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CMS RVU26D · Effective 2026-10-01

97761 in Wyoming**

Office / nonfacility

$40.33

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 therapy

About 97761: Initial prosthetic use training

Reports initial skilled training to use an upper- or lower-extremity prosthesis, including instruction in safe use and functional activities.

A physical or occupational therapist typically provides this training after a patient receives an upper- or lower-extremity prosthesis. Treatment may address putting on and removing the device, operating its components, safety, and using it during functional activities such as standing or walking. The service is directed at learning to use the prosthesis, rather than general exercise or a device assessment alone.

Report 97761 for the initial prosthetic-training encounter, in 15-minute units. Documentation should identify the prosthesis, skilled training performed, treatment time, the patient’s response, and progress toward 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 later therapy units furnished on the same day.

CMS billing rules for 97761

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 · 41%
  • Practice expense (office) RVU0.70 · 58%
  • Malpractice RVU0.01 · 1%

3.8K

Medicare services in 2024 · #2022 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.

97761 compared with similar codes

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

97760

Orthotic training

Initial encounter

$46.01

97760 addresses initial training for an orthosis, while 97761 addresses training to use a prosthesis.

97763

Orthotic/prosthetic care

Subsequent encounter

$50.01

97763 is for subsequent orthotic or prosthetic management and training encounters; 97761 is for the initial prosthetic-training encounter.

97116

Gait training

Each 15 minutes, one-on-one

$28.97

97116 covers gait training. Choose 97761 for skilled instruction in using the prosthesis; report both only when each service is distinct.

97750

Performance test

Timed testing with written report

$33.65

97750 is a physical performance test, not hands-on instruction in using a prosthesis.

The same code, a different location

How does Wyoming** compare?

97761 across payment areas

Same release and payment basis · bars start at $0

  1. Wyoming** · This locality

    $40.33

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

    $45.27

    $4.94 higher than Wyoming**

  3. Dc + Md/Va Suburbs

    $45.52

    $5.19 higher than Wyoming**

  4. Miami

    $41.88

    $1.55 higher than Wyoming**

  5. Chicago

    $41.08

    $0.75 higher than Wyoming**

  6. Manhattan

    $45.47

    $5.14 higher than Wyoming**

  7. Alaska*

    $50.14

    $9.81 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, 97761 ranges from $36.96 in Arkansas to $52.43 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

  • Alabama

    Alabama · 97761

    Office

    $37.35

    Facility

    Unavailable

    $2.98 lower than Wyoming** for the office setting.

  • Arkansas

    Arkansas · 97761

    Office

    $36.96

    Facility

    Unavailable

    $3.37 lower than Wyoming** for the office setting.

  • Arizona

    Arizona · 97761

    Office

    $39.64

    Facility

    Unavailable

    $0.69 lower than Wyoming** for the office setting.

  • Bakersfield

    California · 97761

    Office

    $42.85

    Facility

    Unavailable

    $2.52 higher than Wyoming** for the office setting.

  • Chico

    California · 97761

    Office

    $42.79

    Facility

    Unavailable

    $2.46 higher than Wyoming** for the office setting.

  • El Centro

    California · 97761

    Office

    $42.79

    Facility

    Unavailable

    $2.46 higher than Wyoming** for the office setting.

  • Fresno

    California · 97761

    Office

    $42.79

    Facility

    Unavailable

    $2.46 higher than Wyoming** for the office setting.

  • Hanford-Corcoran

    California · 97761

    Office

    $42.79

    Facility

    Unavailable

    $2.46 higher than Wyoming** for the office setting.

  • Madera

    California · 97761

    Office

    $42.79

    Facility

    Unavailable

    $2.46 higher than Wyoming** for the office setting.

  • Merced

    California · 97761

    Office

    $42.79

    Facility

    Unavailable

    $2.46 higher than Wyoming** for the office setting.

  • Modesto

    California · 97761

    Office

    $42.79

    Facility

    Unavailable

    $2.46 higher than Wyoming** for the office setting.

  • Napa

    California · 97761

    Office

    $48.74

    Facility

    Unavailable

    $8.41 higher than Wyoming** for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 97761

    Office

    $45.01

    Facility

    Unavailable

    $4.68 higher than Wyoming** for the office setting.

  • Redding

    California · 97761

    Office

    $42.79

    Facility

    Unavailable

    $2.46 higher than Wyoming** for the office setting.

  • Rest Of California

    California · 97761

    Office

    $42.79

    Facility

    Unavailable

    $2.46 higher than Wyoming** for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 97761

    Office

    $42.91

    Facility

    Unavailable

    $2.58 higher than Wyoming** for the office setting.

  • Sacramento-Roseville-Folsom

    California · 97761

    Office

    $44.67

    Facility

    Unavailable

    $4.34 higher than Wyoming** for the office setting.

  • Salinas

    California · 97761

    Office

    $44.50

    Facility

    Unavailable

    $4.17 higher than Wyoming** for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 97761

    Office

    $45.35

    Facility

    Unavailable

    $5.02 higher than Wyoming** for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 97761

    Office

    $51.41

    Facility

    Unavailable

    $11.08 higher than Wyoming** for the office setting.

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

    California · 97761

    Office

    $51.40

    Facility

    Unavailable

    $11.07 higher than Wyoming** for the office setting.

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

    California · 97761

    Office

    $52.43

    Facility

    Unavailable

    $12.10 higher than Wyoming** for the office setting.

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

    California · 97761

    Office

    $52.38

    Facility

    Unavailable

    $12.05 higher than Wyoming** for the office setting.

  • San Luis Obispo-Paso Robles

    California · 97761

    Office

    $43.79

    Facility

    Unavailable

    $3.46 higher than Wyoming** for the office setting.

  • Santa Cruz-Watsonville

    California · 97761

    Office

    $45.64

    Facility

    Unavailable

    $5.31 higher than Wyoming** for the office setting.

  • Santa Maria-Santa Barbara

    California · 97761

    Office

    $44.61

    Facility

    Unavailable

    $4.28 higher than Wyoming** for the office setting.

  • Santa Rosa-Petaluma

    California · 97761

    Office

    $46.09

    Facility

    Unavailable

    $5.76 higher than Wyoming** for the office setting.

  • Stockton

    California · 97761

    Office

    $42.79

    Facility

    Unavailable

    $2.46 higher than Wyoming** for the office setting.

  • Vallejo

    California · 97761

    Office

    $48.72

    Facility

    Unavailable

    $8.39 higher than Wyoming** for the office setting.

  • Visalia

    California · 97761

    Office

    $42.79

    Facility

    Unavailable

    $2.46 higher than Wyoming** for the office setting.

  • Yuba City

    California · 97761

    Office

    $42.79

    Facility

    Unavailable

    $2.46 higher than Wyoming** for the office setting.

  • Colorado

    Colorado · 97761

    Office

    $42.04

    Facility

    Unavailable

    $1.71 higher than Wyoming** for the office setting.

  • Connecticut

    Connecticut · 97761

    Office

    $42.62

    Facility

    Unavailable

    $2.29 higher than Wyoming** for the office setting.

  • Delaware

    Delaware · 97761

    Office

    $40.18

    Facility

    Unavailable

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

  • Fort Lauderdale

    Florida · 97761

    Office

    $40.99

    Facility

    Unavailable

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

  • Rest Of Florida

    Florida · 97761

    Office

    $39.55

    Facility

    Unavailable

    $0.78 lower than Wyoming** for the office setting.

  • Atlanta

    Georgia · 97761

    Office

    $40.91

    Facility

    Unavailable

    $0.58 higher than Wyoming** for the office setting.

  • Rest Of Georgia

    Georgia · 97761

    Office

    $37.95

    Facility

    Unavailable

    $2.38 lower than Wyoming** for the office setting.

  • Hawaii, Guam

    Hawaii · 97761

    Office

    $43.48

    Facility

    Unavailable

    $3.15 higher than Wyoming** for the office setting.

  • Iowa

    Iowa · 97761

    Office

    $38.23

    Facility

    Unavailable

    $2.10 lower than Wyoming** for the office setting.

  • Idaho

    Idaho · 97761

    Office

    $38.37

    Facility

    Unavailable

    $1.96 lower than Wyoming** for the office setting.

  • East St. Louis

    Illinois · 97761

    Office

    $38.88

    Facility

    Unavailable

    $1.45 lower than Wyoming** for the office setting.

  • Rest Of Illinois

    Illinois · 97761

    Office

    $38.57

    Facility

    Unavailable

    $1.76 lower than Wyoming** for the office setting.

  • Suburban Chicago

    Illinois · 97761

    Office

    $41.42

    Facility

    Unavailable

    $1.09 higher than Wyoming** for the office setting.

  • Indiana

    Indiana · 97761

    Office

    $38.54

    Facility

    Unavailable

    $1.79 lower than Wyoming** for the office setting.

  • Kansas

    Kansas · 97761

    Office

    $38.00

    Facility

    Unavailable

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

  • Kentucky

    Kentucky · 97761

    Office

    $37.79

    Facility

    Unavailable

    $2.54 lower than Wyoming** for the office setting.

  • New Orleans

    Louisiana · 97761

    Office

    $39.08

    Facility

    Unavailable

    $1.25 lower than Wyoming** for the office setting.

  • Rest Of Louisiana

    Louisiana · 97761

    Office

    $37.71

    Facility

    Unavailable

    $2.62 lower than Wyoming** for the office setting.

  • Metropolitan Boston

    Massachusetts · 97761

    Office

    $45.60

    Facility

    Unavailable

    $5.27 higher than Wyoming** for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 97761

    Office

    $41.85

    Facility

    Unavailable

    $1.52 higher than Wyoming** for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 97761

    Office

    $42.47

    Facility

    Unavailable

    $2.14 higher than Wyoming** for the office setting.

  • Rest Of Maryland

    Maryland · 97761

    Office

    $40.84

    Facility

    Unavailable

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

  • Rest Of Maine

    Maine · 97761

    Office

    $38.42

    Facility

    Unavailable

    $1.91 lower than Wyoming** for the office setting.

  • Southern Maine

    Maine · 97761

    Office

    $40.08

    Facility

    Unavailable

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

  • Detroit

    Michigan · 97761

    Office

    $39.83

    Facility

    Unavailable

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

  • Rest Of Michigan

    Michigan · 97761

    Office

    $38.42

    Facility

    Unavailable

    $1.91 lower than Wyoming** for the office setting.

  • Minnesota

    Minnesota · 97761

    Office

    $40.86

    Facility

    Unavailable

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

  • Metropolitan Kansas City

    Missouri · 97761

    Office

    $38.98

    Facility

    Unavailable

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

  • Metropolitan St. Louis

    Missouri · 97761

    Office

    $39.29

    Facility

    Unavailable

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

  • Rest Of Missouri

    Missouri · 97761

    Office

    $37.18

    Facility

    Unavailable

    $3.15 lower than Wyoming** for the office setting.

  • Mississippi

    Mississippi · 97761

    Office

    $37.08

    Facility

    Unavailable

    $3.25 lower than Wyoming** for the office setting.

  • Montana**

    Montana · 97761

    Office

    $40.41

    Facility

    Unavailable

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

  • North Carolina

    North Carolina · 97761

    Office

    $38.73

    Facility

    Unavailable

    $1.60 lower than Wyoming** for the office setting.

  • North Dakota**

    North Dakota · 97761

    Office

    $40.22

    Facility

    Unavailable

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

  • Nebraska

    Nebraska · 97761

    Office

    $38.41

    Facility

    Unavailable

    $1.92 lower than Wyoming** for the office setting.

  • New Hampshire

    New Hampshire · 97761

    Office

    $41.33

    Facility

    Unavailable

    $1.00 higher than Wyoming** for the office setting.

  • Northern Nj

    New Jersey · 97761

    Office

    $45.23

    Facility

    Unavailable

    $4.90 higher than Wyoming** for the office setting.

  • Rest Of New Jersey

    New Jersey · 97761

    Office

    $43.27

    Facility

    Unavailable

    $2.94 higher than Wyoming** for the office setting.

  • New Mexico

    New Mexico · 97761

    Office

    $38.54

    Facility

    Unavailable

    $1.79 lower than Wyoming** for the office setting.

  • Nevada**

    Nevada · 97761

    Office

    $40.38

    Facility

    Unavailable

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

  • Nyc Suburbs/Long Island

    New York · 97761

    Office

    $46.19

    Facility

    Unavailable

    $5.86 higher than Wyoming** for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 97761

    Office

    $43.46

    Facility

    Unavailable

    $3.13 higher than Wyoming** for the office setting.

  • Queens

    New York · 97761

    Office

    $45.89

    Facility

    Unavailable

    $5.56 higher than Wyoming** for the office setting.

  • Rest Of New York

    New York · 97761

    Office

    $39.15

    Facility

    Unavailable

    $1.18 lower than Wyoming** for the office setting.

  • Ohio

    Ohio · 97761

    Office

    $38.38

    Facility

    Unavailable

    $1.95 lower than Wyoming** for the office setting.

  • Oklahoma

    Oklahoma · 97761

    Office

    $37.84

    Facility

    Unavailable

    $2.49 lower than Wyoming** for the office setting.

  • Portland

    Oregon · 97761

    Office

    $43.19

    Facility

    Unavailable

    $2.86 higher than Wyoming** for the office setting.

  • Rest Of Oregon

    Oregon · 97761

    Office

    $40.22

    Facility

    Unavailable

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

  • Metropolitan Philadelphia

    Pennsylvania · 97761

    Office

    $41.74

    Facility

    Unavailable

    $1.41 higher than Wyoming** for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 97761

    Office

    $38.48

    Facility

    Unavailable

    $1.85 lower than Wyoming** for the office setting.

  • Puerto Rico

    Puerto Rico · 97761

    Office

    $40.67

    Facility

    Unavailable

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

  • Rhode Island

    Rhode Island · 97761

    Office

    $41.47

    Facility

    Unavailable

    $1.14 higher than Wyoming** for the office setting.

  • South Carolina

    South Carolina · 97761

    Office

    $38.59

    Facility

    Unavailable

    $1.74 lower than Wyoming** for the office setting.

  • South Dakota**

    South Dakota · 97761

    Office

    $40.19

    Facility

    Unavailable

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

  • Tennessee

    Tennessee · 97761

    Office

    $38.13

    Facility

    Unavailable

    $2.20 lower than Wyoming** for the office setting.

  • Austin

    Texas · 97761

    Office

    $41.77

    Facility

    Unavailable

    $1.44 higher than Wyoming** for the office setting.

  • Beaumont

    Texas · 97761

    Office

    $38.29

    Facility

    Unavailable

    $2.04 lower than Wyoming** for the office setting.

  • Brazoria

    Texas · 97761

    Office

    $40.26

    Facility

    Unavailable

    $0.07 lower than Wyoming** for the office setting.

  • Dallas

    Texas · 97761

    Office

    $40.42

    Facility

    Unavailable

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

  • Fort Worth

    Texas · 97761

    Office

    $40.19

    Facility

    Unavailable

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

  • Galveston

    Texas · 97761

    Office

    $40.33

    Facility

    Unavailable

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

  • Houston

    Texas · 97761

    Office

    $40.51

    Facility

    Unavailable

    $0.18 higher than Wyoming** for the office setting.

  • Rest Of Texas

    Texas · 97761

    Office

    $39.19

    Facility

    Unavailable

    $1.14 lower than Wyoming** for the office setting.

  • Utah

    Utah · 97761

    Office

    $38.98

    Facility

    Unavailable

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

  • Virginia

    Virginia · 97761

    Office

    $39.92

    Facility

    Unavailable

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

  • Virgin Islands

    United States Virgin Islands · 97761

    Office

    $40.67

    Facility

    Unavailable

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

  • Vermont

    Vermont · 97761

    Office

    $40.02

    Facility

    Unavailable

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

  • Rest Of Washington

    Washington · 97761

    Office

    $41.79

    Facility

    Unavailable

    $1.46 higher than Wyoming** for the office setting.

  • Seattle (King Cnty)

    Washington · 97761

    Office

    $46.50

    Facility

    Unavailable

    $6.17 higher than Wyoming** for the office setting.

  • Wisconsin

    Wisconsin · 97761

    Office

    $39.20

    Facility

    Unavailable

    $1.13 lower than Wyoming** for the office setting.

  • West Virginia

    West Virginia · 97761

    Office

    $37.50

    Facility

    Unavailable

    $2.83 lower than Wyoming** for the office setting.

See how rates vary across the country

97761 · 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.

$36.96

$50.14

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$50.141
AL$37.351
AR$36.961
AZ$39.641
CA$42.79–$52.4329
CO$42.041
CT$42.621
DC$45.521
DE$40.181
FL$39.55–$41.883
GA$37.95–$40.912
GU$43.481
HI$43.481
IA$38.231
ID$38.371
IL$38.57–$41.424
IN$38.541
KS$38.001
KY$37.791
LA$37.71–$39.082
MA$41.85–$45.602
MD$40.84–$45.523
ME$38.42–$40.082
MI$38.42–$39.832
MN$40.861
MO$37.18–$39.293
MS$37.081
MT$40.411
NC$38.731
ND$40.221
NE$38.411
NH$41.331
NJ$43.27–$45.232
NM$38.541
NV$40.381
NY$39.15–$46.195
OH$38.381
OK$37.841
OR$40.22–$43.192
PA$38.48–$41.742
PR$40.671
RI$41.471
SC$38.591
SD$40.191
TN$38.131
TX$38.29–$41.778
UT$38.981
VA$39.92–$45.522
VI$40.671
VT$40.021
WA$41.79–$46.502
WI$39.201
WV$37.501
WY$40.331

Explore 97761 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 97761 in Wyoming**. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$44.36

$40.33 × 110% = $44.36

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 97761 in Wyoming**.

PPRRVU2026_Oct_nonQPP.csv

12,910

Code
97761
Physician work
0.50
Practice expense
0.70
Malpractice
0.01

GPCI2026.csv

112

Locality
Wyoming**
Physician work
1.000
Practice expense
1.000
Malpractice
0.740
Office / nonfacility calculation for 97761 in Wyoming**
ComponentRVULocality factorAdjusted
Physician work0.50× 1.0000.5000
Practice expense0.70× 1.0000.7000
Malpractice0.01× 0.7400.0074
Total RVUs1.2074
Conversion factor× 33.4009

Office / nonfacility rate, Wyoming**$40.33

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

Open 97761 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.51
Practice expense0.71
Malpractice0.010.74

(0.5 × 1 + 0.7 × 1 + 0.01 × 0.74) × $33.4009 = $40.33

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

97761 · Office / nonfacility

$40.33

Effective 2026-10-01

The base rate is $0.02 lower than on 2025-10-01, moving from $40.35 to $40.33 (0.0%).

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

    $40.35changed to$40.33

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 0.74 changed to 0.70
    • Malpractice GPCI 0.739 changed to 0.740

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $40.35

    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$40.33Not available in this settingRVU26D
2026-07-01$40.33Not available in this settingRVU26C
2026-04-01$40.33Not available in this settingRVU26B
2026-01-01$40.33Not available in this settingRVU26A
2025-10-01$40.35Not available in this settingRVU25D
2025-07-01$40.35Not available in this settingRVU25C
2025-04-01$40.35Not available in this settingRVU25B
2025-01-01$40.35Not available in this settingRVU25A

97761 billing questions

When should 97761 be used instead of 97763?

Use 97761 for the initial prosthetic-training encounter. Use 97763 for subsequent orthotic or prosthetic management and training encounters.

Is 97761 reported in timed units?

Yes. The code is reported in 15-minute units, with documentation supporting the skilled treatment time.

Can a professional-component modifier be appended?

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

Can 97761 be reported with gait training?

It may be reported with 97116 when the therapist performs distinct gait-training work in addition to prosthesis-use training and documents each service.

What documentation supports 97761?

Document the prosthesis, the specific instruction or functional practice provided, treatment time, the patient’s response, and progress toward goals.

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 97761PPRRVU2026_Oct_nonQPP.csv, line 12,910 (RVU26D)
Geographic factors for Wyoming**GPCI2026.csv, line 112 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet