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CMS RVU26D · Effective 2026-10-01

97028 in Chico

Office / nonfacility

$8.75

Base rate per service

Facility setting

Not available in this setting

Base rate per service

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

Physical therapy

About 97028: Ultraviolet light therapy

Reports ultraviolet light applied as a therapeutic modality to one or more areas during a documented rehabilitation or treatment session.

This code covers therapeutic application of ultraviolet light to one or more treatment areas. Physical therapists and other qualified therapy professionals may use it as a modality within a plan of care, including for a documented skin or tissue condition. The record should identify the treated area, the reason for treatment, and the ultraviolet intervention provided.

Report the service for the ultraviolet modality actually delivered, not for infrared, ultrasound, or another physical agent. It is an untimed modality, so report one unit for the treatment session rather than counting 15-minute increments. Documentation should support the clinical purpose and distinguish the modality from other services furnished that day. CMS treats it as a therapy service without a professional-component modifier split. 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 97028

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 RVU0.08 · 32%
  • Practice expense (office) RVU0.16 · 64%
  • Malpractice RVU0.01 · 4%

7.4K

Medicare services in 2024 · #1628 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.

97028 compared with similar codes

Office rates for Chico, from the same CMS release.

97026

Infrared therapy

No office rate

97028 is for ultraviolet light; 97026 is for infrared. Choose according to the light modality applied.

97024

Diathermy

Microwave or other diathermy

$7.71

97024 represents diathermy, such as microwave treatment, rather than ultraviolet light application.

97035

Therapeutic ultrasound

Constant attendance, each 15 minutes

$15.00

97035 is therapeutic ultrasound; use 97028 only when ultraviolet light is the modality delivered.

The same code, a different location

How does Chico compare?

In Bakersfield, the office rate for 97028 is $8.78—$0.03 higher than the $8.75 rate in Chico. Both use the same code, release and participation basis.

97028 across payment areas

Same release and payment basis · bars start at $0

  1. Chico · This locality

    $8.75

  2. Bakersfield

    $8.78

    $0.03 higher than Chico

  3. El Centro

    $8.76

    $0.01 higher than Chico

  4. Fresno

    $8.75

    The same base rate than Chico

  5. Hanford-Corcoran

    $8.75

    The same base rate than Chico

  6. Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    $9.33

    $0.58 higher than Chico

  7. Madera

    $8.75

    The same base rate than Chico

Other payment areas listed in California 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, 97028 ranges from $7.43 in Arkansas to $10.85 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

  • Merced

    California · 97028

    Office

    $8.75

    Facility

    Unavailable

    The same base rate than Chico for the office setting.

  • Modesto

    California · 97028

    Office

    $8.75

    Facility

    Unavailable

    The same base rate than Chico for the office setting.

  • Napa

    California · 97028

    Office

    $10.05

    Facility

    Unavailable

    $1.30 higher than Chico for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 97028

    Office

    $9.27

    Facility

    Unavailable

    $0.52 higher than Chico for the office setting.

  • Redding

    California · 97028

    Office

    $8.75

    Facility

    Unavailable

    The same base rate than Chico for the office setting.

  • Rest Of California

    California · 97028

    Office

    $8.75

    Facility

    Unavailable

    The same base rate than Chico for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 97028

    Office

    $8.86

    Facility

    Unavailable

    $0.11 higher than Chico for the office setting.

  • Sacramento-Roseville-Folsom

    California · 97028

    Office

    $9.16

    Facility

    Unavailable

    $0.41 higher than Chico for the office setting.

  • Salinas

    California · 97028

    Office

    $9.13

    Facility

    Unavailable

    $0.38 higher than Chico for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 97028

    Office

    $9.32

    Facility

    Unavailable

    $0.57 higher than Chico for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 97028

    Office

    $10.61

    Facility

    Unavailable

    $1.86 higher than Chico for the office setting.

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

    California · 97028

    Office

    $10.60

    Facility

    Unavailable

    $1.85 higher than Chico for the office setting.

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

    California · 97028

    Office

    $10.85

    Facility

    Unavailable

    $2.10 higher than Chico for the office setting.

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

    California · 97028

    Office

    $10.80

    Facility

    Unavailable

    $2.05 higher than Chico for the office setting.

  • San Luis Obispo-Paso Robles

    California · 97028

    Office

    $8.98

    Facility

    Unavailable

    $0.23 higher than Chico for the office setting.

  • Santa Cruz-Watsonville

    California · 97028

    Office

    $9.40

    Facility

    Unavailable

    $0.65 higher than Chico for the office setting.

  • Santa Maria-Santa Barbara

    California · 97028

    Office

    $9.16

    Facility

    Unavailable

    $0.41 higher than Chico for the office setting.

  • Santa Rosa-Petaluma

    California · 97028

    Office

    $9.49

    Facility

    Unavailable

    $0.74 higher than Chico for the office setting.

  • Stockton

    California · 97028

    Office

    $8.75

    Facility

    Unavailable

    The same base rate than Chico for the office setting.

  • Vallejo

    California · 97028

    Office

    $10.04

    Facility

    Unavailable

    $1.29 higher than Chico for the office setting.

  • Visalia

    California · 97028

    Office

    $8.75

    Facility

    Unavailable

    The same base rate than Chico for the office setting.

  • Yuba City

    California · 97028

    Office

    $8.75

    Facility

    Unavailable

    The same base rate than Chico for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 97028

    Office

    $9.48

    Facility

    Unavailable

    $0.73 higher than Chico for the office setting.

  • Miami

    Florida · 97028

    Office

    $9.08

    Facility

    Unavailable

    $0.33 higher than Chico for the office setting.

  • Chicago

    Illinois · 97028

    Office

    $8.83

    Facility

    Unavailable

    $0.08 higher than Chico for the office setting.

  • Manhattan

    New York · 97028

    Office

    $9.58

    Facility

    Unavailable

    $0.83 higher than Chico for the office setting.

  • Alaska*

    Alaska · 97028

    Office

    $9.88

    Facility

    Unavailable

    $1.13 higher than Chico for the office setting.

  • Alabama

    Alabama · 97028

    Office

    $7.54

    Facility

    Unavailable

    $1.21 lower than Chico for the office setting.

  • Arkansas

    Arkansas · 97028

    Office

    $7.43

    Facility

    Unavailable

    $1.32 lower than Chico for the office setting.

  • Arizona

    Arizona · 97028

    Office

    $8.14

    Facility

    Unavailable

    $0.61 lower than Chico for the office setting.

  • Colorado

    Colorado · 97028

    Office

    $8.65

    Facility

    Unavailable

    $0.10 lower than Chico for the office setting.

  • Connecticut

    Connecticut · 97028

    Office

    $8.89

    Facility

    Unavailable

    $0.14 higher than Chico for the office setting.

  • Delaware

    Delaware · 97028

    Office

    $8.27

    Facility

    Unavailable

    $0.48 lower than Chico for the office setting.

  • Fort Lauderdale

    Florida · 97028

    Office

    $8.69

    Facility

    Unavailable

    $0.06 lower than Chico for the office setting.

  • Rest Of Florida

    Florida · 97028

    Office

    $8.28

    Facility

    Unavailable

    $0.47 lower than Chico for the office setting.

  • Atlanta

    Georgia · 97028

    Office

    $8.51

    Facility

    Unavailable

    $0.24 lower than Chico for the office setting.

  • Rest Of Georgia

    Georgia · 97028

    Office

    $7.84

    Facility

    Unavailable

    $0.91 lower than Chico for the office setting.

  • Hawaii, Guam

    Hawaii · 97028

    Office

    $8.94

    Facility

    Unavailable

    $0.19 higher than Chico for the office setting.

  • Iowa

    Iowa · 97028

    Office

    $7.69

    Facility

    Unavailable

    $1.06 lower than Chico for the office setting.

  • Idaho

    Idaho · 97028

    Office

    $7.75

    Facility

    Unavailable

    $1.00 lower than Chico for the office setting.

  • East St. Louis

    Illinois · 97028

    Office

    $8.26

    Facility

    Unavailable

    $0.49 lower than Chico for the office setting.

  • Rest Of Illinois

    Illinois · 97028

    Office

    $8.07

    Facility

    Unavailable

    $0.68 lower than Chico for the office setting.

  • Suburban Chicago

    Illinois · 97028

    Office

    $8.77

    Facility

    Unavailable

    $0.02 higher than Chico for the office setting.

  • Indiana

    Indiana · 97028

    Office

    $7.79

    Facility

    Unavailable

    $0.96 lower than Chico for the office setting.

  • Kansas

    Kansas · 97028

    Office

    $7.67

    Facility

    Unavailable

    $1.08 lower than Chico for the office setting.

  • Kentucky

    Kentucky · 97028

    Office

    $7.73

    Facility

    Unavailable

    $1.02 lower than Chico for the office setting.

  • New Orleans

    Louisiana · 97028

    Office

    $8.08

    Facility

    Unavailable

    $0.67 lower than Chico for the office setting.

  • Rest Of Louisiana

    Louisiana · 97028

    Office

    $7.72

    Facility

    Unavailable

    $1.03 lower than Chico for the office setting.

  • Metropolitan Boston

    Massachusetts · 97028

    Office

    $9.46

    Facility

    Unavailable

    $0.71 higher than Chico for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 97028

    Office

    $8.61

    Facility

    Unavailable

    $0.14 lower than Chico for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 97028

    Office

    $8.86

    Facility

    Unavailable

    $0.11 higher than Chico for the office setting.

  • Rest Of Maryland

    Maryland · 97028

    Office

    $8.41

    Facility

    Unavailable

    $0.34 lower than Chico for the office setting.

  • Rest Of Maine

    Maine · 97028

    Office

    $7.80

    Facility

    Unavailable

    $0.95 lower than Chico for the office setting.

  • Southern Maine

    Maine · 97028

    Office

    $8.18

    Facility

    Unavailable

    $0.57 lower than Chico for the office setting.

  • Detroit

    Michigan · 97028

    Office

    $8.39

    Facility

    Unavailable

    $0.36 lower than Chico for the office setting.

  • Rest Of Michigan

    Michigan · 97028

    Office

    $7.93

    Facility

    Unavailable

    $0.82 lower than Chico for the office setting.

  • Minnesota

    Minnesota · 97028

    Office

    $8.27

    Facility

    Unavailable

    $0.48 lower than Chico for the office setting.

  • Metropolitan Kansas City

    Missouri · 97028

    Office

    $8.02

    Facility

    Unavailable

    $0.73 lower than Chico for the office setting.

  • Metropolitan St. Louis

    Missouri · 97028

    Office

    $8.09

    Facility

    Unavailable

    $0.66 lower than Chico for the office setting.

  • Rest Of Missouri

    Missouri · 97028

    Office

    $7.60

    Facility

    Unavailable

    $1.15 lower than Chico for the office setting.

  • Mississippi

    Mississippi · 97028

    Office

    $7.52

    Facility

    Unavailable

    $1.23 lower than Chico for the office setting.

  • Montana**

    Montana · 97028

    Office

    $8.35

    Facility

    Unavailable

    $0.40 lower than Chico for the office setting.

  • North Carolina

    North Carolina · 97028

    Office

    $7.87

    Facility

    Unavailable

    $0.88 lower than Chico for the office setting.

  • North Dakota**

    North Dakota · 97028

    Office

    $8.15

    Facility

    Unavailable

    $0.60 lower than Chico for the office setting.

  • Nebraska

    Nebraska · 97028

    Office

    $7.73

    Facility

    Unavailable

    $1.02 lower than Chico for the office setting.

  • New Hampshire

    New Hampshire · 97028

    Office

    $8.53

    Facility

    Unavailable

    $0.22 lower than Chico for the office setting.

  • Northern Nj

    New Jersey · 97028

    Office

    $9.40

    Facility

    Unavailable

    $0.65 higher than Chico for the office setting.

  • Rest Of New Jersey

    New Jersey · 97028

    Office

    $8.98

    Facility

    Unavailable

    $0.23 higher than Chico for the office setting.

  • New Mexico

    New Mexico · 97028

    Office

    $7.97

    Facility

    Unavailable

    $0.78 lower than Chico for the office setting.

  • Nevada**

    Nevada · 97028

    Office

    $8.30

    Facility

    Unavailable

    $0.45 lower than Chico for the office setting.

  • Nyc Suburbs/Long Island

    New York · 97028

    Office

    $9.82

    Facility

    Unavailable

    $1.07 higher than Chico for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 97028

    Office

    $9.05

    Facility

    Unavailable

    $0.30 higher than Chico for the office setting.

  • Queens

    New York · 97028

    Office

    $9.64

    Facility

    Unavailable

    $0.89 higher than Chico for the office setting.

  • Rest Of New York

    New York · 97028

    Office

    $7.98

    Facility

    Unavailable

    $0.77 lower than Chico for the office setting.

  • Ohio

    Ohio · 97028

    Office

    $7.89

    Facility

    Unavailable

    $0.86 lower than Chico for the office setting.

  • Oklahoma

    Oklahoma · 97028

    Office

    $7.70

    Facility

    Unavailable

    $1.05 lower than Chico for the office setting.

  • Portland

    Oregon · 97028

    Office

    $8.90

    Facility

    Unavailable

    $0.15 higher than Chico for the office setting.

  • Rest Of Oregon

    Oregon · 97028

    Office

    $8.23

    Facility

    Unavailable

    $0.52 lower than Chico for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 97028

    Office

    $8.68

    Facility

    Unavailable

    $0.07 lower than Chico for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 97028

    Office

    $7.89

    Facility

    Unavailable

    $0.86 lower than Chico for the office setting.

  • Puerto Rico

    Puerto Rico · 97028

    Office

    $8.40

    Facility

    Unavailable

    $0.35 lower than Chico for the office setting.

  • Rhode Island

    Rhode Island · 97028

    Office

    $8.54

    Facility

    Unavailable

    $0.21 lower than Chico for the office setting.

  • South Carolina

    South Carolina · 97028

    Office

    $7.89

    Facility

    Unavailable

    $0.86 lower than Chico for the office setting.

  • South Dakota**

    South Dakota · 97028

    Office

    $8.13

    Facility

    Unavailable

    $0.62 lower than Chico for the office setting.

  • Tennessee

    Tennessee · 97028

    Office

    $7.71

    Facility

    Unavailable

    $1.04 lower than Chico for the office setting.

  • Austin

    Texas · 97028

    Office

    $8.63

    Facility

    Unavailable

    $0.12 lower than Chico for the office setting.

  • Beaumont

    Texas · 97028

    Office

    $7.85

    Facility

    Unavailable

    $0.90 lower than Chico for the office setting.

  • Brazoria

    Texas · 97028

    Office

    $8.25

    Facility

    Unavailable

    $0.50 lower than Chico for the office setting.

  • Dallas

    Texas · 97028

    Office

    $8.31

    Facility

    Unavailable

    $0.44 lower than Chico for the office setting.

  • Fort Worth

    Texas · 97028

    Office

    $8.26

    Facility

    Unavailable

    $0.49 lower than Chico for the office setting.

  • Galveston

    Texas · 97028

    Office

    $8.28

    Facility

    Unavailable

    $0.47 lower than Chico for the office setting.

  • Houston

    Texas · 97028

    Office

    $8.46

    Facility

    Unavailable

    $0.29 lower than Chico for the office setting.

  • Rest Of Texas

    Texas · 97028

    Office

    $8.05

    Facility

    Unavailable

    $0.70 lower than Chico for the office setting.

  • Utah

    Utah · 97028

    Office

    $8.00

    Facility

    Unavailable

    $0.75 lower than Chico for the office setting.

  • Virginia

    Virginia · 97028

    Office

    $8.16

    Facility

    Unavailable

    $0.59 lower than Chico for the office setting.

  • Virgin Islands

    United States Virgin Islands · 97028

    Office

    $8.40

    Facility

    Unavailable

    $0.35 lower than Chico for the office setting.

  • Vermont

    Vermont · 97028

    Office

    $8.13

    Facility

    Unavailable

    $0.62 lower than Chico for the office setting.

  • Rest Of Washington

    Washington · 97028

    Office

    $8.59

    Facility

    Unavailable

    $0.16 lower than Chico for the office setting.

  • Seattle (King Cnty)

    Washington · 97028

    Office

    $9.64

    Facility

    Unavailable

    $0.89 higher than Chico for the office setting.

  • Wisconsin

    Wisconsin · 97028

    Office

    $7.89

    Facility

    Unavailable

    $0.86 lower than Chico for the office setting.

  • West Virginia

    West Virginia · 97028

    Office

    $7.79

    Facility

    Unavailable

    $0.96 lower than Chico for the office setting.

  • Wyoming**

    Wyoming · 97028

    Office

    $8.26

    Facility

    Unavailable

    $0.49 lower than Chico for the office setting.

See how rates vary across the country

97028 · 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.

$7.43

$9.88

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$9.881
AL$7.541
AR$7.431
AZ$8.141
CA$8.75–$10.8529
CO$8.651
CT$8.891
DC$9.481
DE$8.271
FL$8.28–$9.083
GA$7.84–$8.512
GU$8.941
HI$8.941
IA$7.691
ID$7.751
IL$8.07–$8.834
IN$7.791
KS$7.671
KY$7.731
LA$7.72–$8.082
MA$8.61–$9.462
MD$8.41–$9.483
ME$7.80–$8.182
MI$7.93–$8.392
MN$8.271
MO$7.60–$8.093
MS$7.521
MT$8.351
NC$7.871
ND$8.151
NE$7.731
NH$8.531
NJ$8.98–$9.402
NM$7.971
NV$8.301
NY$7.98–$9.825
OH$7.891
OK$7.701
OR$8.23–$8.902
PA$7.89–$8.682
PR$8.401
RI$8.541
SC$7.891
SD$8.131
TN$7.711
TX$7.85–$8.638
UT$8.001
VA$8.16–$9.482
VI$8.401
VT$8.131
WA$8.59–$9.642
WI$7.891
WV$7.791
WY$8.261

Explore 97028 on the national rate map →

Where does this rate apply?

Chico is a Medicare payment area. Our Census mapping connects it to 30 cities and communities in California, 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 California →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 97028 in Chico. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$9.63

$8.75 × 110% = $9.63

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 97028 in Chico.

PPRRVU2026_Oct_nonQPP.csv

12,851

Code
97028
Physician work
0.08
Practice expense
0.16
Malpractice
0.01

GPCI2026.csv

9

Locality
Chico
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 97028 in Chico
ComponentRVULocality factorAdjusted
Physician work0.08× 1.0170.0814
Practice expense0.16× 1.0960.1754
Malpractice0.01× 0.5360.0054
Total RVUs0.2621
Conversion factor× 33.4009

Office / nonfacility rate, Chico$8.75

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

Open 97028 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.081.017
Practice expense0.161.096
Malpractice0.010.536

(0.08 × 1.017 + 0.16 × 1.096 + 0.01 × 0.536) × $33.4009 = $8.75

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

How this rate has changed

97028 · Office / nonfacility

$8.75

Effective 2026-10-01

The base rate is $0.29 higher than on 2025-10-01, moving from $8.46 to $8.75 (3.4%).

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

    $8.46changed to$8.75

    • Conversion factor 32.3465 changed to 33.4009
    • Work GPCI 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.560 changed to 0.536

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $8.46

    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$8.75Not available in this settingRVU26D
2026-07-01$8.75Not available in this settingRVU26C
2026-04-01$8.75Not available in this settingRVU26B
2026-01-01$8.75Not available in this settingRVU26A
2025-10-01$8.46Not available in this settingRVU25D
2025-07-01$8.46Not available in this settingRVU25C
2025-04-01$8.46Not available in this settingRVU25B
2025-01-01$8.46Not available in this settingRVU25A

97028 billing questions

How is this different from infrared therapy?

97028 represents ultraviolet application. Use 97026 when infrared is the modality actually delivered.

Is 97028 billed in 15-minute units?

No. It is an untimed modality; report one unit for the treatment session, not units based on elapsed time.

Should modifier 26 be appended?

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

What documentation supports the service?

Record the clinical purpose, the area treated, and that ultraviolet light was applied. The documentation should distinguish it from any other modality performed during the visit.

How does the therapy multiple procedure reduction affect payment?

When multiple therapy units are furnished on the same day, CMS reduces practice expense for the second and later units.

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 97028PPRRVU2026_Oct_nonQPP.csv, line 12,851 (RVU26D)
Geographic factors for ChicoGPCI2026.csv, line 9 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet