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CMS RVU26D · Effective 2026-10-01

97760 in Redding

Office / nonfacility

$49.01

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.

Rehabilitation therapy

About 97760: Orthotic management and training, initial encounter

Report orthotic management and training for skilled assessment, fitting, adjustment, or instruction in use of an orthosis during an initial encounter.

A physical or occupational therapist typically reports this service while assessing how an orthosis fits and functions, making adjustments, and teaching the patient or caregiver how to apply, remove, or use it. The orthosis may support an upper or lower extremity or the trunk. Common settings include outpatient rehabilitation and hospital therapy departments. Assessment and fitting that are integral to the orthotic management service are included when not separately reported.

Choose this code for an initial orthotic management encounter rather than prosthetic training or a subsequent orthotic management encounter. Document the orthosis and body area, the skilled assessment or adjustments performed, the instruction provided, and the treatment time. The service is timed in 15-minute units. It is a therapy service without separate professional and technical components, so modifier 26 does not apply. When multiple therapy units are furnished on the same day, practice expense is reduced for the second and later units.

CMS billing rules for 97760

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 · 36%
  • Practice expense (office) RVU0.87 · 63%
  • Malpractice RVU0.01 · 1%

57.4K

Medicare services in 2024 · #730 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.

97760 compared with similar codes

Office rates for Redding, from the same CMS release.

97763

Orthotic/prosthetic care

Subsequent encounter

$53.46

97760 represents an initial orthotic management encounter; 97763 represents a subsequent encounter for orthotic management and training.

97761

Prosthetic training

Initial encounter

$42.79

Choose 97760 for orthosis management and training. Choose 97761 when the training concerns a prosthesis.

97755

Assistive technology

Face-to-face assessment

$39.54

97755 is for assessment of assistive technology needs; 97760 covers skilled management, fitting, adjustment, or use training for an orthosis.

The same code, a different location

How does Redding compare?

In Bakersfield, the office rate for 97760 is $49.07—$0.06 higher than the $49.01 rate in Redding. Both use the same code, release and participation basis.

97760 across payment areas

Same release and payment basis · bars start at $0

  1. Redding · This locality

    $49.01

  2. Bakersfield

    $49.07

    $0.06 higher than Redding

  3. Chico

    $49.01

    The same base rate than Redding

  4. El Centro

    $49.01

    The same base rate than Redding

  5. Fresno

    $49.01

    The same base rate than Redding

  6. Hanford-Corcoran

    $49.01

    The same base rate than Redding

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

    $51.98

    $2.97 higher than Redding

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, 97760 ranges from $41.83 in Arkansas to $60.62 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

  • Madera

    California · 97760

    Office

    $49.01

    Facility

    Unavailable

    The same base rate than Redding for the office setting.

  • Merced

    California · 97760

    Office

    $49.01

    Facility

    Unavailable

    The same base rate than Redding for the office setting.

  • Modesto

    California · 97760

    Office

    $49.01

    Facility

    Unavailable

    The same base rate than Redding for the office setting.

  • Napa

    California · 97760

    Office

    $56.22

    Facility

    Unavailable

    $7.21 higher than Redding for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 97760

    Office

    $51.72

    Facility

    Unavailable

    $2.71 higher than Redding for the office setting.

  • Rest Of California

    California · 97760

    Office

    $49.01

    Facility

    Unavailable

    The same base rate than Redding for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 97760

    Office

    $49.13

    Facility

    Unavailable

    $0.12 higher than Redding for the office setting.

  • Sacramento-Roseville-Folsom

    California · 97760

    Office

    $51.28

    Facility

    Unavailable

    $2.27 higher than Redding for the office setting.

  • Salinas

    California · 97760

    Office

    $51.08

    Facility

    Unavailable

    $2.07 higher than Redding for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 97760

    Office

    $52.14

    Facility

    Unavailable

    $3.13 higher than Redding for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 97760

    Office

    $59.41

    Facility

    Unavailable

    $10.40 higher than Redding for the office setting.

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

    California · 97760

    Office

    $59.40

    Facility

    Unavailable

    $10.39 higher than Redding for the office setting.

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

    California · 97760

    Office

    $60.62

    Facility

    Unavailable

    $11.61 higher than Redding for the office setting.

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

    California · 97760

    Office

    $60.57

    Facility

    Unavailable

    $11.56 higher than Redding for the office setting.

  • San Luis Obispo-Paso Robles

    California · 97760

    Office

    $50.26

    Facility

    Unavailable

    $1.25 higher than Redding for the office setting.

  • Santa Cruz-Watsonville

    California · 97760

    Office

    $52.54

    Facility

    Unavailable

    $3.53 higher than Redding for the office setting.

  • Santa Maria-Santa Barbara

    California · 97760

    Office

    $51.23

    Facility

    Unavailable

    $2.22 higher than Redding for the office setting.

  • Santa Rosa-Petaluma

    California · 97760

    Office

    $53.06

    Facility

    Unavailable

    $4.05 higher than Redding for the office setting.

  • Stockton

    California · 97760

    Office

    $49.01

    Facility

    Unavailable

    The same base rate than Redding for the office setting.

  • Vallejo

    California · 97760

    Office

    $56.21

    Facility

    Unavailable

    $7.20 higher than Redding for the office setting.

  • Visalia

    California · 97760

    Office

    $49.01

    Facility

    Unavailable

    The same base rate than Redding for the office setting.

  • Yuba City

    California · 97760

    Office

    $49.01

    Facility

    Unavailable

    The same base rate than Redding for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 97760

    Office

    $52.21

    Facility

    Unavailable

    $3.20 higher than Redding for the office setting.

  • Miami

    Florida · 97760

    Office

    $47.80

    Facility

    Unavailable

    $1.21 lower than Redding for the office setting.

  • Chicago

    Illinois · 97760

    Office

    $46.79

    Facility

    Unavailable

    $2.22 lower than Redding for the office setting.

  • Manhattan

    New York · 97760

    Office

    $52.07

    Facility

    Unavailable

    $3.06 higher than Redding for the office setting.

  • Alaska*

    Alaska · 97760

    Office

    $56.18

    Facility

    Unavailable

    $7.17 higher than Redding for the office setting.

  • Alabama

    Alabama · 97760

    Office

    $42.32

    Facility

    Unavailable

    $6.69 lower than Redding for the office setting.

  • Arkansas

    Arkansas · 97760

    Office

    $41.83

    Facility

    Unavailable

    $7.18 lower than Redding for the office setting.

  • Arizona

    Arizona · 97760

    Office

    $45.14

    Facility

    Unavailable

    $3.87 lower than Redding for the office setting.

  • Colorado

    Colorado · 97760

    Office

    $48.08

    Facility

    Unavailable

    $0.93 lower than Redding for the office setting.

  • Connecticut

    Connecticut · 97760

    Office

    $48.73

    Facility

    Unavailable

    $0.28 lower than Redding for the office setting.

  • Delaware

    Delaware · 97760

    Office

    $45.79

    Facility

    Unavailable

    $3.22 lower than Redding for the office setting.

  • Fort Lauderdale

    Florida · 97760

    Office

    $46.74

    Facility

    Unavailable

    $2.27 lower than Redding for the office setting.

  • Rest Of Florida

    Florida · 97760

    Office

    $44.98

    Facility

    Unavailable

    $4.03 lower than Redding for the office setting.

  • Atlanta

    Georgia · 97760

    Office

    $46.68

    Facility

    Unavailable

    $2.33 lower than Redding for the office setting.

  • Rest Of Georgia

    Georgia · 97760

    Office

    $43.02

    Facility

    Unavailable

    $5.99 lower than Redding for the office setting.

  • Hawaii, Guam

    Hawaii · 97760

    Office

    $49.93

    Facility

    Unavailable

    $0.92 higher than Redding for the office setting.

  • Iowa

    Iowa · 97760

    Office

    $43.42

    Facility

    Unavailable

    $5.59 lower than Redding for the office setting.

  • Idaho

    Idaho · 97760

    Office

    $43.59

    Facility

    Unavailable

    $5.42 lower than Redding for the office setting.

  • East St. Louis

    Illinois · 97760

    Office

    $44.11

    Facility

    Unavailable

    $4.90 lower than Redding for the office setting.

  • Rest Of Illinois

    Illinois · 97760

    Office

    $43.75

    Facility

    Unavailable

    $5.26 lower than Redding for the office setting.

  • Suburban Chicago

    Illinois · 97760

    Office

    $47.25

    Facility

    Unavailable

    $1.76 lower than Redding for the office setting.

  • Indiana

    Indiana · 97760

    Office

    $43.80

    Facility

    Unavailable

    $5.21 lower than Redding for the office setting.

  • Kansas

    Kansas · 97760

    Office

    $43.14

    Facility

    Unavailable

    $5.87 lower than Redding for the office setting.

  • Kentucky

    Kentucky · 97760

    Office

    $42.84

    Facility

    Unavailable

    $6.17 lower than Redding for the office setting.

  • New Orleans

    Louisiana · 97760

    Office

    $44.42

    Facility

    Unavailable

    $4.59 lower than Redding for the office setting.

  • Rest Of Louisiana

    Louisiana · 97760

    Office

    $42.74

    Facility

    Unavailable

    $6.27 lower than Redding for the office setting.

  • Metropolitan Boston

    Massachusetts · 97760

    Office

    $52.38

    Facility

    Unavailable

    $3.37 higher than Redding for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 97760

    Office

    $47.83

    Facility

    Unavailable

    $1.18 lower than Redding for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 97760

    Office

    $48.56

    Facility

    Unavailable

    $0.45 lower than Redding for the office setting.

  • Rest Of Maryland

    Maryland · 97760

    Office

    $46.58

    Facility

    Unavailable

    $2.43 lower than Redding for the office setting.

  • Rest Of Maine

    Maine · 97760

    Office

    $43.64

    Facility

    Unavailable

    $5.37 lower than Redding for the office setting.

  • Southern Maine

    Maine · 97760

    Office

    $45.71

    Facility

    Unavailable

    $3.30 lower than Redding for the office setting.

  • Detroit

    Michigan · 97760

    Office

    $45.31

    Facility

    Unavailable

    $3.70 lower than Redding for the office setting.

  • Rest Of Michigan

    Michigan · 97760

    Office

    $43.61

    Facility

    Unavailable

    $5.40 lower than Redding for the office setting.

  • Minnesota

    Minnesota · 97760

    Office

    $46.70

    Facility

    Unavailable

    $2.31 lower than Redding for the office setting.

  • Metropolitan Kansas City

    Missouri · 97760

    Office

    $44.31

    Facility

    Unavailable

    $4.70 lower than Redding for the office setting.

  • Metropolitan St. Louis

    Missouri · 97760

    Office

    $44.70

    Facility

    Unavailable

    $4.31 lower than Redding for the office setting.

  • Rest Of Missouri

    Missouri · 97760

    Office

    $42.07

    Facility

    Unavailable

    $6.94 lower than Redding for the office setting.

  • Mississippi

    Mississippi · 97760

    Office

    $41.97

    Facility

    Unavailable

    $7.04 lower than Redding for the office setting.

  • Montana**

    Montana · 97760

    Office

    $46.09

    Facility

    Unavailable

    $2.92 lower than Redding for the office setting.

  • North Carolina

    North Carolina · 97760

    Office

    $44.03

    Facility

    Unavailable

    $4.98 lower than Redding for the office setting.

  • North Dakota**

    North Dakota · 97760

    Office

    $45.89

    Facility

    Unavailable

    $3.12 lower than Redding for the office setting.

  • Nebraska

    Nebraska · 97760

    Office

    $43.65

    Facility

    Unavailable

    $5.36 lower than Redding for the office setting.

  • New Hampshire

    New Hampshire · 97760

    Office

    $47.24

    Facility

    Unavailable

    $1.77 lower than Redding for the office setting.

  • Northern Nj

    New Jersey · 97760

    Office

    $51.82

    Facility

    Unavailable

    $2.81 higher than Redding for the office setting.

  • Rest Of New Jersey

    New Jersey · 97760

    Office

    $49.47

    Facility

    Unavailable

    $0.46 higher than Redding for the office setting.

  • New Mexico

    New Mexico · 97760

    Office

    $43.75

    Facility

    Unavailable

    $5.26 lower than Redding for the office setting.

  • Nevada**

    Nevada · 97760

    Office

    $46.07

    Facility

    Unavailable

    $2.94 lower than Redding for the office setting.

  • Nyc Suburbs/Long Island

    New York · 97760

    Office

    $52.94

    Facility

    Unavailable

    $3.93 higher than Redding for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 97760

    Office

    $49.68

    Facility

    Unavailable

    $0.67 higher than Redding for the office setting.

  • Queens

    New York · 97760

    Office

    $52.60

    Facility

    Unavailable

    $3.59 higher than Redding for the office setting.

  • Rest Of New York

    New York · 97760

    Office

    $44.54

    Facility

    Unavailable

    $4.47 lower than Redding for the office setting.

  • Ohio

    Ohio · 97760

    Office

    $43.57

    Facility

    Unavailable

    $5.44 lower than Redding for the office setting.

  • Oklahoma

    Oklahoma · 97760

    Office

    $42.91

    Facility

    Unavailable

    $6.10 lower than Redding for the office setting.

  • Portland

    Oregon · 97760

    Office

    $49.50

    Facility

    Unavailable

    $0.49 higher than Redding for the office setting.

  • Rest Of Oregon

    Oregon · 97760

    Office

    $45.88

    Facility

    Unavailable

    $3.13 lower than Redding for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 97760

    Office

    $47.65

    Facility

    Unavailable

    $1.36 lower than Redding for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 97760

    Office

    $43.69

    Facility

    Unavailable

    $5.32 lower than Redding for the office setting.

  • Puerto Rico

    Puerto Rico · 97760

    Office

    $46.41

    Facility

    Unavailable

    $2.60 lower than Redding for the office setting.

  • Rhode Island

    Rhode Island · 97760

    Office

    $47.33

    Facility

    Unavailable

    $1.68 lower than Redding for the office setting.

  • South Carolina

    South Carolina · 97760

    Office

    $43.83

    Facility

    Unavailable

    $5.18 lower than Redding for the office setting.

  • South Dakota**

    South Dakota · 97760

    Office

    $45.87

    Facility

    Unavailable

    $3.14 lower than Redding for the office setting.

  • Tennessee

    Tennessee · 97760

    Office

    $43.29

    Facility

    Unavailable

    $5.72 lower than Redding for the office setting.

  • Austin

    Texas · 97760

    Office

    $47.77

    Facility

    Unavailable

    $1.24 lower than Redding for the office setting.

  • Beaumont

    Texas · 97760

    Office

    $43.45

    Facility

    Unavailable

    $5.56 lower than Redding for the office setting.

  • Brazoria

    Texas · 97760

    Office

    $45.89

    Facility

    Unavailable

    $3.12 lower than Redding for the office setting.

  • Dallas

    Texas · 97760

    Office

    $46.08

    Facility

    Unavailable

    $2.93 lower than Redding for the office setting.

  • Fort Worth

    Texas · 97760

    Office

    $45.79

    Facility

    Unavailable

    $3.22 lower than Redding for the office setting.

  • Galveston

    Texas · 97760

    Office

    $45.97

    Facility

    Unavailable

    $3.04 lower than Redding for the office setting.

  • Houston

    Texas · 97760

    Office

    $46.15

    Facility

    Unavailable

    $2.86 lower than Redding for the office setting.

  • Rest Of Texas

    Texas · 97760

    Office

    $44.58

    Facility

    Unavailable

    $4.43 lower than Redding for the office setting.

  • Utah

    Utah · 97760

    Office

    $44.32

    Facility

    Unavailable

    $4.69 lower than Redding for the office setting.

  • Virginia

    Virginia · 97760

    Office

    $45.50

    Facility

    Unavailable

    $3.51 lower than Redding for the office setting.

  • Virgin Islands

    United States Virgin Islands · 97760

    Office

    $46.41

    Facility

    Unavailable

    $2.60 lower than Redding for the office setting.

  • Vermont

    Vermont · 97760

    Office

    $45.64

    Facility

    Unavailable

    $3.37 lower than Redding for the office setting.

  • Rest Of Washington

    Washington · 97760

    Office

    $47.77

    Facility

    Unavailable

    $1.24 lower than Redding for the office setting.

  • Seattle (King Cnty)

    Washington · 97760

    Office

    $53.46

    Facility

    Unavailable

    $4.45 higher than Redding for the office setting.

  • Wisconsin

    Wisconsin · 97760

    Office

    $44.64

    Facility

    Unavailable

    $4.37 lower than Redding for the office setting.

  • West Virginia

    West Virginia · 97760

    Office

    $42.43

    Facility

    Unavailable

    $6.58 lower than Redding for the office setting.

  • Wyoming**

    Wyoming · 97760

    Office

    $46.01

    Facility

    Unavailable

    $3.00 lower than Redding for the office setting.

See how rates vary across the country

97760 · 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.

$41.83

$56.18

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$56.181
AL$42.321
AR$41.831
AZ$45.141
CA$49.01–$60.6229
CO$48.081
CT$48.731
DC$52.211
DE$45.791
FL$44.98–$47.803
GA$43.02–$46.682
GU$49.931
HI$49.931
IA$43.421
ID$43.591
IL$43.75–$47.254
IN$43.801
KS$43.141
KY$42.841
LA$42.74–$44.422
MA$47.83–$52.382
MD$46.58–$52.213
ME$43.64–$45.712
MI$43.61–$45.312
MN$46.701
MO$42.07–$44.703
MS$41.971
MT$46.091
NC$44.031
ND$45.891
NE$43.651
NH$47.241
NJ$49.47–$51.822
NM$43.751
NV$46.071
NY$44.54–$52.945
OH$43.571
OK$42.911
OR$45.88–$49.502
PA$43.69–$47.652
PR$46.411
RI$47.331
SC$43.831
SD$45.871
TN$43.291
TX$43.45–$47.778
UT$44.321
VA$45.50–$52.212
VI$46.411
VT$45.641
WA$47.77–$53.462
WI$44.641
WV$42.431
WY$46.011

Explore 97760 on the national rate map →

Where does this rate apply?

Redding is a Medicare payment area. Our Census mapping connects it to 32 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 97760 in Redding. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$53.91

$49.01 × 110% = $53.91

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 97760 in Redding.

PPRRVU2026_Oct_nonQPP.csv

12,909

Code
97760
Physician work
0.50
Practice expense
0.87
Malpractice
0.01

GPCI2026.csv

19

Locality
Redding
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 97760 in Redding
ComponentRVULocality factorAdjusted
Physician work0.50× 1.0170.5085
Practice expense0.87× 1.0960.9535
Malpractice0.01× 0.5360.0054
Total RVUs1.4674
Conversion factor× 33.4009

Office / nonfacility rate, Redding$49.01

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

Open 97760 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.51.017
Practice expense0.871.096
Malpractice0.010.536

(0.5 × 1.017 + 0.87 × 1.096 + 0.01 × 0.536) × $33.4009 = $49.01

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

97760 · Office / nonfacility

$49.01

Effective 2026-10-01

The base rate is $0.26 higher than on 2025-10-01, moving from $48.75 to $49.01 (0.5%).

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

    $48.75changed to$49.01

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 0.91 changed to 0.87
    • 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: $48.75

    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$49.01Not available in this settingRVU26D
2026-07-01$49.01Not available in this settingRVU26C
2026-04-01$49.01Not available in this settingRVU26B
2026-01-01$49.01Not available in this settingRVU26A
2025-10-01$48.75Not available in this settingRVU25D
2025-07-01$48.75Not available in this settingRVU25C
2025-04-01$48.75Not available in this settingRVU25B
2025-01-01$48.75Not available in this settingRVU25A

97760 billing questions

How is 97760 different from 97763?

97760 is for an initial orthotic management encounter. Use 97763 for subsequent orthotic management encounters.

When should 97761 be used instead?

Use 97761 for prosthetic training, such as instruction in using a prosthesis. Use 97760 for management and training involving an orthosis.

Can orthotic fitting or assessment be billed separately?

Assessment and fitting integral to the orthotic management service are included when not otherwise reported. Document any distinct service before considering separate reporting.

How are units counted?

The service is timed in 15-minute units. The record should support the skilled orthotic work and the time reported.

Should modifier 26 be appended?

No. This therapy service is not divided into professional and technical components.

What happens when other therapy units are billed on the same day?

Practice expense is reduced for the second and later therapy units furnished that day, including applicable units of this service.

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 97760PPRRVU2026_Oct_nonQPP.csv, line 12,909 (RVU26D)
Geographic factors for ReddingGPCI2026.csv, line 19 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet