$10.50
Choose 97008 for preparing and placing the cooling system; 97009 describes cooling provided after chemotherapy.
On this page
CMS RVU26D · Effective 2026-10-01
97009 Scalp cooling Medicare reimbursement rates in Alaska
Reports mechanical scalp cooling continued after chemotherapy as part of an oncology treatment encounter, when furnished with its required primary procedure. Compare 97009 office and facility rates across CMS payment localities in Alaska.
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.
What does Medicare pay for 97009 in Alaska?
Alaska has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$6.76
1 of 1 localities have a supported rate.
Payment area: Alaska*
One mapped payment locality.
Facility setting
No supported rate
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Scalp cooling
About 97009: Mechanical scalp cooling after chemotherapy
Reports mechanical scalp cooling continued after chemotherapy as part of an oncology treatment encounter, when furnished with its required primary procedure.
This code represents mechanical scalp cooling provided after chemotherapy, as part of a treatment approach intended to reduce chemotherapy-associated hair loss. Oncology infusion staff typically manage the cooling system during an infusion-center visit, continuing the cooling service after the chemotherapy administration has ended. It is distinct from measuring and fitting a cooling system or preparing and placing it before treatment.
Report 97009 only with a primary procedure; it is not a standalone service. Documentation should identify the chemotherapy encounter and show that mechanical scalp cooling continued after chemotherapy. CMS treats this as an add-on code, with payment handled within the primary procedure’s global period. The supplied CMS facts do not specify a time unit or a particular primary code, so the record and applicable code instructions should support the reported service and pairing.
CMS billing rules for 97009
- Global period
- Add-on code: billed only together with a primary procedure and paid within that procedure's global period.
Where the value comes from
- Work RVU0.00 · 0%
- Practice expense (office) RVU0.19 · 100%
- Malpractice RVU0.00 · 0%
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.
97009 compared with similar codes
Office rates for Alaska, from the same CMS release.
$1,804.76
97007 is for measuring and fitting the scalp-cooling system, rather than providing post-chemotherapy cooling.
97010
No office rateHot or cold packs therapy
97010 describes hot or cold pack therapy. It is not the code for mechanical scalp cooling after chemotherapy.
Compare 97009 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Alaska* →
Office / nonfacility
$6.76
Facility
Unavailable
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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 97009 in Alaska*.
PPRRVU2026_Oct_nonQPP.csv
12,842
- Code
- 97009
- Physician work
- 0.00
- Practice expense
- 0.19
- Malpractice
- 0.00
GPCI2026.csv
5
- Locality
- Alaska*
- Physician work
- 1.500
- Practice expense
- 1.065
- Malpractice
- 0.551
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.00 | × 1.500 | 0.0000 |
| Practice expense | 0.19 | × 1.065 | 0.2024 |
| Malpractice | 0.00 | × 0.551 | 0.0000 |
| Total RVUs | 0.2024 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Alaska*$6.76
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0 | 1.5 |
| Practice expense | 0.19 | 1.065 |
| Malpractice | 0 | 0.551 |
(0 × 1.5 + 0.19 × 1.065 + 0 × 0.551) × $33.4009 = $6.76
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.
97009 billing questions
How does 97009 differ from 97008?
97009 represents mechanical scalp cooling after chemotherapy. 97008 covers preparation and placement of the cooling system.
Can 97009 be reported by itself?
No. CMS identifies it as an add-on code that must be reported with a primary procedure.
What documentation supports 97009?
Document the chemotherapy encounter and that mechanical scalp cooling continued after chemotherapy. The record should support the primary procedure reported with the add-on.
Is 97009 reported with chemotherapy administration?
Scalp cooling may occur during an oncology infusion encounter, alongside the applicable chemotherapy administration service. Report 97009 only with its required primary procedure.
Does 97009 have a time-based unit?
The CMS facts provided do not specify a time unit. Do not infer units from the service’s duration; follow the applicable code instructions.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
12,83996999,,Unlisted spec derm svc/px,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,84097007,,Mchnl sclp cool meas fitg,A,,0.00,50.72,,50.72,NA,0.03,50.75,50.75,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,84197008,,Mchnl sclp cool prep plmt,A,,0.00,0.29,,0.29,NA,0.01,0.30,0.30,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,84297009,,Mchnl sclp cool after chemo,A,,0.00,0.19,,0.19,NA,0.00,0.19,0.19,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,84397010,,Hot or cold packs therapy,B,+,0.06,0.13,,0.13,NA,0.01,0.20,0.20,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
12,84497012,,Mechanical traction therapy,A,,0.24,0.18,,0.18,NA,0.01,0.43,0.43,7,XXX,0.00,0.00,0.00,5,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,84597014,,Electric stimulation therapy,I,+,0.18,0.19,,0.19,NA,0.01,0.38,0.38,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
2,,,,,,
3Medicare Administrative Contractor (MAC),State,Locality Number,Locality Name,2026 PW GPCI (with 1.0 Floor)***,2026 PE GPCI,2026 MP GPCI
410112,AL,00,ALABAMA,1.000,0.875,0.566
502102,AK,01,ALASKA*,1.500,1.065,0.551
603102,AZ,00,ARIZONA,1.000,0.969,0.856
707102,AR,13,ARKANSAS,1.000,0.859,0.515
801112,CA,54,BAKERSFIELD,1.019,1.096,0.609