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CMS RVU26D · Effective 2026-10-01

97530 in El Centro

Office / nonfacility

$37.09

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 97530: Dynamic functional therapeutic activities, per 15 minutes

One-on-one therapy using dynamic functional tasks, such as transfers, lifting, and reaching, to improve daily performance, reported in 15-minute units.

This timed service involves direct, one-on-one treatment using dynamic activities that improve functional performance. A physical or occupational therapist may have a patient practice sit-to-stand transfers, lift and carry an object, squat to retrieve an item, or reach overhead for a household task. The activity is selected and adjusted to address the patient's functional limitation, rather than performed simply as an exercise repetition. Therapists and qualified therapy assistants furnish the service in outpatient practices, hospital outpatient departments, and skilled nursing facilities providing Part B therapy.

Report units from documented direct treatment minutes. Under Medicare's 8-minute rule, total minutes across timed therapy services determine the day's available units; when several services are furnished, allocate units according to the minutes spent on each. Document the activity, skilled intervention, treatment time, and connection to a functional goal. Use the appropriate therapy plan modifier and, when the assistant contribution meets Medicare's threshold, CQ or CO. Report the therapy service as a whole, without a professional-component modifier. Medicare reduces practice expense for the second and later therapy units on the same day.

CMS billing rules for 97530

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 RVU0.44 · 42%
  • Practice expense (office) RVU0.60 · 57%
  • Malpractice RVU0.01 · 1%

44.7M

Medicare services in 2024 · #4 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.

97530 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

Choose 97110 for exercises addressing strength, endurance, range of motion, or flexibility. Choose 97530 for dynamic performance of a functional task, such as transferring or lifting.

97535

Self-care training

ADL and home management, per 15 minutes

$34.14

97535 covers training in daily living skills, such as dressing, bathing, meal preparation, or adaptive equipment use. 97530 covers dynamic functional movement tasks such as transfers, lifting, and reaching.

97112

Neuromuscular reeducation

Balance, coordination, proprioception, timed

$34.37

97112 focuses on neuromuscular reeducation of balance, coordination, or movement control. Choose 97530 when the skilled treatment centers on performing a dynamic functional task.

97150

Group therapy

Two or more patients, per session

$18.82

97150 covers therapy delivered simultaneously to two or more patients. 97530 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 97530 is $37.14—$0.05 higher than the $37.09 rate in El Centro. Both use the same code, release and participation basis.

97530 across payment areas

Same release and payment basis · bars start at $0

  1. El Centro · This locality

    $37.09

  2. Bakersfield

    $37.14

    $0.05 higher than El Centro

  3. Chico

    $37.09

    The same base rate than El Centro

  4. Fresno

    $37.09

    The same base rate than El Centro

  5. Hanford-Corcoran

    $37.09

    The same base rate than El Centro

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

    $39.23

    $2.14 higher than El Centro

  7. Madera

    $37.09

    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, 97530 ranges from $32.08 in Arkansas to $45.39 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 · 97530

    Office

    $37.09

    Facility

    Unavailable

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

  • Modesto

    California · 97530

    Office

    $37.09

    Facility

    Unavailable

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

  • Napa

    California · 97530

    Office

    $42.21

    Facility

    Unavailable

    $5.12 higher than El Centro for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 97530

    Office

    $39.00

    Facility

    Unavailable

    $1.91 higher than El Centro for the office setting.

  • Redding

    California · 97530

    Office

    $37.09

    Facility

    Unavailable

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

  • Rest Of California

    California · 97530

    Office

    $37.09

    Facility

    Unavailable

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

  • Riverside-San Bernardino-Ontario

    California · 97530

    Office

    $37.21

    Facility

    Unavailable

    $0.12 higher than El Centro for the office setting.

  • Sacramento-Roseville-Folsom

    California · 97530

    Office

    $38.71

    Facility

    Unavailable

    $1.62 higher than El Centro for the office setting.

  • Salinas

    California · 97530

    Office

    $38.56

    Facility

    Unavailable

    $1.47 higher than El Centro for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 97530

    Office

    $39.29

    Facility

    Unavailable

    $2.20 higher than El Centro for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 97530

    Office

    $44.50

    Facility

    Unavailable

    $7.41 higher than El Centro for the office setting.

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

    California · 97530

    Office

    $44.49

    Facility

    Unavailable

    $7.40 higher than El Centro for the office setting.

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

    California · 97530

    Office

    $45.39

    Facility

    Unavailable

    $8.30 higher than El Centro for the office setting.

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

    California · 97530

    Office

    $45.34

    Facility

    Unavailable

    $8.25 higher than El Centro for the office setting.

  • San Luis Obispo-Paso Robles

    California · 97530

    Office

    $37.95

    Facility

    Unavailable

    $0.86 higher than El Centro for the office setting.

  • Santa Cruz-Watsonville

    California · 97530

    Office

    $39.53

    Facility

    Unavailable

    $2.44 higher than El Centro for the office setting.

  • Santa Maria-Santa Barbara

    California · 97530

    Office

    $38.65

    Facility

    Unavailable

    $1.56 higher than El Centro for the office setting.

  • Santa Rosa-Petaluma

    California · 97530

    Office

    $39.93

    Facility

    Unavailable

    $2.84 higher than El Centro for the office setting.

  • Stockton

    California · 97530

    Office

    $37.09

    Facility

    Unavailable

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

  • Vallejo

    California · 97530

    Office

    $42.19

    Facility

    Unavailable

    $5.10 higher than El Centro for the office setting.

  • Visalia

    California · 97530

    Office

    $37.09

    Facility

    Unavailable

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

  • Yuba City

    California · 97530

    Office

    $37.09

    Facility

    Unavailable

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

  • Dc + Md/Va Suburbs

    District of Columbia · 97530

    Office

    $39.47

    Facility

    Unavailable

    $2.38 higher than El Centro for the office setting.

  • Miami

    Florida · 97530

    Office

    $36.40

    Facility

    Unavailable

    $0.69 lower than El Centro for the office setting.

  • Chicago

    Illinois · 97530

    Office

    $35.71

    Facility

    Unavailable

    $1.38 lower than El Centro for the office setting.

  • Manhattan

    New York · 97530

    Office

    $39.45

    Facility

    Unavailable

    $2.36 higher than El Centro for the office setting.

  • Alaska*

    Alaska · 97530

    Office

    $43.57

    Facility

    Unavailable

    $6.48 higher than El Centro for the office setting.

  • Alabama

    Alabama · 97530

    Office

    $32.42

    Facility

    Unavailable

    $4.67 lower than El Centro for the office setting.

  • Arkansas

    Arkansas · 97530

    Office

    $32.08

    Facility

    Unavailable

    $5.01 lower than El Centro for the office setting.

  • Arizona

    Arizona · 97530

    Office

    $34.40

    Facility

    Unavailable

    $2.69 lower than El Centro for the office setting.

  • Colorado

    Colorado · 97530

    Office

    $36.46

    Facility

    Unavailable

    $0.63 lower than El Centro for the office setting.

  • Connecticut

    Connecticut · 97530

    Office

    $36.98

    Facility

    Unavailable

    $0.11 lower than El Centro for the office setting.

  • Delaware

    Delaware · 97530

    Office

    $34.87

    Facility

    Unavailable

    $2.22 lower than El Centro for the office setting.

  • Fort Lauderdale

    Florida · 97530

    Office

    $35.60

    Facility

    Unavailable

    $1.49 lower than El Centro for the office setting.

  • Rest Of Florida

    Florida · 97530

    Office

    $34.36

    Facility

    Unavailable

    $2.73 lower than El Centro for the office setting.

  • Atlanta

    Georgia · 97530

    Office

    $35.50

    Facility

    Unavailable

    $1.59 lower than El Centro for the office setting.

  • Rest Of Georgia

    Georgia · 97530

    Office

    $32.97

    Facility

    Unavailable

    $4.12 lower than El Centro for the office setting.

  • Hawaii, Guam

    Hawaii · 97530

    Office

    $37.68

    Facility

    Unavailable

    $0.59 higher than El Centro for the office setting.

  • Iowa

    Iowa · 97530

    Office

    $33.17

    Facility

    Unavailable

    $3.92 lower than El Centro for the office setting.

  • Idaho

    Idaho · 97530

    Office

    $33.29

    Facility

    Unavailable

    $3.80 lower than El Centro for the office setting.

  • East St. Louis

    Illinois · 97530

    Office

    $33.81

    Facility

    Unavailable

    $3.28 lower than El Centro for the office setting.

  • Rest Of Illinois

    Illinois · 97530

    Office

    $33.52

    Facility

    Unavailable

    $3.57 lower than El Centro for the office setting.

  • Suburban Chicago

    Illinois · 97530

    Office

    $35.97

    Facility

    Unavailable

    $1.12 lower than El Centro for the office setting.

  • Indiana

    Indiana · 97530

    Office

    $33.44

    Facility

    Unavailable

    $3.65 lower than El Centro for the office setting.

  • Kansas

    Kansas · 97530

    Office

    $32.98

    Facility

    Unavailable

    $4.11 lower than El Centro for the office setting.

  • Kentucky

    Kentucky · 97530

    Office

    $32.82

    Facility

    Unavailable

    $4.27 lower than El Centro for the office setting.

  • New Orleans

    Louisiana · 97530

    Office

    $33.93

    Facility

    Unavailable

    $3.16 lower than El Centro for the office setting.

  • Rest Of Louisiana

    Louisiana · 97530

    Office

    $32.75

    Facility

    Unavailable

    $4.34 lower than El Centro for the office setting.

  • Metropolitan Boston

    Massachusetts · 97530

    Office

    $39.52

    Facility

    Unavailable

    $2.43 higher than El Centro for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 97530

    Office

    $36.30

    Facility

    Unavailable

    $0.79 lower than El Centro for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 97530

    Office

    $36.85

    Facility

    Unavailable

    $0.24 lower than El Centro for the office setting.

  • Rest Of Maryland

    Maryland · 97530

    Office

    $35.43

    Facility

    Unavailable

    $1.66 lower than El Centro for the office setting.

  • Rest Of Maine

    Maine · 97530

    Office

    $33.34

    Facility

    Unavailable

    $3.75 lower than El Centro for the office setting.

  • Southern Maine

    Maine · 97530

    Office

    $34.77

    Facility

    Unavailable

    $2.32 lower than El Centro for the office setting.

  • Detroit

    Michigan · 97530

    Office

    $34.60

    Facility

    Unavailable

    $2.49 lower than El Centro for the office setting.

  • Rest Of Michigan

    Michigan · 97530

    Office

    $33.37

    Facility

    Unavailable

    $3.72 lower than El Centro for the office setting.

  • Minnesota

    Minnesota · 97530

    Office

    $35.42

    Facility

    Unavailable

    $1.67 lower than El Centro for the office setting.

  • Metropolitan Kansas City

    Missouri · 97530

    Office

    $33.84

    Facility

    Unavailable

    $3.25 lower than El Centro for the office setting.

  • Metropolitan St. Louis

    Missouri · 97530

    Office

    $34.11

    Facility

    Unavailable

    $2.98 lower than El Centro for the office setting.

  • Rest Of Missouri

    Missouri · 97530

    Office

    $32.30

    Facility

    Unavailable

    $4.79 lower than El Centro for the office setting.

  • Mississippi

    Mississippi · 97530

    Office

    $32.20

    Facility

    Unavailable

    $4.89 lower than El Centro for the office setting.

  • Montana**

    Montana · 97530

    Office

    $35.07

    Facility

    Unavailable

    $2.02 lower than El Centro for the office setting.

  • North Carolina

    North Carolina · 97530

    Office

    $33.61

    Facility

    Unavailable

    $3.48 lower than El Centro for the office setting.

  • North Dakota**

    North Dakota · 97530

    Office

    $34.87

    Facility

    Unavailable

    $2.22 lower than El Centro for the office setting.

  • Nebraska

    Nebraska · 97530

    Office

    $33.32

    Facility

    Unavailable

    $3.77 lower than El Centro for the office setting.

  • New Hampshire

    New Hampshire · 97530

    Office

    $35.85

    Facility

    Unavailable

    $1.24 lower than El Centro for the office setting.

  • Northern Nj

    New Jersey · 97530

    Office

    $39.23

    Facility

    Unavailable

    $2.14 higher than El Centro for the office setting.

  • Rest Of New Jersey

    New Jersey · 97530

    Office

    $37.53

    Facility

    Unavailable

    $0.44 higher than El Centro for the office setting.

  • New Mexico

    New Mexico · 97530

    Office

    $33.47

    Facility

    Unavailable

    $3.62 lower than El Centro for the office setting.

  • Nevada**

    Nevada · 97530

    Office

    $35.04

    Facility

    Unavailable

    $2.05 lower than El Centro for the office setting.

  • Nyc Suburbs/Long Island

    New York · 97530

    Office

    $40.09

    Facility

    Unavailable

    $3.00 higher than El Centro for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 97530

    Office

    $37.71

    Facility

    Unavailable

    $0.62 higher than El Centro for the office setting.

  • Queens

    New York · 97530

    Office

    $39.81

    Facility

    Unavailable

    $2.72 higher than El Centro for the office setting.

  • Rest Of New York

    New York · 97530

    Office

    $33.97

    Facility

    Unavailable

    $3.12 lower than El Centro for the office setting.

  • Ohio

    Ohio · 97530

    Office

    $33.33

    Facility

    Unavailable

    $3.76 lower than El Centro for the office setting.

  • Oklahoma

    Oklahoma · 97530

    Office

    $32.85

    Facility

    Unavailable

    $4.24 lower than El Centro for the office setting.

  • Portland

    Oregon · 97530

    Office

    $37.45

    Facility

    Unavailable

    $0.36 higher than El Centro for the office setting.

  • Rest Of Oregon

    Oregon · 97530

    Office

    $34.89

    Facility

    Unavailable

    $2.20 lower than El Centro for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 97530

    Office

    $36.22

    Facility

    Unavailable

    $0.87 lower than El Centro for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 97530

    Office

    $33.41

    Facility

    Unavailable

    $3.68 lower than El Centro for the office setting.

  • Puerto Rico

    Puerto Rico · 97530

    Office

    $35.29

    Facility

    Unavailable

    $1.80 lower than El Centro for the office setting.

  • Rhode Island

    Rhode Island · 97530

    Office

    $35.98

    Facility

    Unavailable

    $1.11 lower than El Centro for the office setting.

  • South Carolina

    South Carolina · 97530

    Office

    $33.50

    Facility

    Unavailable

    $3.59 lower than El Centro for the office setting.

  • South Dakota**

    South Dakota · 97530

    Office

    $34.85

    Facility

    Unavailable

    $2.24 lower than El Centro for the office setting.

  • Tennessee

    Tennessee · 97530

    Office

    $33.09

    Facility

    Unavailable

    $4.00 lower than El Centro for the office setting.

  • Austin

    Texas · 97530

    Office

    $36.22

    Facility

    Unavailable

    $0.87 lower than El Centro for the office setting.

  • Beaumont

    Texas · 97530

    Office

    $33.24

    Facility

    Unavailable

    $3.85 lower than El Centro for the office setting.

  • Brazoria

    Texas · 97530

    Office

    $34.93

    Facility

    Unavailable

    $2.16 lower than El Centro for the office setting.

  • Dallas

    Texas · 97530

    Office

    $35.08

    Facility

    Unavailable

    $2.01 lower than El Centro for the office setting.

  • Fort Worth

    Texas · 97530

    Office

    $34.88

    Facility

    Unavailable

    $2.21 lower than El Centro for the office setting.

  • Galveston

    Texas · 97530

    Office

    $34.99

    Facility

    Unavailable

    $2.10 lower than El Centro for the office setting.

  • Houston

    Texas · 97530

    Office

    $35.17

    Facility

    Unavailable

    $1.92 lower than El Centro for the office setting.

  • Rest Of Texas

    Texas · 97530

    Office

    $34.02

    Facility

    Unavailable

    $3.07 lower than El Centro for the office setting.

  • Utah

    Utah · 97530

    Office

    $33.83

    Facility

    Unavailable

    $3.26 lower than El Centro for the office setting.

  • Virginia

    Virginia · 97530

    Office

    $34.63

    Facility

    Unavailable

    $2.46 lower than El Centro for the office setting.

  • Virgin Islands

    United States Virgin Islands · 97530

    Office

    $35.29

    Facility

    Unavailable

    $1.80 lower than El Centro for the office setting.

  • Vermont

    Vermont · 97530

    Office

    $34.71

    Facility

    Unavailable

    $2.38 lower than El Centro for the office setting.

  • Rest Of Washington

    Washington · 97530

    Office

    $36.24

    Facility

    Unavailable

    $0.85 lower than El Centro for the office setting.

  • Seattle (King Cnty)

    Washington · 97530

    Office

    $40.29

    Facility

    Unavailable

    $3.20 higher than El Centro for the office setting.

  • Wisconsin

    Wisconsin · 97530

    Office

    $34.00

    Facility

    Unavailable

    $3.09 lower than El Centro for the office setting.

  • West Virginia

    West Virginia · 97530

    Office

    $32.59

    Facility

    Unavailable

    $4.50 lower than El Centro for the office setting.

  • Wyoming**

    Wyoming · 97530

    Office

    $34.98

    Facility

    Unavailable

    $2.11 lower than El Centro for the office setting.

See how rates vary across the country

97530 · 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.

$32.08

$43.57

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$43.571
AL$32.421
AR$32.081
AZ$34.401
CA$37.09–$45.3929
CO$36.461
CT$36.981
DC$39.471
DE$34.871
FL$34.36–$36.403
GA$32.97–$35.502
GU$37.681
HI$37.681
IA$33.171
ID$33.291
IL$33.52–$35.974
IN$33.441
KS$32.981
KY$32.821
LA$32.75–$33.932
MA$36.30–$39.522
MD$35.43–$39.473
ME$33.34–$34.772
MI$33.37–$34.602
MN$35.421
MO$32.30–$34.113
MS$32.201
MT$35.071
NC$33.611
ND$34.871
NE$33.321
NH$35.851
NJ$37.53–$39.232
NM$33.471
NV$35.041
NY$33.97–$40.095
OH$33.331
OK$32.851
OR$34.89–$37.452
PA$33.41–$36.222
PR$35.291
RI$35.981
SC$33.501
SD$34.851
TN$33.091
TX$33.24–$36.228
UT$33.831
VA$34.63–$39.472
VI$35.291
VT$34.711
WA$36.24–$40.292
WI$34.001
WV$32.591
WY$34.981

Explore 97530 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 97530 in El Centro. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$40.80

$37.09 × 110% = $40.80

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 97530 in El Centro.

PPRRVU2026_Oct_nonQPP.csv

12,889

Code
97530
Physician work
0.44
Practice expense
0.60
Malpractice
0.01

GPCI2026.csv

10

Locality
El Centro
Physician work
1.017
Practice expense
1.096
Malpractice
0.541
Office / nonfacility calculation for 97530 in El Centro
ComponentRVULocality factorAdjusted
Physician work0.44× 1.0170.4475
Practice expense0.60× 1.0960.6576
Malpractice0.01× 0.5410.0054
Total RVUs1.1105
Conversion factor× 33.4009

Office / nonfacility rate, El Centro$37.09

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

Open 97530 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.441.017
Practice expense0.61.096
Malpractice0.010.541

(0.44 × 1.017 + 0.6 × 1.096 + 0.01 × 0.541) × $33.4009 = $37.09

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

97530 · Office / nonfacility

$37.09

Effective 2026-10-01

The base rate is $0.55 higher than on 2025-10-01, moving from $36.54 to $37.09 (1.5%).

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

    $36.54changed to$37.09

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 0.62 changed to 0.60
    • 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: $36.54

    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$37.09Not available in this settingRVU26D
2026-07-01$37.09Not available in this settingRVU26C
2026-04-01$37.09Not available in this settingRVU26B
2026-01-01$37.09Not available in this settingRVU26A
2025-10-01$36.54Not available in this settingRVU25D
2025-07-01$36.54Not available in this settingRVU25C
2025-04-01$36.54Not available in this settingRVU25B
2025-01-01$36.54Not available in this settingRVU25A

97530 billing questions

How is 97530 different from therapeutic exercise (97110)?

97110 covers exercises to improve strength, endurance, range of motion, or flexibility. Choose 97530 for a dynamic functional task, such as a transfer or lifting activity, with a documented functional goal.

How many units can be billed for a session?

If 97530 is the only timed therapy service, at least 8 minutes of direct treatment supports one unit under Medicare's 8-minute rule. When other timed services are furnished, total their direct minutes to determine available units, then allocate those units according to time spent on each service.

Can 97530 be billed with a therapy evaluation on the same day?

Yes, when the evaluation and a distinct skilled treatment are both performed and separately documented. Do not append modifier 59 or an X modifier solely because both occur on the same date.

Which therapy modifiers are used on Medicare claims?

Use GP or GO for treatment under the applicable physical or occupational therapy plan of care. Add CQ or CO when a physical therapist assistant or occupational therapy assistant, respectively, furnishes more than 10% of the service under Medicare's de minimis policy.

Can 97530 be billed when working with two patients at once?

97530 requires direct, one-on-one contact. Use 97150 for group therapy furnished simultaneously to two or more patients; separately documented individual treatment time may support 97530.

Does the multiple procedure reduction lower every unit?

The therapy unit with the highest practice expense is paid without the reduction. Medicare reduces practice expense for the second and later therapy units on the same day, whether they are additional 97530 units or other therapy services.

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 97530PPRRVU2026_Oct_nonQPP.csv, line 12,889 (RVU26D)
Geographic factors for El CentroGPCI2026.csv, line 10 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet