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CMS RVU26D · Effective 2026-10-01

97533 in Salinas

Office / nonfacility

$68.19

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 97533: Sensory integration treatment

Reports one-on-one sensory integration treatment that addresses sensory processing and adaptive responses to environmental demands, billed in 15-minute units.

An occupational therapist typically uses structured sensory experiences to help a patient process input and respond more effectively to everyday demands. Treatment may involve tactile, movement, or deep-pressure activities selected to address the patient’s functional needs, such as tolerating sensory input during dressing, play, or daily routines. This service is commonly provided in outpatient therapy settings, including pediatric practices, when skilled intervention is directed at sensory processing and adaptive responses rather than general exercise or task practice.

Report the service in 15-minute units for documented, direct one-on-one treatment. The record should identify the sensory techniques used, the patient’s response, and how the intervention addressed functional goals. This is a therapy service, so a professional-component modifier does not apply. Under the CMS therapy multiple procedure payment reduction, practice expense is reduced for the second and each later therapy unit furnished on the same day.

CMS billing rules for 97533

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 RVU0.48 · 26%
  • Practice expense (office) RVU1.33 · 73%
  • Malpractice RVU0.01 · 1%

105K

Medicare services in 2024 · #541 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.

97533 compared with similar codes

Office rates for Salinas, from the same CMS release.

97530

Therapeutic activities

One-on-one, each 15 minutes

$38.56

Choose 97533 for treatment directed at sensory processing and adaptive responses. Choose 97530 for skilled practice of functional activities and tasks.

97535

Self-care training

ADL and home management, per 15 minutes

$35.42

97535 describes training in self-care and daily living skills. It is not the sensory-processing intervention described by 97533.

97112

Neuromuscular reeducation

Balance, coordination, proprioception, timed

$35.59

97112 focuses on neuromuscular reeducation, such as movement, balance, coordination, or posture training. Use 97533 when the intervention specifically targets sensory processing and adaptive responses.

The same code, a different location

How does Salinas compare?

In Bakersfield, the office rate for 97533 is $65.23—$2.96 lower than the $68.19 rate in Salinas. Both use the same code, release and participation basis.

97533 across payment areas

Same release and payment basis · bars start at $0

  1. Salinas · This locality

    $68.19

  2. $2.96 lower than Salinas

  3. Chico

    $65.17

    $3.02 lower than Salinas

  4. El Centro

    $65.17

    $3.02 lower than Salinas

  5. Fresno

    $65.17

    $3.02 lower than Salinas

  6. $3.02 lower than Salinas

  7. $1.27 higher than Salinas

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, 97533 ranges from $54.36 in Arkansas to $82.03 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 · 97533

    Office

    $65.17

    Facility

    Unavailable

    $3.02 lower than Salinas for the office setting.

  • Merced

    California · 97533

    Office

    $65.17

    Facility

    Unavailable

    $3.02 lower than Salinas for the office setting.

  • Modesto

    California · 97533

    Office

    $65.17

    Facility

    Unavailable

    $3.02 lower than Salinas for the office setting.

  • Napa

    California · 97533

    Office

    $75.76

    Facility

    Unavailable

    $7.57 higher than Salinas for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 97533

    Office

    $69.20

    Facility

    Unavailable

    $1.01 higher than Salinas for the office setting.

  • Redding

    California · 97533

    Office

    $65.17

    Facility

    Unavailable

    $3.02 lower than Salinas for the office setting.

  • Rest Of California

    California · 97533

    Office

    $65.17

    Facility

    Unavailable

    $3.02 lower than Salinas for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 97533

    Office

    $65.29

    Facility

    Unavailable

    $2.90 lower than Salinas for the office setting.

  • Sacramento-Roseville-Folsom

    California · 97533

    Office

    $68.45

    Facility

    Unavailable

    $0.26 higher than Salinas for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 97533

    Office

    $69.82

    Facility

    Unavailable

    $1.63 higher than Salinas for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 97533

    Office

    $80.35

    Facility

    Unavailable

    $12.16 higher than Salinas for the office setting.

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

    California · 97533

    Office

    $80.33

    Facility

    Unavailable

    $12.14 higher than Salinas for the office setting.

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

    California · 97533

    Office

    $82.03

    Facility

    Unavailable

    $13.84 higher than Salinas for the office setting.

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

    California · 97533

    Office

    $81.99

    Facility

    Unavailable

    $13.80 higher than Salinas for the office setting.

  • San Luis Obispo-Paso Robles

    California · 97533

    Office

    $67.08

    Facility

    Unavailable

    $1.11 lower than Salinas for the office setting.

  • Santa Cruz-Watsonville

    California · 97533

    Office

    $70.52

    Facility

    Unavailable

    $2.33 higher than Salinas for the office setting.

  • Santa Maria-Santa Barbara

    California · 97533

    Office

    $68.46

    Facility

    Unavailable

    $0.27 higher than Salinas for the office setting.

  • Santa Rosa-Petaluma

    California · 97533

    Office

    $71.24

    Facility

    Unavailable

    $3.05 higher than Salinas for the office setting.

  • Stockton

    California · 97533

    Office

    $65.17

    Facility

    Unavailable

    $3.02 lower than Salinas for the office setting.

  • Vallejo

    California · 97533

    Office

    $75.75

    Facility

    Unavailable

    $7.56 higher than Salinas for the office setting.

  • Visalia

    California · 97533

    Office

    $65.17

    Facility

    Unavailable

    $3.02 lower than Salinas for the office setting.

  • Yuba City

    California · 97533

    Office

    $65.17

    Facility

    Unavailable

    $3.02 lower than Salinas for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 97533

    Office

    $69.60

    Facility

    Unavailable

    $1.41 higher than Salinas for the office setting.

  • Miami

    Florida · 97533

    Office

    $63.12

    Facility

    Unavailable

    $5.07 lower than Salinas for the office setting.

  • Chicago

    Illinois · 97533

    Office

    $61.56

    Facility

    Unavailable

    $6.63 lower than Salinas for the office setting.

  • Manhattan

    New York · 97533

    Office

    $69.21

    Facility

    Unavailable

    $1.02 higher than Salinas for the office setting.

  • Alaska*

    Alaska · 97533

    Office

    $71.54

    Facility

    Unavailable

    $3.35 higher than Salinas for the office setting.

  • Alabama

    Alabama · 97533

    Office

    $55.09

    Facility

    Unavailable

    $13.10 lower than Salinas for the office setting.

  • Arkansas

    Arkansas · 97533

    Office

    $54.36

    Facility

    Unavailable

    $13.83 lower than Salinas for the office setting.

  • Arizona

    Arizona · 97533

    Office

    $59.36

    Facility

    Unavailable

    $8.83 lower than Salinas for the office setting.

  • Colorado

    Colorado · 97533

    Office

    $63.75

    Facility

    Unavailable

    $4.44 lower than Salinas for the office setting.

  • Connecticut

    Connecticut · 97533

    Office

    $64.60

    Facility

    Unavailable

    $3.59 lower than Salinas for the office setting.

  • Delaware

    Delaware · 97533

    Office

    $60.30

    Facility

    Unavailable

    $7.89 lower than Salinas for the office setting.

  • Fort Lauderdale

    Florida · 97533

    Office

    $61.64

    Facility

    Unavailable

    $6.55 lower than Salinas for the office setting.

  • Rest Of Florida

    Florida · 97533

    Office

    $59.00

    Facility

    Unavailable

    $9.19 lower than Salinas for the office setting.

  • Atlanta

    Georgia · 97533

    Office

    $61.62

    Facility

    Unavailable

    $6.57 lower than Salinas for the office setting.

  • Rest Of Georgia

    Georgia · 97533

    Office

    $56.06

    Facility

    Unavailable

    $12.13 lower than Salinas for the office setting.

  • Hawaii, Guam

    Hawaii · 97533

    Office

    $66.73

    Facility

    Unavailable

    $1.46 lower than Salinas for the office setting.

  • Iowa

    Iowa · 97533

    Office

    $56.81

    Facility

    Unavailable

    $11.38 lower than Salinas for the office setting.

  • Idaho

    Idaho · 97533

    Office

    $57.06

    Facility

    Unavailable

    $11.13 lower than Salinas for the office setting.

  • East St. Louis

    Illinois · 97533

    Office

    $57.57

    Facility

    Unavailable

    $10.62 lower than Salinas for the office setting.

  • Rest Of Illinois

    Illinois · 97533

    Office

    $57.11

    Facility

    Unavailable

    $11.08 lower than Salinas for the office setting.

  • Suburban Chicago

    Illinois · 97533

    Office

    $62.36

    Facility

    Unavailable

    $5.83 lower than Salinas for the office setting.

  • Indiana

    Indiana · 97533

    Office

    $57.38

    Facility

    Unavailable

    $10.81 lower than Salinas for the office setting.

  • Kansas

    Kansas · 97533

    Office

    $56.36

    Facility

    Unavailable

    $11.83 lower than Salinas for the office setting.

  • Kentucky

    Kentucky · 97533

    Office

    $55.83

    Facility

    Unavailable

    $12.36 lower than Salinas for the office setting.

  • New Orleans

    Louisiana · 97533

    Office

    $58.21

    Facility

    Unavailable

    $9.98 lower than Salinas for the office setting.

  • Rest Of Louisiana

    Louisiana · 97533

    Office

    $55.67

    Facility

    Unavailable

    $12.52 lower than Salinas for the office setting.

  • Metropolitan Boston

    Massachusetts · 97533

    Office

    $70.03

    Facility

    Unavailable

    $1.84 higher than Salinas for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 97533

    Office

    $63.33

    Facility

    Unavailable

    $4.86 lower than Salinas for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 97533

    Office

    $64.37

    Facility

    Unavailable

    $3.82 lower than Salinas for the office setting.

  • Rest Of Maryland

    Maryland · 97533

    Office

    $61.46

    Facility

    Unavailable

    $6.73 lower than Salinas for the office setting.

  • Rest Of Maine

    Maine · 97533

    Office

    $57.11

    Facility

    Unavailable

    $11.08 lower than Salinas for the office setting.

  • Southern Maine

    Maine · 97533

    Office

    $60.27

    Facility

    Unavailable

    $7.92 lower than Salinas for the office setting.

  • Detroit

    Michigan · 97533

    Office

    $59.46

    Facility

    Unavailable

    $8.73 lower than Salinas for the office setting.

  • Rest Of Michigan

    Michigan · 97533

    Office

    $56.97

    Facility

    Unavailable

    $11.22 lower than Salinas for the office setting.

  • Minnesota

    Minnesota · 97533

    Office

    $61.84

    Facility

    Unavailable

    $6.35 lower than Salinas for the office setting.

  • Metropolitan Kansas City

    Missouri · 97533

    Office

    $58.07

    Facility

    Unavailable

    $10.12 lower than Salinas for the office setting.

  • Metropolitan St. Louis

    Missouri · 97533

    Office

    $58.66

    Facility

    Unavailable

    $9.53 lower than Salinas for the office setting.

  • Rest Of Missouri

    Missouri · 97533

    Office

    $54.65

    Facility

    Unavailable

    $13.54 lower than Salinas for the office setting.

  • Mississippi

    Mississippi · 97533

    Office

    $54.53

    Facility

    Unavailable

    $13.66 lower than Salinas for the office setting.

  • Montana**

    Montana · 97533

    Office

    $60.79

    Facility

    Unavailable

    $7.40 lower than Salinas for the office setting.

  • North Carolina

    North Carolina · 97533

    Office

    $57.69

    Facility

    Unavailable

    $10.50 lower than Salinas for the office setting.

  • North Dakota**

    North Dakota · 97533

    Office

    $60.59

    Facility

    Unavailable

    $7.60 lower than Salinas for the office setting.

  • Nebraska

    Nebraska · 97533

    Office

    $57.16

    Facility

    Unavailable

    $11.03 lower than Salinas for the office setting.

  • New Hampshire

    New Hampshire · 97533

    Office

    $62.57

    Facility

    Unavailable

    $5.62 lower than Salinas for the office setting.

  • Northern Nj

    New Jersey · 97533

    Office

    $68.93

    Facility

    Unavailable

    $0.74 higher than Salinas for the office setting.

  • Rest Of New Jersey

    New Jersey · 97533

    Office

    $65.55

    Facility

    Unavailable

    $2.64 lower than Salinas for the office setting.

  • New Mexico

    New Mexico · 97533

    Office

    $57.17

    Facility

    Unavailable

    $11.02 lower than Salinas for the office setting.

  • Nevada**

    Nevada · 97533

    Office

    $60.78

    Facility

    Unavailable

    $7.41 lower than Salinas for the office setting.

  • Nyc Suburbs/Long Island

    New York · 97533

    Office

    $70.50

    Facility

    Unavailable

    $2.31 higher than Salinas for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 97533

    Office

    $65.80

    Facility

    Unavailable

    $2.39 lower than Salinas for the office setting.

  • Queens

    New York · 97533

    Office

    $70.05

    Facility

    Unavailable

    $1.86 higher than Salinas for the office setting.

  • Rest Of New York

    New York · 97533

    Office

    $58.47

    Facility

    Unavailable

    $9.72 lower than Salinas for the office setting.

  • Ohio

    Ohio · 97533

    Office

    $56.93

    Facility

    Unavailable

    $11.26 lower than Salinas for the office setting.

  • Oklahoma

    Oklahoma · 97533

    Office

    $55.96

    Facility

    Unavailable

    $12.23 lower than Salinas for the office setting.

  • Portland

    Oregon · 97533

    Office

    $65.89

    Facility

    Unavailable

    $2.30 lower than Salinas for the office setting.

  • Rest Of Oregon

    Oregon · 97533

    Office

    $60.51

    Facility

    Unavailable

    $7.68 lower than Salinas for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 97533

    Office

    $62.96

    Facility

    Unavailable

    $5.23 lower than Salinas for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 97533

    Office

    $57.13

    Facility

    Unavailable

    $11.06 lower than Salinas for the office setting.

  • Puerto Rico

    Puerto Rico · 97533

    Office

    $61.27

    Facility

    Unavailable

    $6.92 lower than Salinas for the office setting.

  • Rhode Island

    Rhode Island · 97533

    Office

    $62.52

    Facility

    Unavailable

    $5.67 lower than Salinas for the office setting.

  • South Carolina

    South Carolina · 97533

    Office

    $57.36

    Facility

    Unavailable

    $10.83 lower than Salinas for the office setting.

  • South Dakota**

    South Dakota · 97533

    Office

    $60.57

    Facility

    Unavailable

    $7.62 lower than Salinas for the office setting.

  • Tennessee

    Tennessee · 97533

    Office

    $56.59

    Facility

    Unavailable

    $11.60 lower than Salinas for the office setting.

  • Austin

    Texas · 97533

    Office

    $63.36

    Facility

    Unavailable

    $4.83 lower than Salinas for the office setting.

  • Beaumont

    Texas · 97533

    Office

    $56.77

    Facility

    Unavailable

    $11.42 lower than Salinas for the office setting.

  • Brazoria

    Texas · 97533

    Office

    $60.44

    Facility

    Unavailable

    $7.75 lower than Salinas for the office setting.

  • Dallas

    Texas · 97533

    Office

    $60.71

    Facility

    Unavailable

    $7.48 lower than Salinas for the office setting.

  • Fort Worth

    Texas · 97533

    Office

    $60.27

    Facility

    Unavailable

    $7.92 lower than Salinas for the office setting.

  • Galveston

    Texas · 97533

    Office

    $60.55

    Facility

    Unavailable

    $7.64 lower than Salinas for the office setting.

  • Houston

    Texas · 97533

    Office

    $60.73

    Facility

    Unavailable

    $7.46 lower than Salinas for the office setting.

  • Rest Of Texas

    Texas · 97533

    Office

    $58.49

    Facility

    Unavailable

    $9.70 lower than Salinas for the office setting.

  • Utah

    Utah · 97533

    Office

    $58.09

    Facility

    Unavailable

    $10.10 lower than Salinas for the office setting.

  • Virginia

    Virginia · 97533

    Office

    $59.94

    Facility

    Unavailable

    $8.25 lower than Salinas for the office setting.

  • Virgin Islands

    United States Virgin Islands · 97533

    Office

    $61.27

    Facility

    Unavailable

    $6.92 lower than Salinas for the office setting.

  • Vermont

    Vermont · 97533

    Office

    $60.18

    Facility

    Unavailable

    $8.01 lower than Salinas for the office setting.

  • Rest Of Washington

    Washington · 97533

    Office

    $63.27

    Facility

    Unavailable

    $4.92 lower than Salinas for the office setting.

  • Seattle (King Cnty)

    Washington · 97533

    Office

    $71.61

    Facility

    Unavailable

    $3.42 higher than Salinas for the office setting.

  • Wisconsin

    Wisconsin · 97533

    Office

    $58.69

    Facility

    Unavailable

    $9.50 lower than Salinas for the office setting.

  • West Virginia

    West Virginia · 97533

    Office

    $55.11

    Facility

    Unavailable

    $13.08 lower than Salinas for the office setting.

  • Wyoming**

    Wyoming · 97533

    Office

    $60.70

    Facility

    Unavailable

    $7.49 lower than Salinas for the office setting.

See how rates vary across the country

97533 · 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.

$54.36

$73.60

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$71.541
AL$55.091
AR$54.361
AZ$59.361
CA$65.17–$82.0329
CO$63.751
CT$64.601
DC$69.601
DE$60.301
FL$59.00–$63.123
GA$56.06–$61.622
GU$66.731
HI$66.731
IA$56.811
ID$57.061
IL$57.11–$62.364
IN$57.381
KS$56.361
KY$55.831
LA$55.67–$58.212
MA$63.33–$70.032
MD$61.46–$69.603
ME$57.11–$60.272
MI$56.97–$59.462
MN$61.841
MO$54.65–$58.663
MS$54.531
MT$60.791
NC$57.691
ND$60.591
NE$57.161
NH$62.571
NJ$65.55–$68.932
NM$57.171
NV$60.781
NY$58.47–$70.505
OH$56.931
OK$55.961
OR$60.51–$65.892
PA$57.13–$62.962
PR$61.271
RI$62.521
SC$57.361
SD$60.571
TN$56.591
TX$56.77–$63.368
UT$58.091
VA$59.94–$69.602
VI$61.271
VT$60.181
WA$63.27–$71.612
WI$58.691
WV$55.111
WY$60.701

Explore 97533 on the national rate map →

Where does this rate apply?

Salinas is a Medicare payment area. Our Census mapping connects it to 30 cities and communities in California, including the examples shown here.

Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 97533 in Salinas. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$75.01

$68.19 × 110% = $75.01

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.

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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 97533 in Salinas.

PPRRVU2026_Oct_nonQPP.csv

12,890

Code
97533
Physician work
0.48
Practice expense
1.33
Malpractice
0.01

GPCI2026.csv

22

Locality
Salinas
Physician work
1.031
Practice expense
1.159
Malpractice
0.536
Office / nonfacility calculation for 97533 in Salinas
ComponentRVULocality factorAdjusted
Physician work0.48× 1.0310.4949
Practice expense1.33× 1.1591.5415
Malpractice0.01× 0.5360.0054
Total RVUs2.0417
Conversion factor× 33.4009

Office / nonfacility rate, Salinas$68.19

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

Open 97533 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.481.031
Practice expense1.331.159
Malpractice0.010.536

(0.48 × 1.031 + 1.33 × 1.159 + 0.01 × 0.536) × $33.4009 = $68.19

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

97533 · Office / nonfacility

$68.19

Effective 2026-10-01

The base rate is $0.06 lower than on 2025-10-01, moving from $68.25 to $68.19 (0.1%).

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

    $68.25changed to$68.19

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 1.38 changed to 1.33
    • Work GPCI 1.035 changed to 1.031
    • Practice expense GPCI 1.165 changed to 1.159
    • Malpractice GPCI 0.560 changed to 0.536

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $68.25

    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$68.19Not available in this settingRVU26D
2026-07-01$68.19Not available in this settingRVU26C
2026-04-01$68.19Not available in this settingRVU26B
2026-01-01$68.19Not available in this settingRVU26A
2025-10-01$68.25Not available in this settingRVU25D
2025-07-01$68.25Not available in this settingRVU25C
2025-04-01$68.25Not available in this settingRVU25B
2025-01-01$68.25Not available in this settingRVU25A

97533 billing questions

How is this different from therapeutic activities?

Use 97533 when the intervention specifically targets sensory processing and adaptive responses to sensory input. Use 97530 when the skilled treatment is functional task or activity practice.

What should the treatment note describe?

Document the sensory techniques, direct treatment time, patient response, and connection to functional goals. The note should make clear why skilled sensory integration treatment was provided.

Is a professional-component modifier reported?

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

How does the therapy multiple procedure reduction affect units?

CMS reduces practice expense for the second and each later therapy unit furnished on the same day. This applies when multiple therapy units are reported that day.

Can 97533 be reported with self-care training?

They may be reported for distinct skilled services when both sensory integration and self-care training are furnished. Keep the documented treatment time and intervention focus separate.

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 97533PPRRVU2026_Oct_nonQPP.csv, line 12,890 (RVU26D)
Geographic factors for SalinasGPCI2026.csv, line 22 (RVU26D)