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CMS RVU26D · Effective 2026-10-01

97552 in Beaumont

Office / nonfacility

$20.76

Base rate per service

Facility setting

$9.21

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.

Caregiver training

About 97552: Group caregiver functional training

Reports face-to-face group instruction for two or more caregivers when a patient’s condition requires caregiver support for function at home or in the community.

A qualified health professional trains two or more caregivers together in strategies that support a patient’s functional performance at home or in the community. Instruction may address practical caregiving tasks such as mobility, transfers, daily activities, communication, feeding, problem-solving, or safety. The patient is not present during the training. The service is distinct from treating the patient directly or giving one caregiver individual instruction.

Report this code for each 15 minutes of qualifying group training. Documentation should identify the caregivers, the patient’s need for caregiver assistance, the skilled strategies taught, and the face-to-face training time. CMS assigns the service work and practice-expense values, with separate practice-expense inputs for office and facility settings. The code is part of the caregiver-training family; individual caregiver instruction is reported with the corresponding individual-training codes.

Where the value comes from

  • Work RVU0.23 · 35%
  • Practice expense (office) RVU0.42 · 64%
  • Malpractice RVU0.01 · 2%

148

Medicare services in 2024 · #4574 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.

97552 compared with similar codes

Office rates for Beaumont, from the same CMS release.

97550

Caregiver training

Initial 30 minutes

$51.04

97550 is for individual caregiver training, while 97552 is for training two or more caregivers together.

97551

Caregiver training

Each additional 15 minutes

$25.33

97551 reports additional individual caregiver-training time with 97550; it is not the group-training code.

97535

Self-care training

ADL and home management, per 15 minutes

$30.84

97535 covers self-care or home-management training directed to the patient. 97552 covers caregiver instruction with the patient absent.

The same code, a different location

How does Beaumont compare?

In Austin, the office rate for 97552 is $22.84—$2.08 higher than the $20.76 rate in Beaumont. Both use the same code, release and participation basis.

97552 across payment areas

Same release and payment basis · bars start at $0

  1. Beaumont · This locality

    $20.76

  2. Austin

    $22.84

    $2.08 higher than Beaumont

  3. Brazoria

    $21.91

    $1.15 higher than Beaumont

  4. Dallas

    $22.01

    $1.25 higher than Beaumont

  5. Fort Worth

    $21.87

    $1.11 higher than Beaumont

  6. Galveston

    $21.95

    $1.19 higher than Beaumont

  7. Houston

    $22.13

    $1.37 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, 97552 ranges from $19.90 in Arkansas to $28.94 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 · 97552

    Office

    $21.30

    Facility

    $9.25

    $0.54 higher than Beaumont for the office setting.

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

    California · 97552

    Office

    $24.81

    Facility

    $9.80

    $4.05 higher than Beaumont for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 97552

    Office

    $24.99

    Facility

    $10.04

    $4.23 higher than Beaumont for the office setting.

  • Miami

    Florida · 97552

    Office

    $23.13

    Facility

    $9.92

    $2.37 higher than Beaumont for the office setting.

  • Chicago

    Illinois · 97552

    Office

    $22.60

    Facility

    $9.85

    $1.84 higher than Beaumont for the office setting.

  • Manhattan

    New York · 97552

    Office

    $25.00

    Facility

    $10.26

    $4.24 higher than Beaumont for the office setting.

  • Alaska*

    Alaska · 97552

    Office

    $26.65

    Facility

    $13.13

    $5.89 higher than Beaumont for the office setting.

  • Alabama

    Alabama · 97552

    Office

    $20.15

    Facility

    $9.04

    $0.61 lower than Beaumont for the office setting.

  • Arkansas

    Arkansas · 97552

    Office

    $19.90

    Facility

    $9.00

    $0.86 lower than Beaumont for the office setting.

  • Arizona

    Arizona · 97552

    Office

    $21.56

    Facility

    $9.26

    $0.80 higher than Beaumont for the office setting.

  • Bakersfield

    California · 97552

    Office

    $23.41

    Facility

    $9.50

    $2.65 higher than Beaumont for the office setting.

  • Chico

    California · 97552

    Office

    $23.37

    Facility

    $9.46

    $2.61 higher than Beaumont for the office setting.

  • El Centro

    California · 97552

    Office

    $23.37

    Facility

    $9.46

    $2.61 higher than Beaumont for the office setting.

  • Fresno

    California · 97552

    Office

    $23.37

    Facility

    $9.46

    $2.61 higher than Beaumont for the office setting.

  • Hanford-Corcoran

    California · 97552

    Office

    $23.37

    Facility

    $9.46

    $2.61 higher than Beaumont for the office setting.

  • Madera

    California · 97552

    Office

    $23.37

    Facility

    $9.46

    $2.61 higher than Beaumont for the office setting.

  • Merced

    California · 97552

    Office

    $23.37

    Facility

    $9.46

    $2.61 higher than Beaumont for the office setting.

  • Modesto

    California · 97552

    Office

    $23.37

    Facility

    $9.46

    $2.61 higher than Beaumont for the office setting.

  • Napa

    California · 97552

    Office

    $26.83

    Facility

    $10.10

    $6.07 higher than Beaumont for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 97552

    Office

    $24.69

    Facility

    $9.68

    $3.93 higher than Beaumont for the office setting.

  • Redding

    California · 97552

    Office

    $23.37

    Facility

    $9.46

    $2.61 higher than Beaumont for the office setting.

  • Rest Of California

    California · 97552

    Office

    $23.37

    Facility

    $9.46

    $2.61 higher than Beaumont for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 97552

    Office

    $23.48

    Facility

    $9.57

    $2.72 higher than Beaumont for the office setting.

  • Sacramento-Roseville-Folsom

    California · 97552

    Office

    $24.45

    Facility

    $9.69

    $3.69 higher than Beaumont for the office setting.

  • Salinas

    California · 97552

    Office

    $24.36

    Facility

    $9.65

    $3.60 higher than Beaumont for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 97552

    Office

    $24.87

    Facility

    $9.69

    $4.11 higher than Beaumont for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 97552

    Office

    $28.35

    Facility

    $10.45

    $7.59 higher than Beaumont for the office setting.

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

    California · 97552

    Office

    $28.33

    Facility

    $10.44

    $7.57 higher than Beaumont for the office setting.

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

    California · 97552

    Office

    $28.94

    Facility

    $10.63

    $8.18 higher than Beaumont for the office setting.

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

    California · 97552

    Office

    $28.89

    Facility

    $10.59

    $8.13 higher than Beaumont for the office setting.

  • San Luis Obispo-Paso Robles

    California · 97552

    Office

    $23.97

    Facility

    $9.51

    $3.21 higher than Beaumont for the office setting.

  • Santa Cruz-Watsonville

    California · 97552

    Office

    $25.07

    Facility

    $9.65

    $4.31 higher than Beaumont for the office setting.

  • Santa Maria-Santa Barbara

    California · 97552

    Office

    $24.43

    Facility

    $9.63

    $3.67 higher than Beaumont for the office setting.

  • Santa Rosa-Petaluma

    California · 97552

    Office

    $25.32

    Facility

    $9.73

    $4.56 higher than Beaumont for the office setting.

  • Stockton

    California · 97552

    Office

    $23.37

    Facility

    $9.46

    $2.61 higher than Beaumont for the office setting.

  • Vallejo

    California · 97552

    Office

    $26.81

    Facility

    $10.08

    $6.05 higher than Beaumont for the office setting.

  • Visalia

    California · 97552

    Office

    $23.37

    Facility

    $9.46

    $2.61 higher than Beaumont for the office setting.

  • Yuba City

    California · 97552

    Office

    $23.37

    Facility

    $9.46

    $2.61 higher than Beaumont for the office setting.

  • Colorado

    Colorado · 97552

    Office

    $22.96

    Facility

    $9.46

    $2.20 higher than Beaumont for the office setting.

  • Connecticut

    Connecticut · 97552

    Office

    $23.35

    Facility

    $9.68

    $2.59 higher than Beaumont for the office setting.

  • Delaware

    Delaware · 97552

    Office

    $21.88

    Facility

    $9.34

    $1.12 higher than Beaumont for the office setting.

  • Fort Lauderdale

    Florida · 97552

    Office

    $22.50

    Facility

    $9.64

    $1.74 higher than Beaumont for the office setting.

  • Rest Of Florida

    Florida · 97552

    Office

    $21.60

    Facility

    $9.46

    $0.84 higher than Beaumont for the office setting.

  • Atlanta

    Georgia · 97552

    Office

    $22.36

    Facility

    $9.46

    $1.60 higher than Beaumont for the office setting.

  • Rest Of Georgia

    Georgia · 97552

    Office

    $20.59

    Facility

    $9.27

    $0.17 lower than Beaumont for the office setting.

  • Hawaii, Guam

    Hawaii · 97552

    Office

    $23.83

    Facility

    $9.39

    $3.07 higher than Beaumont for the office setting.

  • Iowa

    Iowa · 97552

    Office

    $20.65

    Facility

    $9.04

    $0.11 lower than Beaumont for the office setting.

  • Idaho

    Idaho · 97552

    Office

    $20.75

    Facility

    $9.07

    $0.01 lower than Beaumont for the office setting.

  • East St. Louis

    Illinois · 97552

    Office

    $21.26

    Facility

    $9.58

    $0.50 higher than Beaumont for the office setting.

  • Rest Of Illinois

    Illinois · 97552

    Office

    $21.01

    Facility

    $9.42

    $0.25 higher than Beaumont for the office setting.

  • Suburban Chicago

    Illinois · 97552

    Office

    $22.73

    Facility

    $9.70

    $1.97 higher than Beaumont for the office setting.

  • Indiana

    Indiana · 97552

    Office

    $20.85

    Facility

    $9.08

    $0.09 higher than Beaumont for the office setting.

  • Kansas

    Kansas · 97552

    Office

    $20.53

    Facility

    $9.06

    $0.23 lower than Beaumont for the office setting.

  • Kentucky

    Kentucky · 97552

    Office

    $20.46

    Facility

    $9.18

    $0.30 lower than Beaumont for the office setting.

  • New Orleans

    Louisiana · 97552

    Office

    $21.26

    Facility

    $9.32

    $0.50 higher than Beaumont for the office setting.

  • Rest Of Louisiana

    Louisiana · 97552

    Office

    $20.42

    Facility

    $9.18

    $0.34 lower than Beaumont for the office setting.

  • Metropolitan Boston

    Massachusetts · 97552

    Office

    $25.04

    Facility

    $9.89

    $4.28 higher than Beaumont for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 97552

    Office

    $22.84

    Facility

    $9.48

    $2.08 higher than Beaumont for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 97552

    Office

    $23.27

    Facility

    $9.65

    $2.51 higher than Beaumont for the office setting.

  • Rest Of Maryland

    Maryland · 97552

    Office

    $22.26

    Facility

    $9.42

    $1.50 higher than Beaumont for the office setting.

  • Rest Of Maine

    Maine · 97552

    Office

    $20.80

    Facility

    $9.12

    $0.04 higher than Beaumont for the office setting.

  • Southern Maine

    Maine · 97552

    Office

    $21.80

    Facility

    $9.22

    $1.04 higher than Beaumont for the office setting.

  • Detroit

    Michigan · 97552

    Office

    $21.78

    Facility

    $9.53

    $1.02 higher than Beaumont for the office setting.

  • Rest Of Michigan

    Michigan · 97552

    Office

    $20.87

    Facility

    $9.28

    $0.11 higher than Beaumont for the office setting.

  • Minnesota

    Minnesota · 97552

    Office

    $22.22

    Facility

    $9.16

    $1.46 higher than Beaumont for the office setting.

  • Metropolitan Kansas City

    Missouri · 97552

    Office

    $21.18

    Facility

    $9.26

    $0.42 higher than Beaumont for the office setting.

  • Metropolitan St. Louis

    Missouri · 97552

    Office

    $21.37

    Facility

    $9.29

    $0.61 higher than Beaumont for the office setting.

  • Rest Of Missouri

    Missouri · 97552

    Office

    $20.10

    Facility

    $9.16

    $0.66 lower than Beaumont for the office setting.

  • Mississippi

    Mississippi · 97552

    Office

    $20.01

    Facility

    $9.08

    $0.75 lower than Beaumont for the office setting.

  • Montana**

    Montana · 97552

    Office

    $22.04

    Facility

    $9.35

    $1.28 higher than Beaumont for the office setting.

  • North Carolina

    North Carolina · 97552

    Office

    $20.98

    Facility

    $9.14

    $0.22 higher than Beaumont for the office setting.

  • North Dakota**

    North Dakota · 97552

    Office

    $21.85

    Facility

    $9.15

    $1.09 higher than Beaumont for the office setting.

  • Nebraska

    Nebraska · 97552

    Office

    $20.76

    Facility

    $9.04

    The same base rate than Beaumont for the office setting.

  • New Hampshire

    New Hampshire · 97552

    Office

    $22.58

    Facility

    $9.37

    $1.82 higher than Beaumont for the office setting.

  • Northern Nj

    New Jersey · 97552

    Office

    $24.80

    Facility

    $10.07

    $4.04 higher than Beaumont for the office setting.

  • Rest Of New Jersey

    New Jersey · 97552

    Office

    $23.67

    Facility

    $9.81

    $2.91 higher than Beaumont for the office setting.

  • New Mexico

    New Mexico · 97552

    Office

    $20.95

    Facility

    $9.31

    $0.19 higher than Beaumont for the office setting.

  • Nevada**

    Nevada · 97552

    Office

    $22.00

    Facility

    $9.30

    $1.24 higher than Beaumont for the office setting.

  • Nyc Suburbs/Long Island

    New York · 97552

    Office

    $25.47

    Facility

    $10.38

    $4.71 higher than Beaumont for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 97552

    Office

    $23.79

    Facility

    $9.90

    $3.03 higher than Beaumont for the office setting.

  • Queens

    New York · 97552

    Office

    $25.24

    Facility

    $10.23

    $4.48 higher than Beaumont for the office setting.

  • Rest Of New York

    New York · 97552

    Office

    $21.24

    Facility

    $9.19

    $0.48 higher than Beaumont for the office setting.

  • Ohio

    Ohio · 97552

    Office

    $20.83

    Facility

    $9.24

    $0.07 higher than Beaumont for the office setting.

  • Oklahoma

    Oklahoma · 97552

    Office

    $20.47

    Facility

    $9.13

    $0.29 lower than Beaumont for the office setting.

  • Portland

    Oregon · 97552

    Office

    $23.64

    Facility

    $9.54

    $2.88 higher than Beaumont for the office setting.

  • Rest Of Oregon

    Oregon · 97552

    Office

    $21.89

    Facility

    $9.25

    $1.13 higher than Beaumont for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 97552

    Office

    $22.82

    Facility

    $9.61

    $2.06 higher than Beaumont for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 97552

    Office

    $20.88

    Facility

    $9.22

    $0.12 higher than Beaumont for the office setting.

  • Puerto Rico

    Puerto Rico · 97552

    Office

    $22.19

    Facility

    $9.36

    $1.43 higher than Beaumont for the office setting.

  • Rhode Island

    Rhode Island · 97552

    Office

    $22.62

    Facility

    $9.51

    $1.86 higher than Beaumont for the office setting.

  • South Carolina

    South Carolina · 97552

    Office

    $20.93

    Facility

    $9.20

    $0.17 higher than Beaumont for the office setting.

  • South Dakota**

    South Dakota · 97552

    Office

    $21.82

    Facility

    $9.13

    $1.06 higher than Beaumont for the office setting.

  • Tennessee

    Tennessee · 97552

    Office

    $20.61

    Facility

    $9.08

    $0.15 lower than Beaumont for the office setting.

  • Utah

    Utah · 97552

    Office

    $21.17

    Facility

    $9.24

    $0.41 higher than Beaumont for the office setting.

  • Virginia

    Virginia · 97552

    Office

    $21.71

    Facility

    $9.23

    $0.95 higher than Beaumont for the office setting.

  • Virgin Islands

    United States Virgin Islands · 97552

    Office

    $22.19

    Facility

    $9.36

    $1.43 higher than Beaumont for the office setting.

  • Vermont

    Vermont · 97552

    Office

    $21.74

    Facility

    $9.17

    $0.98 higher than Beaumont for the office setting.

  • Rest Of Washington

    Washington · 97552

    Office

    $22.81

    Facility

    $9.44

    $2.05 higher than Beaumont for the office setting.

  • Seattle (King Cnty)

    Washington · 97552

    Office

    $25.55

    Facility

    $9.98

    $4.79 higher than Beaumont for the office setting.

  • Wisconsin

    Wisconsin · 97552

    Office

    $21.22

    Facility

    $9.07

    $0.46 higher than Beaumont for the office setting.

  • West Virginia

    West Virginia · 97552

    Office

    $20.35

    Facility

    $9.32

    $0.41 lower than Beaumont for the office setting.

  • Wyoming**

    Wyoming · 97552

    Office

    $21.96

    Facility

    $9.27

    $1.20 higher than Beaumont for the office setting.

See how rates vary across the country

97552 · 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.

$19.90

$26.65

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$26.651
AL$20.151
AR$19.901
AZ$21.561
CA$23.37–$28.9429
CO$22.961
CT$23.351
DC$24.991
DE$21.881
FL$21.60–$23.133
GA$20.59–$22.362
GU$23.831
HI$23.831
IA$20.651
ID$20.751
IL$21.01–$22.734
IN$20.851
KS$20.531
KY$20.461
LA$20.42–$21.262
MA$22.84–$25.042
MD$22.26–$24.993
ME$20.80–$21.802
MI$20.87–$21.782
MN$22.221
MO$20.10–$21.373
MS$20.011
MT$22.041
NC$20.981
ND$21.851
NE$20.761
NH$22.581
NJ$23.67–$24.802
NM$20.951
NV$22.001
NY$21.24–$25.475
OH$20.831
OK$20.471
OR$21.89–$23.642
PA$20.88–$22.822
PR$22.191
RI$22.621
SC$20.931
SD$21.821
TN$20.611
TX$20.76–$22.848
UT$21.171
VA$21.71–$24.992
VI$22.191
VT$21.741
WA$22.81–$25.552
WI$21.221
WV$20.351
WY$21.961

Explore 97552 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 →

Why are the office and facility amounts different?

For 97552 in Beaumont, the physician’s office rate is $20.76 and the facility-setting rate is $9.21: a difference of $11.55.

The calculation uses a different practice-expense RVU for each setting. Both amounts here are physician fee-schedule amounts. The facility figure does not include a hospital’s separate charges, so this comparison does not tell you the total cost of receiving care in each setting.

See the inputs behind this difference →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 97552 in Beaumont. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$22.84

$20.76 × 110% = $22.84

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 97552 in Beaumont.

PPRRVU2026_Oct_nonQPP.csv

12,898

Code
97552
Physician work
0.23
Practice expense
0.42
Malpractice
0.01

GPCI2026.csv

97

Locality
Beaumont
Physician work
1.000
Practice expense
0.910
Malpractice
0.929
Office / nonfacility calculation for 97552 in Beaumont
ComponentRVULocality factorAdjusted
Physician work0.23× 1.0000.2300
Practice expense0.42× 0.9100.3822
Malpractice0.01× 0.9290.0093
Total RVUs0.6215
Conversion factor× 33.4009

Office / nonfacility rate, Beaumont$20.76

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

Open 97552 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.231
Practice expense0.420.91
Malpractice0.010.929

(0.23 × 1 + 0.42 × 0.91 + 0.01 × 0.929) × $33.4009 = $20.76

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work0.231
Practice expense0.040.91
Malpractice0.010.929

(0.23 × 1 + 0.04 × 0.91 + 0.01 × 0.929) × $33.4009 = $9.21

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

97552 · Office / nonfacility

$20.76

Effective 2026-10-01

The base rate is $0.16 higher than on 2025-10-01, moving from $20.60 to $20.76 (0.8%).

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

    $20.60changed to$20.76

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 0.44 changed to 0.42
    • 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: $20.60

    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$20.76$9.21RVU26D
2026-07-01$20.76$9.21RVU26C
2026-04-01$20.76$9.21RVU26B
2026-01-01$20.76$9.21RVU26A
2025-10-01$20.60$10.08RVU25D
2025-07-01$20.60$10.08RVU25C
2025-04-01$20.60$10.08RVU25B
2025-01-01$20.60$10.08RVU25A

97552 billing questions

When should this code be used instead of 97550?

Use 97552 when two or more caregivers receive the training together. Code 97550 describes individual caregiver training.

Does the patient attend the group training?

No. This caregiver-training service is performed face-to-face with the caregivers while the patient is absent.

How are units reported?

Report one unit for each 15 minutes of qualifying group training, supported by documentation of the face-to-face training time.

Can this be reported for teaching the patient directly?

No. The service is for caregiver instruction without the patient present. Direct self-care or home-management training for the patient is represented by 97535 when its requirements are met.

What documentation supports the service?

Document why the patient needs caregiver assistance, who attended, the functional strategies taught, and the time spent in face-to-face group instruction.

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 97552PPRRVU2026_Oct_nonQPP.csv, line 12,898 (RVU26D)
Geographic factors for BeaumontGPCI2026.csv, line 97 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet