$37.09
97110 addresses strength, endurance, range of motion, or flexibility through exercise; 97530 uses dynamic functional tasks, such as lifting, carrying, or transfers, to improve daily activities.
On this page
CMS RVU26D · Effective 2026-10-01
97110 in Modesto
Office / nonfacility
$30.47
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 97110: Therapeutic exercise, each 15 minutes
Timed one-on-one therapy service in which a therapist directs exercises to build strength, endurance, range of motion, or flexibility, reported per 15 minutes.
Therapeutic exercise covers clinician-directed exercise aimed at restoring strength, endurance, joint range of motion, and flexibility in one or more body areas. Typical examples include progressive resistive exercise after rotator cuff repair, active-assisted range of motion after total knee arthroplasty, core strengthening for low back pain, and stretching programs for contractures. Physical therapists, occupational therapists, and supervised assistants perform it, mostly in outpatient clinics and private practices, with smaller volumes in facility settings. The clinician must have direct, one-on-one contact with the patient throughout the billed time.
Units are based on documented minutes of direct treatment. Medicare counts total timed minutes across all timed therapy codes for the day and assigns units under the 8-minute rule. Notes should name the exercises, parameters such as sets, repetitions, and resistance, the body region, skilled cues provided, and the functional goal addressed. Report the applicable therapy discipline modifier; add CQ or CO when assistant involvement meets Medicare’s threshold for a billed unit. This therapy service has no professional or technical split, so modifier 26 is not used. The therapy multiple procedure payment reduction reduces practice expense for the second and later therapy units on the same day, including a second unit of 97110.
CMS billing rules for 97110
- 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 RVU0.45 · 52%
- Practice expense (office) RVU0.41 · 47%
- Malpractice RVU0.01 · 1%
64.2M
Medicare services in 2024 · #3 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.
97110 compared with similar codes
Office rates for Modesto, from the same CMS release.
$34.37
Choose 97112 for neuromuscular retraining of balance, coordination, kinesthetic sense, posture, or proprioception; choose 97110 for exercises directed at strength, endurance, range of motion, or flexibility.
$18.82
97110 requires direct one-on-one contact and is billed in 15-minute units; 97150 applies when the therapist treats two or more patients simultaneously and is billed once per patient per session.
$39.18
Therapeutic exercise performed in an aquatic environment is reported with 97113; one-on-one land-based therapeutic exercise is reported with 97110.
The same code, a different location
How does Modesto compare?
In Bakersfield, the office rate for 97110 is $30.53—$0.06 higher than the $30.47 rate in Modesto. Both use the same code, release and participation basis.
97110 across payment areas
Same release and payment basis · bars start at $0
Modesto · This locality
$30.47
$30.53
$0.06 higher than Modesto
$30.47
The same base rate than Modesto
$30.48
$0.01 higher than Modesto
$30.47
The same base rate than Modesto
$30.47
The same base rate than Modesto
$1.60 higher than Modesto
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, 97110 ranges from $26.97 in Arkansas to $37.31 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
Madera
California · 97110
Office
$30.47
Facility
Unavailable
The same base rate than Modesto for the office setting.
Merced
California · 97110
Office
$30.47
Facility
Unavailable
The same base rate than Modesto for the office setting.
Napa
California · 97110
Office
$34.20
Facility
Unavailable
$3.73 higher than Modesto for the office setting.
Oxnard-Thousand Oaks-Ventura
California · 97110
Office
$31.85
Facility
Unavailable
$1.38 higher than Modesto for the office setting.
Redding
California · 97110
Office
$30.47
Facility
Unavailable
The same base rate than Modesto for the office setting.
Rest Of California
California · 97110
Office
$30.47
Facility
Unavailable
The same base rate than Modesto for the office setting.
Riverside-San Bernardino-Ontario
California · 97110
Office
$30.59
Facility
Unavailable
$0.12 higher than Modesto for the office setting.
Sacramento-Roseville-Folsom
California · 97110
Office
$31.68
Facility
Unavailable
$1.21 higher than Modesto for the office setting.
Salinas
California · 97110
Office
$31.55
Facility
Unavailable
$1.08 higher than Modesto for the office setting.
San Diego-Chula Vista-Carlsbad
California · 97110
Office
$32.04
Facility
Unavailable
$1.57 higher than Modesto for the office setting.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 97110
Office
$35.92
Facility
Unavailable
$5.45 higher than Modesto for the office setting.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 97110
Office
$35.91
Facility
Unavailable
$5.44 higher than Modesto for the office setting.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 97110
Office
$36.61
Facility
Unavailable
$6.14 higher than Modesto for the office setting.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 97110
Office
$36.56
Facility
Unavailable
$6.09 higher than Modesto for the office setting.
San Luis Obispo-Paso Robles
California · 97110
Office
$31.06
Facility
Unavailable
$0.59 higher than Modesto for the office setting.
Santa Cruz-Watsonville
California · 97110
Office
$32.16
Facility
Unavailable
$1.69 higher than Modesto for the office setting.
Santa Maria-Santa Barbara
California · 97110
Office
$31.60
Facility
Unavailable
$1.13 higher than Modesto for the office setting.
Santa Rosa-Petaluma
California · 97110
Office
$32.48
Facility
Unavailable
$2.01 higher than Modesto for the office setting.
Stockton
California · 97110
Office
$30.47
Facility
Unavailable
The same base rate than Modesto for the office setting.
Vallejo
California · 97110
Office
$34.18
Facility
Unavailable
$3.71 higher than Modesto for the office setting.
Visalia
California · 97110
Office
$30.47
Facility
Unavailable
The same base rate than Modesto for the office setting.
Yuba City
California · 97110
Office
$30.47
Facility
Unavailable
The same base rate than Modesto for the office setting.
Dc + Md/Va Suburbs
District of Columbia · 97110
Office
$32.35
Facility
Unavailable
$1.88 higher than Modesto for the office setting.
Miami
Florida · 97110
Office
$30.13
Facility
Unavailable
$0.34 lower than Modesto for the office setting.
Chicago
Illinois · 97110
Office
$29.67
Facility
Unavailable
$0.80 lower than Modesto for the office setting.
Manhattan
New York · 97110
Office
$32.43
Facility
Unavailable
$1.96 higher than Modesto for the office setting.
Alaska*
Alaska · 97110
Office
$37.31
Facility
Unavailable
$6.84 higher than Modesto for the office setting.
Alabama
Alabama · 97110
Office
$27.20
Facility
Unavailable
$3.27 lower than Modesto for the office setting.
Arkansas
Arkansas · 97110
Office
$26.97
Facility
Unavailable
$3.50 lower than Modesto for the office setting.
Arizona
Arizona · 97110
Office
$28.59
Facility
Unavailable
$1.88 lower than Modesto for the office setting.
Colorado
Colorado · 97110
Office
$30.04
Facility
Unavailable
$0.43 lower than Modesto for the office setting.
Connecticut
Connecticut · 97110
Office
$30.48
Facility
Unavailable
$0.01 higher than Modesto for the office setting.
Delaware
Delaware · 97110
Office
$28.94
Facility
Unavailable
$1.53 lower than Modesto for the office setting.
Fort Lauderdale
Florida · 97110
Office
$29.51
Facility
Unavailable
$0.96 lower than Modesto for the office setting.
Rest Of Florida
Florida · 97110
Office
$28.62
Facility
Unavailable
$1.85 lower than Modesto for the office setting.
Atlanta
Georgia · 97110
Office
$29.39
Facility
Unavailable
$1.08 lower than Modesto for the office setting.
Rest Of Georgia
Georgia · 97110
Office
$27.64
Facility
Unavailable
$2.83 lower than Modesto for the office setting.
Hawaii, Guam
Hawaii · 97110
Office
$30.79
Facility
Unavailable
$0.32 higher than Modesto for the office setting.
Iowa
Iowa · 97110
Office
$27.69
Facility
Unavailable
$2.78 lower than Modesto for the office setting.
Idaho
Idaho · 97110
Office
$27.79
Facility
Unavailable
$2.68 lower than Modesto for the office setting.
East St. Louis
Illinois · 97110
Office
$28.30
Facility
Unavailable
$2.17 lower than Modesto for the office setting.
Rest Of Illinois
Illinois · 97110
Office
$28.06
Facility
Unavailable
$2.41 lower than Modesto for the office setting.
Suburban Chicago
Illinois · 97110
Office
$29.79
Facility
Unavailable
$0.68 lower than Modesto for the office setting.
Indiana
Indiana · 97110
Office
$27.89
Facility
Unavailable
$2.58 lower than Modesto for the office setting.
Kansas
Kansas · 97110
Office
$27.58
Facility
Unavailable
$2.89 lower than Modesto for the office setting.
Kentucky
Kentucky · 97110
Office
$27.51
Facility
Unavailable
$2.96 lower than Modesto for the office setting.
New Orleans
Louisiana · 97110
Office
$28.30
Facility
Unavailable
$2.17 lower than Modesto for the office setting.
Rest Of Louisiana
Louisiana · 97110
Office
$27.47
Facility
Unavailable
$3.00 lower than Modesto for the office setting.
Metropolitan Boston
Massachusetts · 97110
Office
$32.29
Facility
Unavailable
$1.82 higher than Modesto for the office setting.
Rest Of Massachusetts
Massachusetts · 97110
Office
$29.96
Facility
Unavailable
$0.51 lower than Modesto for the office setting.
Baltimore/Surr. Cntys
Maryland · 97110
Office
$30.38
Facility
Unavailable
$0.09 lower than Modesto for the office setting.
Rest Of Maryland
Maryland · 97110
Office
$29.35
Facility
Unavailable
$1.12 lower than Modesto for the office setting.
Rest Of Maine
Maine · 97110
Office
$27.84
Facility
Unavailable
$2.63 lower than Modesto for the office setting.
Southern Maine
Maine · 97110
Office
$28.81
Facility
Unavailable
$1.66 lower than Modesto for the office setting.
Detroit
Michigan · 97110
Office
$28.81
Facility
Unavailable
$1.66 lower than Modesto for the office setting.
Rest Of Michigan
Michigan · 97110
Office
$27.91
Facility
Unavailable
$2.56 lower than Modesto for the office setting.
Minnesota
Minnesota · 97110
Office
$29.22
Facility
Unavailable
$1.25 lower than Modesto for the office setting.
Metropolitan Kansas City
Missouri · 97110
Office
$28.22
Facility
Unavailable
$2.25 lower than Modesto for the office setting.
Metropolitan St. Louis
Missouri · 97110
Office
$28.40
Facility
Unavailable
$2.07 lower than Modesto for the office setting.
Rest Of Missouri
Missouri · 97110
Office
$27.16
Facility
Unavailable
$3.31 lower than Modesto for the office setting.
Mississippi
Mississippi · 97110
Office
$27.07
Facility
Unavailable
$3.40 lower than Modesto for the office setting.
Montana**
Montana · 97110
Office
$29.06
Facility
Unavailable
$1.41 lower than Modesto for the office setting.
North Carolina
North Carolina · 97110
Office
$28.02
Facility
Unavailable
$2.45 lower than Modesto for the office setting.
North Dakota**
North Dakota · 97110
Office
$28.86
Facility
Unavailable
$1.61 lower than Modesto for the office setting.
Nebraska
Nebraska · 97110
Office
$27.80
Facility
Unavailable
$2.67 lower than Modesto for the office setting.
New Hampshire
New Hampshire · 97110
Office
$29.58
Facility
Unavailable
$0.89 lower than Modesto for the office setting.
Northern Nj
New Jersey · 97110
Office
$32.22
Facility
Unavailable
$1.75 higher than Modesto for the office setting.
Rest Of New Jersey
New Jersey · 97110
Office
$30.95
Facility
Unavailable
$0.48 higher than Modesto for the office setting.
New Mexico
New Mexico · 97110
Office
$27.99
Facility
Unavailable
$2.48 lower than Modesto for the office setting.
Nevada**
Nevada · 97110
Office
$29.02
Facility
Unavailable
$1.45 lower than Modesto for the office setting.
Nyc Suburbs/Long Island
New York · 97110
Office
$32.90
Facility
Unavailable
$2.43 higher than Modesto for the office setting.
Poughkpsie/N Nyc Suburbs
New York · 97110
Office
$31.11
Facility
Unavailable
$0.64 higher than Modesto for the office setting.
Queens
New York · 97110
Office
$32.66
Facility
Unavailable
$2.19 higher than Modesto for the office setting.
Rest Of New York
New York · 97110
Office
$28.27
Facility
Unavailable
$2.20 lower than Modesto for the office setting.
Ohio
Ohio · 97110
Office
$27.87
Facility
Unavailable
$2.60 lower than Modesto for the office setting.
Oklahoma
Oklahoma · 97110
Office
$27.52
Facility
Unavailable
$2.95 lower than Modesto for the office setting.
Portland
Oregon · 97110
Office
$30.73
Facility
Unavailable
$0.26 higher than Modesto for the office setting.
Rest Of Oregon
Oregon · 97110
Office
$28.90
Facility
Unavailable
$1.57 lower than Modesto for the office setting.
Metropolitan Philadelphia
Pennsylvania · 97110
Office
$29.96
Facility
Unavailable
$0.51 lower than Modesto for the office setting.
Rest Of Pennsylvania
Pennsylvania · 97110
Office
$27.92
Facility
Unavailable
$2.55 lower than Modesto for the office setting.
Puerto Rico
Puerto Rico · 97110
Office
$29.20
Facility
Unavailable
$1.27 lower than Modesto for the office setting.
Rhode Island
Rhode Island · 97110
Office
$29.76
Facility
Unavailable
$0.71 lower than Modesto for the office setting.
South Carolina
South Carolina · 97110
Office
$27.97
Facility
Unavailable
$2.50 lower than Modesto for the office setting.
South Dakota**
South Dakota · 97110
Office
$28.84
Facility
Unavailable
$1.63 lower than Modesto for the office setting.
Tennessee
Tennessee · 97110
Office
$27.66
Facility
Unavailable
$2.81 lower than Modesto for the office setting.
Austin
Texas · 97110
Office
$29.85
Facility
Unavailable
$0.62 lower than Modesto for the office setting.
Beaumont
Texas · 97110
Office
$27.80
Facility
Unavailable
$2.67 lower than Modesto for the office setting.
Brazoria
Texas · 97110
Office
$28.98
Facility
Unavailable
$1.49 lower than Modesto for the office setting.
Dallas
Texas · 97110
Office
$29.09
Facility
Unavailable
$1.38 lower than Modesto for the office setting.
Fort Worth
Texas · 97110
Office
$28.96
Facility
Unavailable
$1.51 lower than Modesto for the office setting.
Galveston
Texas · 97110
Office
$29.03
Facility
Unavailable
$1.44 lower than Modesto for the office setting.
Houston
Texas · 97110
Office
$29.21
Facility
Unavailable
$1.26 lower than Modesto for the office setting.
Rest Of Texas
Texas · 97110
Office
$28.33
Facility
Unavailable
$2.14 lower than Modesto for the office setting.
Utah
Utah · 97110
Office
$28.20
Facility
Unavailable
$2.27 lower than Modesto for the office setting.
Virginia
Virginia · 97110
Office
$28.73
Facility
Unavailable
$1.74 lower than Modesto for the office setting.
Virgin Islands
United States Virgin Islands · 97110
Office
$29.20
Facility
Unavailable
$1.27 lower than Modesto for the office setting.
Vermont
Vermont · 97110
Office
$28.76
Facility
Unavailable
$1.71 lower than Modesto for the office setting.
Rest Of Washington
Washington · 97110
Office
$29.90
Facility
Unavailable
$0.57 lower than Modesto for the office setting.
Seattle (King Cnty)
Washington · 97110
Office
$32.86
Facility
Unavailable
$2.39 higher than Modesto for the office setting.
Wisconsin
Wisconsin · 97110
Office
$28.25
Facility
Unavailable
$2.22 lower than Modesto for the office setting.
West Virginia
West Virginia · 97110
Office
$27.41
Facility
Unavailable
$3.06 lower than Modesto for the office setting.
Wyoming**
Wyoming · 97110
Office
$28.97
Facility
Unavailable
$1.50 lower than Modesto for the office setting.
See how rates vary across the country
97110 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
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.
$26.97
$37.31
Color shows the midpoint of each state’s locality range.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | $37.31 | 1 |
| AL | $27.20 | 1 |
| AR | $26.97 | 1 |
| AZ | $28.59 | 1 |
| CA | $30.47–$36.61 | 29 |
| CO | $30.04 | 1 |
| CT | $30.48 | 1 |
| DC | $32.35 | 1 |
| DE | $28.94 | 1 |
| FL | $28.62–$30.13 | 3 |
| GA | $27.64–$29.39 | 2 |
| GU | $30.79 | 1 |
| HI | $30.79 | 1 |
| IA | $27.69 | 1 |
| ID | $27.79 | 1 |
| IL | $28.06–$29.79 | 4 |
| IN | $27.89 | 1 |
| KS | $27.58 | 1 |
| KY | $27.51 | 1 |
| LA | $27.47–$28.30 | 2 |
| MA | $29.96–$32.29 | 2 |
| MD | $29.35–$32.35 | 3 |
| ME | $27.84–$28.81 | 2 |
| MI | $27.91–$28.81 | 2 |
| MN | $29.22 | 1 |
| MO | $27.16–$28.40 | 3 |
| MS | $27.07 | 1 |
| MT | $29.06 | 1 |
| NC | $28.02 | 1 |
| ND | $28.86 | 1 |
| NE | $27.80 | 1 |
| NH | $29.58 | 1 |
| NJ | $30.95–$32.22 | 2 |
| NM | $27.99 | 1 |
| NV | $29.02 | 1 |
| NY | $28.27–$32.90 | 5 |
| OH | $27.87 | 1 |
| OK | $27.52 | 1 |
| OR | $28.90–$30.73 | 2 |
| PA | $27.92–$29.96 | 2 |
| PR | $29.20 | 1 |
| RI | $29.76 | 1 |
| SC | $27.97 | 1 |
| SD | $28.84 | 1 |
| TN | $27.66 | 1 |
| TX | $27.80–$29.85 | 8 |
| UT | $28.20 | 1 |
| VA | $28.73–$32.35 | 2 |
| VI | $29.20 | 1 |
| VT | $28.76 | 1 |
| WA | $29.90–$32.86 | 2 |
| WI | $28.25 | 1 |
| WV | $27.41 | 1 |
| WY | $28.97 | 1 |
Where does this rate apply?
Modesto is a Medicare payment area. Our Census mapping connects it to 33 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.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 97110 in Modesto. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$33.52
$30.47 × 110% = $33.52
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.
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 97110 in Modesto.
PPRRVU2026_Oct_nonQPP.csv
12,859
- Code
- 97110
- Physician work
- 0.45
- Practice expense
- 0.41
- Malpractice
- 0.01
GPCI2026.csv
16
- Locality
- Modesto
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.45 | × 1.017 | 0.4576 |
| Practice expense | 0.41 | × 1.096 | 0.4494 |
| Malpractice | 0.01 | × 0.536 | 0.0054 |
| Total RVUs | 0.9124 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Modesto$30.47
Open 97110 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.45 | 1.017 |
| Practice expense | 0.41 | 1.096 |
| Malpractice | 0.01 | 0.536 |
(0.45 × 1.017 + 0.41 × 1.096 + 0.01 × 0.536) × $33.4009 = $30.47
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
97110 · Office / nonfacility
$30.47
Effective 2026-10-01
The base rate is $0.33 higher than on 2025-10-01, moving from $30.14 to $30.47 (1.1%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$30.14changed to$30.47
- Conversion factor 32.3465 changed to 33.4009
- Practice expense RVU 0.43 changed to 0.41
- 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.
January 1, 2025
RVU25A
Earliest loaded release: $30.14
Held through RVU25B, RVU25C, RVU25D.
Explore release dates and calculate this code in an earlier period →
Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.
Inspect every release and its CMS source
| Effective from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $30.47 | Not available in this setting | RVU26D |
| 2026-07-01 | $30.47 | Not available in this setting | RVU26C |
| 2026-04-01 | $30.47 | Not available in this setting | RVU26B |
| 2026-01-01 | $30.47 | Not available in this setting | RVU26A |
| 2025-10-01 | $30.14 | Not available in this setting | RVU25D |
| 2025-07-01 | $30.14 | Not available in this setting | RVU25C |
| 2025-04-01 | $30.14 | Not available in this setting | RVU25B |
| 2025-01-01 | $30.14 | Not available in this setting | RVU25A |
97110 billing questions
How many units can be billed for a 38-minute session of therapeutic exercise alone?
Under Medicare’s 8-minute rule, 38 timed minutes supports 3 units. When 97110 is the only timed service, all 3 units are assigned to 97110.
When should 97530 be chosen instead of 97110?
Use 97110 for exercises directed at strength, endurance, range of motion, or flexibility. Use 97530 for dynamic functional tasks, such as lifting or transfers, performed to improve functional activity.
Can 97110 be billed when the therapist supervises several patients exercising at once?
No. When the therapist works with two or more patients simultaneously without constant one-on-one contact, report group therapy with 97150, billed once per patient per session.
Which modifiers are used with 97110?
Report the applicable therapy discipline modifier: GP for physical therapy, GO for occupational therapy, or GN for speech-language pathology. Add CQ or CO when PTA or OTA involvement meets Medicare’s threshold for the billed unit; do not use modifier 26.
Is a home exercise program that the patient performs independently billable?
Time the patient spends exercising independently without skilled one-on-one treatment is not billable as 97110. Time spent teaching, demonstrating, and correcting therapeutic exercises for a home program one-on-one can count toward 97110 minutes.
Can 97110 be billed on the same day as a PT evaluation?
Yes. An evaluation code such as 97161 through 97163 can be reported with 97110 when exercise treatment is separately delivered, but evaluation minutes cannot also be counted as exercise time.
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.
12,85697036,,App mdlty 1+hubbrd tnk ea 15,A,,0.28,0.75,,0.75,NA,0.01,1.04,1.04,7,XXX,0.00,0.00,0.00,5,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,85797037,,Appl modality 1+lllt po pain,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
12,85897039,,Unlisted modality,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,7,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,85997110,,Therapeutic exercises,A,,0.45,0.41,,0.41,NA,0.01,0.87,0.87,7,XXX,0.00,0.00,0.00,5,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,86097112,,Neuromuscular reeducation,A,,0.50,0.47,,0.47,NA,0.01,0.98,0.98,7,XXX,0.00,0.00,0.00,5,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,86197113,,Aquatic therapy/exercises,A,,0.48,0.62,,0.62,NA,0.01,1.11,1.11,7,XXX,0.00,0.00,0.00,5,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,86297116,,Gait training therapy,A,,0.45,0.41,,0.41,NA,0.01,0.87,0.87,7,XXX,0.00,0.00,0.00,5,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1301182,CA,18,LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY),1.041,1.183,0.664
1401112,CA,58,MADERA,1.017,1.096,0.536
1501112,CA,59,MERCED,1.017,1.096,0.536
1601112,CA,60,MODESTO,1.017,1.096,0.536
1701112,CA,51,NAPA,1.063,1.318,0.508
1801182,CA,17,OXNARD-THOUSAND OAKS-VENTURA,1.028,1.182,0.623
1901112,CA,61,REDDING,1.017,1.096,0.536