Billing code 97750: Performance testMedicare rate & RVUs in Guam
Reports timed physical performance testing, such as functional capacity or musculoskeletal measurement, when results are documented in a written report.
Medicare pays $36.11 for 97750 in the office in Guam (Hawaii, Guam). Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 97750 covers
A physical therapist or other qualified rehabilitation professional uses structured tests or measurements to assess a patient's physical performance. Examples include evaluating functional capacity or measuring musculoskeletal performance to document limitations and abilities. The service may be part of an outpatient rehabilitation evaluation or a focused reassessment when test results are needed to characterize performance. A written report of the findings is part of the service.
Report 97750 in 15-minute units for the time spent performing the testing and measurement. Documentation should identify the tests or measures performed, the findings, and the written report; distinguish testing time from separately performed treatment. This is a therapy service, so a professional component modifier does not apply. When multiple therapy units are reported on the same day, the practice expense for the second and later units is subject to the therapy multiple procedure payment reduction.
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.
97750 in Hawaii, Guam
| Payment locality | Office | Facility |
|---|---|---|
| Hawaii, Guam | $36.11 | Unavailable |
How the 97750 rate is calculated
Each of 97750’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 97750
RVUs × geographic indexes × conversion factor
Work0.45
0.45 RVUs× 1.000 GPCI
Practice expense0.55
0.55 RVUs× 1.000 GPCI
Malpractice0.01
0.01 RVUs× 1.000 GPCI
Adjusted RVUs
1.0100
Conversion factor
$33.4009
Medicare rate
$33.73
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 97750
The CMS indicators that decide how 97750 is paid alongside other services.
CMS payment indicators · 97750
Performance test
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 5 | Therapy reduction: practice expense of the second and later units is reduced. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 7 | Therapy service: the split doesn’t apply. |
What modifiers do to the payment
Modifier CQ · payment effect
With and without the modifier
97750 without CQ · national office
$33.73
Performance test
97750-CQ · Allowed amount unchanged
$33.73
Medicare cuts its own payment by 15% after the patient’s 20% coinsurance; the allowed amount stays the same. On $100 allowed: $20 coinsurance, then Medicare pays $68 instead of $80.
97750 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 97755Assistive technology
- 97750 measures physical performance and requires a written report. 97755 focuses on assessing a patient's need for assistive technology.
- 97110Therapeutic exercise
- Use 97750 for timed performance testing and measurement; use 97110 for therapeutic exercises intended to improve strength, endurance, or range of motion.
- 97530Therapeutic activities
- 97750 reports testing and measurement. 97530 reports therapeutic activities performed to improve functional performance, not the measurement of performance itself.
97750 billing questions
How is 97750 different from therapeutic exercise?
97750 captures physical performance testing and measurement with a written report. Therapeutic exercise, such as 97110, reports exercises performed to improve function rather than testing used to measure it.
How many units can be reported?
The code is reported in 15-minute units. Document the testing time supporting the units and do not count the same minutes again as another timed therapy service.
Can 97750 be reported with treatment codes on the same date?
It may be reported with separately performed services such as therapeutic activities when the testing and treatment are distinct. The record should separate the testing, report, and treatment work and time.
Is a professional component modifier used?
No. CMS identifies 97750 as a therapy service for which the professional component modifier does not apply.
What documentation supports 97750?
Record the tests or measurements performed, the time spent, the results, and the written report. The documentation should show that the service measured physical performance rather than providing treatment alone.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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