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CMS RVU26D · Effective 2026-10-01

97150 in Wyoming**

Office / nonfacility

$17.95

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 97150: Group therapeutic procedures for multiple patients

Therapeutic procedures delivered to two or more patients at the same time are reported once per patient for each skilled group therapy session.

This code covers skilled therapy delivered to two or more patients simultaneously, with the treating clinician in constant attendance rather than providing continuous one-on-one care. Patients may work on the same or different activities, such as skilled exercise after joint replacement, aquatic exercise, balance training, or an occupational therapy fine motor group. Physical therapists, occupational therapists, and, for appropriate services, speech-language pathologists or assistants working under required supervision provide it in private practices, outpatient clinics, and skilled nursing or rehabilitation settings billing Part B.

The code is untimed. Report one unit per patient per group session regardless of session length, with the GP, GO, or GN modifier matching the plan of care. Documentation should identify the session time, group activities, each patient's participation and response, the skilled interventions, and the connection to plan-of-care goals. Bill this therapy service without a professional-component modifier 26 split. Under the therapy multiple procedure payment reduction, practice expense is reduced for the second and later therapy units billed for the patient that day.

CMS billing rules for 97150

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 RVU0.29 · 54%
  • Practice expense (office) RVU0.24 · 44%
  • Malpractice RVU0.01 · 2%

2.7M

Medicare services in 2024 · #65 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.

97150 compared with similar codes

Office rates for Wyoming**, from the same CMS release.

97110

Therapeutic exercise

One-on-one, each 15 minutes

$28.97

97110 is timed and requires direct one-on-one contact for its 15-minute units. Report 97150 when the clinician treats two or more patients at once in a qualifying group session.

97154

Grp adapt bhv tx by tech

No office rate

97154 is group adaptive behavior treatment delivered by a technician under an adaptive behavior treatment plan, in 15-minute units. 97150 covers rehabilitative group therapeutic procedures.

92508

Speech therapy

Group session

$23.96

92508 covers group treatment of speech, language, voice, and communication disorders. 97150 covers other qualifying group therapeutic procedures, such as exercise or balance training.

97530

Therapeutic activities

One-on-one, each 15 minutes

$34.98

97530 requires direct one-on-one functional activity training in timed units. Use 97150 for qualifying group therapeutic procedures when the clinician treats multiple patients simultaneously.

The same code, a different location

How does Wyoming** compare?

97150 across payment areas

Same release and payment basis · bars start at $0

  1. Wyoming** · This locality

    $17.95

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

    $19.79

    $1.84 higher than Wyoming**

  3. Dc + Md/Va Suburbs

    $20.02

    $2.07 higher than Wyoming**

  4. Miami

    $18.88

    $0.93 higher than Wyoming**

  5. Chicago

    $18.58

    $0.63 higher than Wyoming**

  6. Manhattan

    $20.15

    $2.20 higher than Wyoming**

  7. Alaska*

    $23.25

    $5.30 higher than Wyoming**

Other payment areas listed in Wyoming 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, 97150 ranges from $16.74 in Arkansas to $23.25 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

  • Alabama

    Alabama · 97150

    Office

    $16.89

    Facility

    Unavailable

    $1.06 lower than Wyoming** for the office setting.

  • Arkansas

    Arkansas · 97150

    Office

    $16.74

    Facility

    Unavailable

    $1.21 lower than Wyoming** for the office setting.

  • Arizona

    Arizona · 97150

    Office

    $17.74

    Facility

    Unavailable

    $0.21 lower than Wyoming** for the office setting.

  • Bakersfield

    California · 97150

    Office

    $18.86

    Facility

    Unavailable

    $0.91 higher than Wyoming** for the office setting.

  • Chico

    California · 97150

    Office

    $18.82

    Facility

    Unavailable

    $0.87 higher than Wyoming** for the office setting.

  • El Centro

    California · 97150

    Office

    $18.82

    Facility

    Unavailable

    $0.87 higher than Wyoming** for the office setting.

  • Fresno

    California · 97150

    Office

    $18.82

    Facility

    Unavailable

    $0.87 higher than Wyoming** for the office setting.

  • Hanford-Corcoran

    California · 97150

    Office

    $18.82

    Facility

    Unavailable

    $0.87 higher than Wyoming** for the office setting.

  • Madera

    California · 97150

    Office

    $18.82

    Facility

    Unavailable

    $0.87 higher than Wyoming** for the office setting.

  • Merced

    California · 97150

    Office

    $18.82

    Facility

    Unavailable

    $0.87 higher than Wyoming** for the office setting.

  • Modesto

    California · 97150

    Office

    $18.82

    Facility

    Unavailable

    $0.87 higher than Wyoming** for the office setting.

  • Napa

    California · 97150

    Office

    $21.03

    Facility

    Unavailable

    $3.08 higher than Wyoming** for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 97150

    Office

    $19.64

    Facility

    Unavailable

    $1.69 higher than Wyoming** for the office setting.

  • Redding

    California · 97150

    Office

    $18.82

    Facility

    Unavailable

    $0.87 higher than Wyoming** for the office setting.

  • Rest Of California

    California · 97150

    Office

    $18.82

    Facility

    Unavailable

    $0.87 higher than Wyoming** for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 97150

    Office

    $18.93

    Facility

    Unavailable

    $0.98 higher than Wyoming** for the office setting.

  • Sacramento-Roseville-Folsom

    California · 97150

    Office

    $19.54

    Facility

    Unavailable

    $1.59 higher than Wyoming** for the office setting.

  • Salinas

    California · 97150

    Office

    $19.46

    Facility

    Unavailable

    $1.51 higher than Wyoming** for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 97150

    Office

    $19.75

    Facility

    Unavailable

    $1.80 higher than Wyoming** for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 97150

    Office

    $22.06

    Facility

    Unavailable

    $4.11 higher than Wyoming** for the office setting.

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

    California · 97150

    Office

    $22.05

    Facility

    Unavailable

    $4.10 higher than Wyoming** for the office setting.

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

    California · 97150

    Office

    $22.49

    Facility

    Unavailable

    $4.54 higher than Wyoming** for the office setting.

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

    California · 97150

    Office

    $22.44

    Facility

    Unavailable

    $4.49 higher than Wyoming** for the office setting.

  • San Luis Obispo-Paso Robles

    California · 97150

    Office

    $19.16

    Facility

    Unavailable

    $1.21 higher than Wyoming** for the office setting.

  • Santa Cruz-Watsonville

    California · 97150

    Office

    $19.81

    Facility

    Unavailable

    $1.86 higher than Wyoming** for the office setting.

  • Santa Maria-Santa Barbara

    California · 97150

    Office

    $19.48

    Facility

    Unavailable

    $1.53 higher than Wyoming** for the office setting.

  • Santa Rosa-Petaluma

    California · 97150

    Office

    $20.00

    Facility

    Unavailable

    $2.05 higher than Wyoming** for the office setting.

  • Stockton

    California · 97150

    Office

    $18.82

    Facility

    Unavailable

    $0.87 higher than Wyoming** for the office setting.

  • Vallejo

    California · 97150

    Office

    $21.02

    Facility

    Unavailable

    $3.07 higher than Wyoming** for the office setting.

  • Visalia

    California · 97150

    Office

    $18.82

    Facility

    Unavailable

    $0.87 higher than Wyoming** for the office setting.

  • Yuba City

    California · 97150

    Office

    $18.82

    Facility

    Unavailable

    $0.87 higher than Wyoming** for the office setting.

  • Colorado

    Colorado · 97150

    Office

    $18.59

    Facility

    Unavailable

    $0.64 higher than Wyoming** for the office setting.

  • Connecticut

    Connecticut · 97150

    Office

    $18.92

    Facility

    Unavailable

    $0.97 higher than Wyoming** for the office setting.

  • Delaware

    Delaware · 97150

    Office

    $17.95

    Facility

    Unavailable

    The same base rate than Wyoming** for the office setting.

  • Fort Lauderdale

    Florida · 97150

    Office

    $18.41

    Facility

    Unavailable

    $0.46 higher than Wyoming** for the office setting.

  • Rest Of Florida

    Florida · 97150

    Office

    $17.85

    Facility

    Unavailable

    $0.10 lower than Wyoming** for the office setting.

  • Atlanta

    Georgia · 97150

    Office

    $18.26

    Facility

    Unavailable

    $0.31 higher than Wyoming** for the office setting.

  • Rest Of Georgia

    Georgia · 97150

    Office

    $17.23

    Facility

    Unavailable

    $0.72 lower than Wyoming** for the office setting.

  • Hawaii, Guam

    Hawaii · 97150

    Office

    $18.99

    Facility

    Unavailable

    $1.04 higher than Wyoming** for the office setting.

  • Iowa

    Iowa · 97150

    Office

    $17.15

    Facility

    Unavailable

    $0.80 lower than Wyoming** for the office setting.

  • Idaho

    Idaho · 97150

    Office

    $17.22

    Facility

    Unavailable

    $0.73 lower than Wyoming** for the office setting.

  • East St. Louis

    Illinois · 97150

    Office

    $17.73

    Facility

    Unavailable

    $0.22 lower than Wyoming** for the office setting.

  • Rest Of Illinois

    Illinois · 97150

    Office

    $17.53

    Facility

    Unavailable

    $0.42 lower than Wyoming** for the office setting.

  • Suburban Chicago

    Illinois · 97150

    Office

    $18.58

    Facility

    Unavailable

    $0.63 higher than Wyoming** for the office setting.

  • Indiana

    Indiana · 97150

    Office

    $17.28

    Facility

    Unavailable

    $0.67 lower than Wyoming** for the office setting.

  • Kansas

    Kansas · 97150

    Office

    $17.10

    Facility

    Unavailable

    $0.85 lower than Wyoming** for the office setting.

  • Kentucky

    Kentucky · 97150

    Office

    $17.12

    Facility

    Unavailable

    $0.83 lower than Wyoming** for the office setting.

  • New Orleans

    Louisiana · 97150

    Office

    $17.61

    Facility

    Unavailable

    $0.34 lower than Wyoming** for the office setting.

  • Rest Of Louisiana

    Louisiana · 97150

    Office

    $17.10

    Facility

    Unavailable

    $0.85 lower than Wyoming** for the office setting.

  • Metropolitan Boston

    Massachusetts · 97150

    Office

    $19.95

    Facility

    Unavailable

    $2.00 higher than Wyoming** for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 97150

    Office

    $18.55

    Facility

    Unavailable

    $0.60 higher than Wyoming** for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 97150

    Office

    $18.86

    Facility

    Unavailable

    $0.91 higher than Wyoming** for the office setting.

  • Rest Of Maryland

    Maryland · 97150

    Office

    $18.20

    Facility

    Unavailable

    $0.25 higher than Wyoming** for the office setting.

  • Rest Of Maine

    Maine · 97150

    Office

    $17.27

    Facility

    Unavailable

    $0.68 lower than Wyoming** for the office setting.

  • Southern Maine

    Maine · 97150

    Office

    $17.84

    Facility

    Unavailable

    $0.11 lower than Wyoming** for the office setting.

  • Detroit

    Michigan · 97150

    Office

    $17.99

    Facility

    Unavailable

    $0.04 higher than Wyoming** for the office setting.

  • Rest Of Michigan

    Michigan · 97150

    Office

    $17.38

    Facility

    Unavailable

    $0.57 lower than Wyoming** for the office setting.

  • Minnesota

    Minnesota · 97150

    Office

    $18.03

    Facility

    Unavailable

    $0.08 higher than Wyoming** for the office setting.

  • Metropolitan Kansas City

    Missouri · 97150

    Office

    $17.54

    Facility

    Unavailable

    $0.41 lower than Wyoming** for the office setting.

  • Metropolitan St. Louis

    Missouri · 97150

    Office

    $17.65

    Facility

    Unavailable

    $0.30 lower than Wyoming** for the office setting.

  • Rest Of Missouri

    Missouri · 97150

    Office

    $16.92

    Facility

    Unavailable

    $1.03 lower than Wyoming** for the office setting.

  • Mississippi

    Mississippi · 97150

    Office

    $16.84

    Facility

    Unavailable

    $1.11 lower than Wyoming** for the office setting.

  • Montana**

    Montana · 97150

    Office

    $18.04

    Facility

    Unavailable

    $0.09 higher than Wyoming** for the office setting.

  • North Carolina

    North Carolina · 97150

    Office

    $17.38

    Facility

    Unavailable

    $0.57 lower than Wyoming** for the office setting.

  • North Dakota**

    North Dakota · 97150

    Office

    $17.84

    Facility

    Unavailable

    $0.11 lower than Wyoming** for the office setting.

  • Nebraska

    Nebraska · 97150

    Office

    $17.21

    Facility

    Unavailable

    $0.74 lower than Wyoming** for the office setting.

  • New Hampshire

    New Hampshire · 97150

    Office

    $18.32

    Facility

    Unavailable

    $0.37 higher than Wyoming** for the office setting.

  • Northern Nj

    New Jersey · 97150

    Office

    $19.95

    Facility

    Unavailable

    $2.00 higher than Wyoming** for the office setting.

  • Rest Of New Jersey

    New Jersey · 97150

    Office

    $19.19

    Facility

    Unavailable

    $1.24 higher than Wyoming** for the office setting.

  • New Mexico

    New Mexico · 97150

    Office

    $17.44

    Facility

    Unavailable

    $0.51 lower than Wyoming** for the office setting.

  • Nevada**

    Nevada · 97150

    Office

    $17.99

    Facility

    Unavailable

    $0.04 higher than Wyoming** for the office setting.

  • Nyc Suburbs/Long Island

    New York · 97150

    Office

    $20.46

    Facility

    Unavailable

    $2.51 higher than Wyoming** for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 97150

    Office

    $19.30

    Facility

    Unavailable

    $1.35 higher than Wyoming** for the office setting.

  • Queens

    New York · 97150

    Office

    $20.26

    Facility

    Unavailable

    $2.31 higher than Wyoming** for the office setting.

  • Rest Of New York

    New York · 97150

    Office

    $17.54

    Facility

    Unavailable

    $0.41 lower than Wyoming** for the office setting.

  • Ohio

    Ohio · 97150

    Office

    $17.34

    Facility

    Unavailable

    $0.61 lower than Wyoming** for the office setting.

  • Oklahoma

    Oklahoma · 97150

    Office

    $17.10

    Facility

    Unavailable

    $0.85 lower than Wyoming** for the office setting.

  • Portland

    Oregon · 97150

    Office

    $19.00

    Facility

    Unavailable

    $1.05 higher than Wyoming** for the office setting.

  • Rest Of Oregon

    Oregon · 97150

    Office

    $17.91

    Facility

    Unavailable

    $0.04 lower than Wyoming** for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 97150

    Office

    $18.60

    Facility

    Unavailable

    $0.65 higher than Wyoming** for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 97150

    Office

    $17.36

    Facility

    Unavailable

    $0.59 lower than Wyoming** for the office setting.

  • Puerto Rico

    Puerto Rico · 97150

    Office

    $18.12

    Facility

    Unavailable

    $0.17 higher than Wyoming** for the office setting.

  • Rhode Island

    Rhode Island · 97150

    Office

    $18.45

    Facility

    Unavailable

    $0.50 higher than Wyoming** for the office setting.

  • South Carolina

    South Carolina · 97150

    Office

    $17.38

    Facility

    Unavailable

    $0.57 lower than Wyoming** for the office setting.

  • South Dakota**

    South Dakota · 97150

    Office

    $17.81

    Facility

    Unavailable

    $0.14 lower than Wyoming** for the office setting.

  • Tennessee

    Tennessee · 97150

    Office

    $17.15

    Facility

    Unavailable

    $0.80 lower than Wyoming** for the office setting.

  • Austin

    Texas · 97150

    Office

    $18.48

    Facility

    Unavailable

    $0.53 higher than Wyoming** for the office setting.

  • Beaumont

    Texas · 97150

    Office

    $17.29

    Facility

    Unavailable

    $0.66 lower than Wyoming** for the office setting.

  • Brazoria

    Texas · 97150

    Office

    $17.97

    Facility

    Unavailable

    $0.02 higher than Wyoming** for the office setting.

  • Dallas

    Texas · 97150

    Office

    $18.04

    Facility

    Unavailable

    $0.09 higher than Wyoming** for the office setting.

  • Fort Worth

    Texas · 97150

    Office

    $17.97

    Facility

    Unavailable

    $0.02 higher than Wyoming** for the office setting.

  • Galveston

    Texas · 97150

    Office

    $18.00

    Facility

    Unavailable

    $0.05 higher than Wyoming** for the office setting.

  • Houston

    Texas · 97150

    Office

    $18.18

    Facility

    Unavailable

    $0.23 higher than Wyoming** for the office setting.

  • Rest Of Texas

    Texas · 97150

    Office

    $17.60

    Facility

    Unavailable

    $0.35 lower than Wyoming** for the office setting.

  • Utah

    Utah · 97150

    Office

    $17.52

    Facility

    Unavailable

    $0.43 lower than Wyoming** for the office setting.

  • Virginia

    Virginia · 97150

    Office

    $17.80

    Facility

    Unavailable

    $0.15 lower than Wyoming** for the office setting.

  • Virgin Islands

    United States Virgin Islands · 97150

    Office

    $18.12

    Facility

    Unavailable

    $0.17 higher than Wyoming** for the office setting.

  • Vermont

    Vermont · 97150

    Office

    $17.79

    Facility

    Unavailable

    $0.16 lower than Wyoming** for the office setting.

  • Rest Of Washington

    Washington · 97150

    Office

    $18.51

    Facility

    Unavailable

    $0.56 higher than Wyoming** for the office setting.

  • Seattle (King Cnty)

    Washington · 97150

    Office

    $20.28

    Facility

    Unavailable

    $2.33 higher than Wyoming** for the office setting.

  • Wisconsin

    Wisconsin · 97150

    Office

    $17.47

    Facility

    Unavailable

    $0.48 lower than Wyoming** for the office setting.

  • West Virginia

    West Virginia · 97150

    Office

    $17.13

    Facility

    Unavailable

    $0.82 lower than Wyoming** for the office setting.

See how rates vary across the country

97150 · 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.

$16.74

$23.25

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$23.251
AL$16.891
AR$16.741
AZ$17.741
CA$18.82–$22.4929
CO$18.591
CT$18.921
DC$20.021
DE$17.951
FL$17.85–$18.883
GA$17.23–$18.262
GU$18.991
HI$18.991
IA$17.151
ID$17.221
IL$17.53–$18.584
IN$17.281
KS$17.101
KY$17.121
LA$17.10–$17.612
MA$18.55–$19.952
MD$18.20–$20.023
ME$17.27–$17.842
MI$17.38–$17.992
MN$18.031
MO$16.92–$17.653
MS$16.841
MT$18.041
NC$17.381
ND$17.841
NE$17.211
NH$18.321
NJ$19.19–$19.952
NM$17.441
NV$17.991
NY$17.54–$20.465
OH$17.341
OK$17.101
OR$17.91–$19.002
PA$17.36–$18.602
PR$18.121
RI$18.451
SC$17.381
SD$17.811
TN$17.151
TX$17.29–$18.488
UT$17.521
VA$17.80–$20.022
VI$18.121
VT$17.791
WA$18.51–$20.282
WI$17.471
WV$17.131
WY$17.951

Explore 97150 on the national rate map →

Where does this rate apply?

Wyoming** is a Medicare payment area. Our Census mapping connects it to 205 cities and communities in Wyoming, 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 Wyoming →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 97150 in Wyoming**. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$19.75

$17.95 × 110% = $19.75

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 97150 in Wyoming**.

PPRRVU2026_Oct_nonQPP.csv

12,868

Code
97150
Physician work
0.29
Practice expense
0.24
Malpractice
0.01

GPCI2026.csv

112

Locality
Wyoming**
Physician work
1.000
Practice expense
1.000
Malpractice
0.740
Office / nonfacility calculation for 97150 in Wyoming**
ComponentRVULocality factorAdjusted
Physician work0.29× 1.0000.2900
Practice expense0.24× 1.0000.2400
Malpractice0.01× 0.7400.0074
Total RVUs0.5374
Conversion factor× 33.4009

Office / nonfacility rate, Wyoming**$17.95

Open 97150 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.291
Practice expense0.241
Malpractice0.010.74

(0.29 × 1 + 0.24 × 1 + 0.01 × 0.74) × $33.4009 = $17.95

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

97150 · Office / nonfacility

$17.95

Effective 2026-10-01

The base rate is $0.57 higher than on 2025-10-01, moving from $17.38 to $17.95 (3.3%).

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

    $17.38changed to$17.95

    • Conversion factor 32.3465 changed to 33.4009
    • Malpractice GPCI 0.739 changed to 0.740

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $17.38

    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$17.95Not available in this settingRVU26D
2026-07-01$17.95Not available in this settingRVU26C
2026-04-01$17.95Not available in this settingRVU26B
2026-01-01$17.95Not available in this settingRVU26A
2025-10-01$17.38Not available in this settingRVU25D
2025-07-01$17.38Not available in this settingRVU25C
2025-04-01$17.38Not available in this settingRVU25B
2025-01-01$17.38Not available in this settingRVU25A

97150 billing questions

How many units of 97150 can be billed for one session?

Report one unit per patient per group session. A longer session does not increase units, and group-session minutes are not added to timed codes for the 8-minute rule calculation.

Can 97150 be billed on the same day as individual codes such as 97110 or 97530?

Yes, when the one-on-one service occurs during a distinct time interval. Document separate times; use modifier 59 or an appropriate X modifier only when an applicable NCCI edit permits separate reporting and its criteria are met.

Do all patients in the group need to do the same activity?

No. Patients can perform different activities while the clinician treats two or more patients at once and remains in constant attendance.

Which modifiers are used with 97150?

Medicare requires GP for physical therapy, GO for occupational therapy, or GN for speech-language pathology, according to the plan of care. Add CQ for physical therapist assistant services or CO for occupational therapy assistant services when Medicare's assistant-modifier criteria are met.

Does the therapy multiple procedure payment reduction affect 97150?

Yes. Practice expense is reduced for the second and later therapy units billed for the patient on the same day, which can include the group unit.

Should speech therapy groups use 97150 or 92508?

Group treatment of speech, language, voice, or communication disorders is typically reported with 92508. Use 97150 for other qualifying group therapeutic procedures.

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 97150PPRRVU2026_Oct_nonQPP.csv, line 12,868 (RVU26D)
Geographic factors for Wyoming**GPCI2026.csv, line 112 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet