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CMS RVU26D · Effective 2026-10-01

97112 in El Centro

Office / nonfacility

$34.37

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 medicine and rehabilitation

About 97112: Neuromuscular reeducation, each 15 minutes

Timed one-on-one therapy to restore balance, coordination, posture, kinesthetic sense, and proprioception for sitting or standing activities, reported per 15 minutes of direct contact.

Neuromuscular reeducation addresses impaired balance, coordination, posture, movement control, and awareness of joint position during sitting or standing activities. A physical or occupational therapist or therapy assistant may use weight-shifting drills, balance-board exercises, perturbations, or proprioceptive training to help a patient regain motor control after stroke, ankle sprain, or knee ligament reconstruction. It is typically delivered in an outpatient therapy clinic or private practice; the treatment goal is retraining movement control rather than simply building strength.

Report 97112 for each 15 minutes of direct, one-on-one treatment. Under Medicare's timed-code method, total timed treatment minutes determine billable units across timed codes; record minutes for each service without counting overlapping time twice. Document the deficit, activities, skilled cueing, and response to distinguish reeducation from therapeutic exercise or gait training. Use GP or GO for the applicable therapy plan, and CQ or CO when assistant services require them. This therapy service has no professional/technical split; do not append modifier 26 or TC. Under the therapy multiple procedure payment reduction, practice expense is reduced for the second and later therapy units that day, including additional 97112 units.

CMS billing rules for 97112

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 RVU0.50 · 51%
  • Practice expense (office) RVU0.47 · 48%
  • Malpractice RVU0.01 · 1%

34.8M

Medicare services in 2024 · #5 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.

97112 compared with similar codes

Office rates for El Centro, from the same CMS release.

97110

Therapeutic exercise

One-on-one, each 15 minutes

$30.48

97110 targets strength, endurance, flexibility, and range of motion. 97112 targets balance, coordination, posture, proprioception, and motor control.

97530

Therapeutic activities

One-on-one, each 15 minutes

$37.09

97530 covers dynamic functional tasks such as lifting or transfers to improve performance. 97112 targets neuromuscular control deficits, even when drills involve functional movements.

97116

Gait training

Each 15 minutes, one-on-one

$30.48

97116 applies when training targets walking or stair negotiation. Balance and weight-shifting drills not centered on ambulation support 97112.

97150

Group therapy

Two or more patients, per session

$18.82

97150 describes group therapy delivered to two or more patients together. 97112 requires direct one-on-one contact and is reported in 15-minute units.

The same code, a different location

How does El Centro compare?

In Bakersfield, the office rate for 97112 is $34.43—$0.06 higher than the $34.37 rate in El Centro. Both use the same code, release and participation basis.

97112 across payment areas

Same release and payment basis · bars start at $0

  1. El Centro · This locality

    $34.37

  2. Bakersfield

    $34.43

    $0.06 higher than El Centro

  3. Chico

    $34.37

    The same base rate than El Centro

  4. Fresno

    $34.37

    The same base rate than El Centro

  5. Hanford-Corcoran

    $34.37

    The same base rate than El Centro

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

    $36.18

    $1.81 higher than El Centro

  7. Madera

    $34.37

    The same base rate than El Centro

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, 97112 ranges from $30.36 in Arkansas to $41.95 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

  • Merced

    California · 97112

    Office

    $34.37

    Facility

    Unavailable

    The same base rate than El Centro for the office setting.

  • Modesto

    California · 97112

    Office

    $34.37

    Facility

    Unavailable

    The same base rate than El Centro for the office setting.

  • Napa

    California · 97112

    Office

    $38.61

    Facility

    Unavailable

    $4.24 higher than El Centro for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 97112

    Office

    $35.93

    Facility

    Unavailable

    $1.56 higher than El Centro for the office setting.

  • Redding

    California · 97112

    Office

    $34.37

    Facility

    Unavailable

    The same base rate than El Centro for the office setting.

  • Rest Of California

    California · 97112

    Office

    $34.37

    Facility

    Unavailable

    The same base rate than El Centro for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 97112

    Office

    $34.49

    Facility

    Unavailable

    $0.12 higher than El Centro for the office setting.

  • Sacramento-Roseville-Folsom

    California · 97112

    Office

    $35.74

    Facility

    Unavailable

    $1.37 higher than El Centro for the office setting.

  • Salinas

    California · 97112

    Office

    $35.59

    Facility

    Unavailable

    $1.22 higher than El Centro for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 97112

    Office

    $36.16

    Facility

    Unavailable

    $1.79 higher than El Centro for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 97112

    Office

    $40.58

    Facility

    Unavailable

    $6.21 higher than El Centro for the office setting.

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

    California · 97112

    Office

    $40.56

    Facility

    Unavailable

    $6.19 higher than El Centro for the office setting.

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

    California · 97112

    Office

    $41.35

    Facility

    Unavailable

    $6.98 higher than El Centro for the office setting.

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

    California · 97112

    Office

    $41.31

    Facility

    Unavailable

    $6.94 higher than El Centro for the office setting.

  • San Luis Obispo-Paso Robles

    California · 97112

    Office

    $35.04

    Facility

    Unavailable

    $0.67 higher than El Centro for the office setting.

  • Santa Cruz-Watsonville

    California · 97112

    Office

    $36.30

    Facility

    Unavailable

    $1.93 higher than El Centro for the office setting.

  • Santa Maria-Santa Barbara

    California · 97112

    Office

    $35.65

    Facility

    Unavailable

    $1.28 higher than El Centro for the office setting.

  • Santa Rosa-Petaluma

    California · 97112

    Office

    $36.66

    Facility

    Unavailable

    $2.29 higher than El Centro for the office setting.

  • Stockton

    California · 97112

    Office

    $34.37

    Facility

    Unavailable

    The same base rate than El Centro for the office setting.

  • Vallejo

    California · 97112

    Office

    $38.60

    Facility

    Unavailable

    $4.23 higher than El Centro for the office setting.

  • Visalia

    California · 97112

    Office

    $34.37

    Facility

    Unavailable

    The same base rate than El Centro for the office setting.

  • Yuba City

    California · 97112

    Office

    $34.37

    Facility

    Unavailable

    The same base rate than El Centro for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 97112

    Office

    $36.47

    Facility

    Unavailable

    $2.10 higher than El Centro for the office setting.

  • Miami

    Florida · 97112

    Office

    $33.89

    Facility

    Unavailable

    $0.48 lower than El Centro for the office setting.

  • Chicago

    Illinois · 97112

    Office

    $33.36

    Facility

    Unavailable

    $1.01 lower than El Centro for the office setting.

  • Manhattan

    New York · 97112

    Office

    $36.54

    Facility

    Unavailable

    $2.17 higher than El Centro for the office setting.

  • Alaska*

    Alaska · 97112

    Office

    $41.95

    Facility

    Unavailable

    $7.58 higher than El Centro for the office setting.

  • Alabama

    Alabama · 97112

    Office

    $30.63

    Facility

    Unavailable

    $3.74 lower than El Centro for the office setting.

  • Arkansas

    Arkansas · 97112

    Office

    $30.36

    Facility

    Unavailable

    $4.01 lower than El Centro for the office setting.

  • Arizona

    Arizona · 97112

    Office

    $32.20

    Facility

    Unavailable

    $2.17 lower than El Centro for the office setting.

  • Colorado

    Colorado · 97112

    Office

    $33.86

    Facility

    Unavailable

    $0.51 lower than El Centro for the office setting.

  • Connecticut

    Connecticut · 97112

    Office

    $34.35

    Facility

    Unavailable

    $0.02 lower than El Centro for the office setting.

  • Delaware

    Delaware · 97112

    Office

    $32.59

    Facility

    Unavailable

    $1.78 lower than El Centro for the office setting.

  • Fort Lauderdale

    Florida · 97112

    Office

    $33.21

    Facility

    Unavailable

    $1.16 lower than El Centro for the office setting.

  • Rest Of Florida

    Florida · 97112

    Office

    $32.21

    Facility

    Unavailable

    $2.16 lower than El Centro for the office setting.

  • Atlanta

    Georgia · 97112

    Office

    $33.10

    Facility

    Unavailable

    $1.27 lower than El Centro for the office setting.

  • Rest Of Georgia

    Georgia · 97112

    Office

    $31.10

    Facility

    Unavailable

    $3.27 lower than El Centro for the office setting.

  • Hawaii, Guam

    Hawaii · 97112

    Office

    $34.74

    Facility

    Unavailable

    $0.37 higher than El Centro for the office setting.

  • Iowa

    Iowa · 97112

    Office

    $31.20

    Facility

    Unavailable

    $3.17 lower than El Centro for the office setting.

  • Idaho

    Idaho · 97112

    Office

    $31.30

    Facility

    Unavailable

    $3.07 lower than El Centro for the office setting.

  • East St. Louis

    Illinois · 97112

    Office

    $31.82

    Facility

    Unavailable

    $2.55 lower than El Centro for the office setting.

  • Rest Of Illinois

    Illinois · 97112

    Office

    $31.56

    Facility

    Unavailable

    $2.81 lower than El Centro for the office setting.

  • Suburban Chicago

    Illinois · 97112

    Office

    $33.53

    Facility

    Unavailable

    $0.84 lower than El Centro for the office setting.

  • Indiana

    Indiana · 97112

    Office

    $31.42

    Facility

    Unavailable

    $2.95 lower than El Centro for the office setting.

  • Kansas

    Kansas · 97112

    Office

    $31.06

    Facility

    Unavailable

    $3.31 lower than El Centro for the office setting.

  • Kentucky

    Kentucky · 97112

    Office

    $30.96

    Facility

    Unavailable

    $3.41 lower than El Centro for the office setting.

  • New Orleans

    Louisiana · 97112

    Office

    $31.85

    Facility

    Unavailable

    $2.52 lower than El Centro for the office setting.

  • Rest Of Louisiana

    Louisiana · 97112

    Office

    $30.91

    Facility

    Unavailable

    $3.46 lower than El Centro for the office setting.

  • Metropolitan Boston

    Massachusetts · 97112

    Office

    $36.43

    Facility

    Unavailable

    $2.06 higher than El Centro for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 97112

    Office

    $33.76

    Facility

    Unavailable

    $0.61 lower than El Centro for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 97112

    Office

    $34.23

    Facility

    Unavailable

    $0.14 lower than El Centro for the office setting.

  • Rest Of Maryland

    Maryland · 97112

    Office

    $33.06

    Facility

    Unavailable

    $1.31 lower than El Centro for the office setting.

  • Rest Of Maine

    Maine · 97112

    Office

    $31.35

    Facility

    Unavailable

    $3.02 lower than El Centro for the office setting.

  • Southern Maine

    Maine · 97112

    Office

    $32.47

    Facility

    Unavailable

    $1.90 lower than El Centro for the office setting.

  • Detroit

    Michigan · 97112

    Office

    $32.41

    Facility

    Unavailable

    $1.96 lower than El Centro for the office setting.

  • Rest Of Michigan

    Michigan · 97112

    Office

    $31.41

    Facility

    Unavailable

    $2.96 lower than El Centro for the office setting.

  • Minnesota

    Minnesota · 97112

    Office

    $32.95

    Facility

    Unavailable

    $1.42 lower than El Centro for the office setting.

  • Metropolitan Kansas City

    Missouri · 97112

    Office

    $31.77

    Facility

    Unavailable

    $2.60 lower than El Centro for the office setting.

  • Metropolitan St. Louis

    Missouri · 97112

    Office

    $31.98

    Facility

    Unavailable

    $2.39 lower than El Centro for the office setting.

  • Rest Of Missouri

    Missouri · 97112

    Office

    $30.56

    Facility

    Unavailable

    $3.81 lower than El Centro for the office setting.

  • Mississippi

    Mississippi · 97112

    Office

    $30.46

    Facility

    Unavailable

    $3.91 lower than El Centro for the office setting.

  • Montana**

    Montana · 97112

    Office

    $32.73

    Facility

    Unavailable

    $1.64 lower than El Centro for the office setting.

  • North Carolina

    North Carolina · 97112

    Office

    $31.56

    Facility

    Unavailable

    $2.81 lower than El Centro for the office setting.

  • North Dakota**

    North Dakota · 97112

    Office

    $32.53

    Facility

    Unavailable

    $1.84 lower than El Centro for the office setting.

  • Nebraska

    Nebraska · 97112

    Office

    $31.32

    Facility

    Unavailable

    $3.05 lower than El Centro for the office setting.

  • New Hampshire

    New Hampshire · 97112

    Office

    $33.33

    Facility

    Unavailable

    $1.04 lower than El Centro for the office setting.

  • Northern Nj

    New Jersey · 97112

    Office

    $36.32

    Facility

    Unavailable

    $1.95 higher than El Centro for the office setting.

  • Rest Of New Jersey

    New Jersey · 97112

    Office

    $34.88

    Facility

    Unavailable

    $0.51 higher than El Centro for the office setting.

  • New Mexico

    New Mexico · 97112

    Office

    $31.50

    Facility

    Unavailable

    $2.87 lower than El Centro for the office setting.

  • Nevada**

    Nevada · 97112

    Office

    $32.69

    Facility

    Unavailable

    $1.68 lower than El Centro for the office setting.

  • Nyc Suburbs/Long Island

    New York · 97112

    Office

    $37.05

    Facility

    Unavailable

    $2.68 higher than El Centro for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 97112

    Office

    $35.05

    Facility

    Unavailable

    $0.68 higher than El Centro for the office setting.

  • Queens

    New York · 97112

    Office

    $36.81

    Facility

    Unavailable

    $2.44 higher than El Centro for the office setting.

  • Rest Of New York

    New York · 97112

    Office

    $31.85

    Facility

    Unavailable

    $2.52 lower than El Centro for the office setting.

  • Ohio

    Ohio · 97112

    Office

    $31.37

    Facility

    Unavailable

    $3.00 lower than El Centro for the office setting.

  • Oklahoma

    Oklahoma · 97112

    Office

    $30.98

    Facility

    Unavailable

    $3.39 lower than El Centro for the office setting.

  • Portland

    Oregon · 97112

    Office

    $34.66

    Facility

    Unavailable

    $0.29 higher than El Centro for the office setting.

  • Rest Of Oregon

    Oregon · 97112

    Office

    $32.57

    Facility

    Unavailable

    $1.80 lower than El Centro for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 97112

    Office

    $33.74

    Facility

    Unavailable

    $0.63 lower than El Centro for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 97112

    Office

    $31.43

    Facility

    Unavailable

    $2.94 lower than El Centro for the office setting.

  • Puerto Rico

    Puerto Rico · 97112

    Office

    $32.90

    Facility

    Unavailable

    $1.47 lower than El Centro for the office setting.

  • Rhode Island

    Rhode Island · 97112

    Office

    $33.53

    Facility

    Unavailable

    $0.84 lower than El Centro for the office setting.

  • South Carolina

    South Carolina · 97112

    Office

    $31.49

    Facility

    Unavailable

    $2.88 lower than El Centro for the office setting.

  • South Dakota**

    South Dakota · 97112

    Office

    $32.51

    Facility

    Unavailable

    $1.86 lower than El Centro for the office setting.

  • Tennessee

    Tennessee · 97112

    Office

    $31.15

    Facility

    Unavailable

    $3.22 lower than El Centro for the office setting.

  • Austin

    Texas · 97112

    Office

    $33.64

    Facility

    Unavailable

    $0.73 lower than El Centro for the office setting.

  • Beaumont

    Texas · 97112

    Office

    $31.30

    Facility

    Unavailable

    $3.07 lower than El Centro for the office setting.

  • Brazoria

    Texas · 97112

    Office

    $32.65

    Facility

    Unavailable

    $1.72 lower than El Centro for the office setting.

  • Dallas

    Texas · 97112

    Office

    $32.77

    Facility

    Unavailable

    $1.60 lower than El Centro for the office setting.

  • Fort Worth

    Texas · 97112

    Office

    $32.62

    Facility

    Unavailable

    $1.75 lower than El Centro for the office setting.

  • Galveston

    Texas · 97112

    Office

    $32.70

    Facility

    Unavailable

    $1.67 lower than El Centro for the office setting.

  • Houston

    Texas · 97112

    Office

    $32.88

    Facility

    Unavailable

    $1.49 lower than El Centro for the office setting.

  • Rest Of Texas

    Texas · 97112

    Office

    $31.90

    Facility

    Unavailable

    $2.47 lower than El Centro for the office setting.

  • Utah

    Utah · 97112

    Office

    $31.76

    Facility

    Unavailable

    $2.61 lower than El Centro for the office setting.

  • Virginia

    Virginia · 97112

    Office

    $32.37

    Facility

    Unavailable

    $2.00 lower than El Centro for the office setting.

  • Virgin Islands

    United States Virgin Islands · 97112

    Office

    $32.90

    Facility

    Unavailable

    $1.47 lower than El Centro for the office setting.

  • Vermont

    Vermont · 97112

    Office

    $32.41

    Facility

    Unavailable

    $1.96 lower than El Centro for the office setting.

  • Rest Of Washington

    Washington · 97112

    Office

    $33.70

    Facility

    Unavailable

    $0.67 lower than El Centro for the office setting.

  • Seattle (King Cnty)

    Washington · 97112

    Office

    $37.07

    Facility

    Unavailable

    $2.70 higher than El Centro for the office setting.

  • Wisconsin

    Wisconsin · 97112

    Office

    $31.84

    Facility

    Unavailable

    $2.53 lower than El Centro for the office setting.

  • West Virginia

    West Virginia · 97112

    Office

    $30.82

    Facility

    Unavailable

    $3.55 lower than El Centro for the office setting.

  • Wyoming**

    Wyoming · 97112

    Office

    $32.65

    Facility

    Unavailable

    $1.72 lower than El Centro for the office setting.

See how rates vary across the country

97112 · 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.

$30.36

$41.95

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$41.951
AL$30.631
AR$30.361
AZ$32.201
CA$34.37–$41.3529
CO$33.861
CT$34.351
DC$36.471
DE$32.591
FL$32.21–$33.893
GA$31.10–$33.102
GU$34.741
HI$34.741
IA$31.201
ID$31.301
IL$31.56–$33.534
IN$31.421
KS$31.061
KY$30.961
LA$30.91–$31.852
MA$33.76–$36.432
MD$33.06–$36.473
ME$31.35–$32.472
MI$31.41–$32.412
MN$32.951
MO$30.56–$31.983
MS$30.461
MT$32.731
NC$31.561
ND$32.531
NE$31.321
NH$33.331
NJ$34.88–$36.322
NM$31.501
NV$32.691
NY$31.85–$37.055
OH$31.371
OK$30.981
OR$32.57–$34.662
PA$31.43–$33.742
PR$32.901
RI$33.531
SC$31.491
SD$32.511
TN$31.151
TX$31.30–$33.648
UT$31.761
VA$32.37–$36.472
VI$32.901
VT$32.411
WA$33.70–$37.072
WI$31.841
WV$30.821
WY$32.651

Explore 97112 on the national rate map →

Where does this rate apply?

El Centro is a Medicare payment area. Our Census mapping connects it to 18 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 97112 in El Centro. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$37.81

$34.37 × 110% = $37.81

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 →

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 97112 in El Centro.

PPRRVU2026_Oct_nonQPP.csv

12,860

Code
97112
Physician work
0.50
Practice expense
0.47
Malpractice
0.01

GPCI2026.csv

10

Locality
El Centro
Physician work
1.017
Practice expense
1.096
Malpractice
0.541
Office / nonfacility calculation for 97112 in El Centro
ComponentRVULocality factorAdjusted
Physician work0.50× 1.0170.5085
Practice expense0.47× 1.0960.5151
Malpractice0.01× 0.5410.0054
Total RVUs1.0290
Conversion factor× 33.4009

Office / nonfacility rate, El Centro$34.37

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

Open 97112 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.51.017
Practice expense0.471.096
Malpractice0.010.541

(0.5 × 1.017 + 0.47 × 1.096 + 0.01 × 0.541) × $33.4009 = $34.37

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

97112 · Office / nonfacility

$34.37

Effective 2026-10-01

The base rate is $0.82 higher than on 2025-10-01, moving from $33.55 to $34.37 (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

    $33.55changed to$34.37

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 0.48 changed to 0.47
    • Work GPCI 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.570 changed to 0.541

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $33.55

    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$34.37Not available in this settingRVU26D
2026-07-01$34.37Not available in this settingRVU26C
2026-04-01$34.37Not available in this settingRVU26B
2026-01-01$34.37Not available in this settingRVU26A
2025-10-01$33.55Not available in this settingRVU25D
2025-07-01$33.55Not available in this settingRVU25C
2025-04-01$33.55Not available in this settingRVU25B
2025-01-01$33.55Not available in this settingRVU25A

97112 billing questions

How do I choose between 97112 and 97110?

Use 97112 when the goal is restoring balance, coordination, posture, or proprioception through motor control training. Use 97110 when exercise targets strength, endurance, range of motion, or flexibility. The documented goal and technique decide it, not the exercise equipment.

Can 97112 and 97110 be billed on the same day?

Yes, if each was performed for its own documented purpose during separate time. Record each code's minutes; Medicare determines the total billable timed units from the combined timed treatment minutes.

Does vestibular or balance training fall under 97112?

Balance retraining, static and dynamic postural control work, and vestibular exercises aimed at postural stability can be reported with 97112. The note should tie the activity to a balance or proprioceptive deficit.

Which modifiers are needed on 97112 for Medicare?

Use GP for a physical therapy plan or GO for an occupational therapy plan. Assistant services may also require CQ or CO, respectively. Do not use professional or technical component modifiers 26 or TC.

Can 97112 be billed when the therapist works with several patients at once?

Count only direct, one-on-one treatment time for 97112. Report 97150 for a distinct group therapy service delivered to two or more patients together, rather than counting that group time toward 97112.

What documentation supports 97112?

Record minutes of direct treatment, the impairment addressed, the technique and skilled cueing used, and the patient's response. Balance measures such as the Berg Balance Scale can help document progress toward postural-control goals.

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 97112PPRRVU2026_Oct_nonQPP.csv, line 12,860 (RVU26D)
Geographic factors for El CentroGPCI2026.csv, line 10 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet