$53.09
97760 represents an initial orthotic management encounter; 97763 represents a subsequent encounter for orthotic management and training.
On this page
CMS RVU26D · Effective 2026-10-01
97760 Orthotic training Medicare reimbursement rates in Connecticut
Report orthotic management and training for skilled assessment, fitting, adjustment, or instruction in use of an orthosis during an initial encounter. Compare 97760 office and facility rates across CMS payment localities in Connecticut.
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 97760 in Connecticut?
Connecticut 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
$48.73
1 of 1 localities have a supported rate.
Payment area: Connecticut
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.
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 Connecticut, from the same CMS release.
$42.62
Choose 97760 for orthosis management and training. Choose 97761 when the training concerns a prosthesis.
$39.51
97755 is for assessment of assistive technology needs; 97760 covers skilled management, fitting, adjustment, or use training for an orthosis.
Compare 97760 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
Connecticut →
Office / nonfacility
$48.73
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 97760 in Connecticut.
PPRRVU2026_Oct_nonQPP.csv
12,909
- Code
- 97760
- Physician work
- 0.50
- Practice expense
- 0.87
- Malpractice
- 0.01
GPCI2026.csv
38
- Locality
- Connecticut
- Physician work
- 1.020
- Practice expense
- 1.077
- Malpractice
- 1.210
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.50 | × 1.020 | 0.5100 |
| Practice expense | 0.87 | × 1.077 | 0.9370 |
| Malpractice | 0.01 | × 1.210 | 0.0121 |
| Total RVUs | 1.4591 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Connecticut$48.73
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.5 | 1.02 |
| Practice expense | 0.87 | 1.077 |
| Malpractice | 0.01 | 1.21 |
(0.5 × 1.02 + 0.87 × 1.077 + 0.01 × 1.21) × $33.4009 = $48.73
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.
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.
12,90697610,,Low frequency non-thermal us,A,,0.39,11.50,,0.06,,0.01,11.90,0.46,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,90797750,,Physical performance test,A,,0.45,0.55,,0.55,NA,0.01,1.01,1.01,7,XXX,0.00,0.00,0.00,5,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,90897755,,Assistive technology assess,A,,0.62,0.50,,0.50,NA,0.01,1.13,1.13,7,XXX,0.00,0.00,0.00,5,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,90997760,,Orthotic mgmt&traing 1st enc,A,,0.50,0.87,,0.87,NA,0.01,1.38,1.38,7,XXX,0.00,0.00,0.00,5,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,91097761,,Prosthetic traing 1st enc,A,,0.50,0.70,,0.70,NA,0.01,1.21,1.21,7,XXX,0.00,0.00,0.00,5,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,91197763,,Orthc/prostc mgmt sbsq enc,A,,0.48,1.01,,1.01,NA,0.01,1.50,1.50,7,XXX,0.00,0.00,0.00,5,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,91297799,,Unlisted physcl med/rehab px,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,7,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3501112,CA,70,YUBA CITY,1.017,1.096,0.536
3601112,CA,75,REST OF CALIFORNIA,1.017,1.096,0.536
3704112,CO,01,COLORADO,1.012,1.064,0.781
3813102,CT,00,CONNECTICUT,1.020,1.077,1.210
3912202,DC,01,DC + MD/VA SUBURBS,1.054,1.178,1.113
4012102,DE,01,DELAWARE,1.005,0.988,0.899
4109102,FL,03,FORT LAUDERDALE,1.000,1.013,1.808