geographic factors for BeaumontGPCI2026.csv, line 97 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet