$27.79
97110 targets strength, endurance, flexibility, and range of motion. 97112 targets balance, coordination, posture, proprioception, and motor control.
On this page
CMS RVU26D · Effective 2026-10-01
97112 Neuromuscular reeducation Medicare reimbursement rates in Idaho
Timed one-on-one therapy to restore balance, coordination, posture, kinesthetic sense, and proprioception for sitting or standing activities, reported per 15 minutes of direct contact. Compare 97112 office and facility rates across CMS payment localities in Idaho.
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 97112 in Idaho?
Idaho 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
$31.30
1 of 1 localities have a supported rate.
Payment area: Idaho
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.
Physical medicine and rehabilitation
About 97112: Neuromuscular reeducation, each 15 minutes
Timed one-on-one therapy to restore balance, coordination, posture, kinesthetic sense, and proprioception for sitting or standing activities, reported per 15 minutes of direct contact.
Neuromuscular reeducation addresses impaired balance, coordination, posture, movement control, and awareness of joint position during sitting or standing activities. A physical or occupational therapist or therapy assistant may use weight-shifting drills, balance-board exercises, perturbations, or proprioceptive training to help a patient regain motor control after stroke, ankle sprain, or knee ligament reconstruction. It is typically delivered in an outpatient therapy clinic or private practice; the treatment goal is retraining movement control rather than simply building strength.
Report 97112 for each 15 minutes of direct, one-on-one treatment. Under Medicare's timed-code method, total timed treatment minutes determine billable units across timed codes; record minutes for each service without counting overlapping time twice. Document the deficit, activities, skilled cueing, and response to distinguish reeducation from therapeutic exercise or gait training. Use GP or GO for the applicable therapy plan, and CQ or CO when assistant services require them. This therapy service has no professional/technical split; do not append modifier 26 or TC. Under the therapy multiple procedure payment reduction, practice expense is reduced for the second and later therapy units that day, including additional 97112 units.
CMS billing rules for 97112
- 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 · 51%
- Practice expense (office) RVU0.47 · 48%
- Malpractice RVU0.01 · 1%
34.8M
Medicare services in 2024 · #5 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.
97112 compared with similar codes
Office rates for Idaho, from the same CMS release.
$33.29
97530 covers dynamic functional tasks such as lifting or transfers to improve performance. 97112 targets neuromuscular control deficits, even when drills involve functional movements.
$27.79
97116 applies when training targets walking or stair negotiation. Balance and weight-shifting drills not centered on ambulation support 97112.
$17.22
97150 describes group therapy delivered to two or more patients together. 97112 requires direct one-on-one contact and is reported in 15-minute units.
Compare 97112 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
Idaho →
Office / nonfacility
$31.30
Facility
Unavailable
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Physical therapy
Compare selected outpatient therapy base rates before claim-level adjustments.
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 97112 in Idaho.
PPRRVU2026_Oct_nonQPP.csv
12,860
- Code
- 97112
- Physician work
- 0.50
- Practice expense
- 0.47
- Malpractice
- 0.01
GPCI2026.csv
47
- Locality
- Idaho
- Physician work
- 1.000
- Practice expense
- 0.920
- Malpractice
- 0.473
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.50 | × 1.000 | 0.5000 |
| Practice expense | 0.47 | × 0.920 | 0.4324 |
| Malpractice | 0.01 | × 0.473 | 0.0047 |
| Total RVUs | 0.9371 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Idaho$31.30
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.5 | 1 |
| Practice expense | 0.47 | 0.92 |
| Malpractice | 0.01 | 0.473 |
(0.5 × 1 + 0.47 × 0.92 + 0.01 × 0.473) × $33.4009 = $31.30
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.
97112 billing questions
How do I choose between 97112 and 97110?
Use 97112 when the goal is restoring balance, coordination, posture, or proprioception through motor control training. Use 97110 when exercise targets strength, endurance, range of motion, or flexibility. The documented goal and technique decide it, not the exercise equipment.
Can 97112 and 97110 be billed on the same day?
Yes, if each was performed for its own documented purpose during separate time. Record each code's minutes; Medicare determines the total billable timed units from the combined timed treatment minutes.
Does vestibular or balance training fall under 97112?
Balance retraining, static and dynamic postural control work, and vestibular exercises aimed at postural stability can be reported with 97112. The note should tie the activity to a balance or proprioceptive deficit.
Which modifiers are needed on 97112 for Medicare?
Use GP for a physical therapy plan or GO for an occupational therapy plan. Assistant services may also require CQ or CO, respectively. Do not use professional or technical component modifiers 26 or TC.
Can 97112 be billed when the therapist works with several patients at once?
Count only direct, one-on-one treatment time for 97112. Report 97150 for a distinct group therapy service delivered to two or more patients together, rather than counting that group time toward 97112.
What documentation supports 97112?
Record minutes of direct treatment, the impairment addressed, the technique and skilled cueing used, and the patient's response. Balance measures such as the Berg Balance Scale can help document progress toward postural-control 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.
12,85797037,,Appl modality 1+lllt po pain,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
12,85897039,,Unlisted modality,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
12,85997110,,Therapeutic exercises,A,,0.45,0.41,,0.41,NA,0.01,0.87,0.87,7,XXX,0.00,0.00,0.00,5,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,86097112,,Neuromuscular reeducation,A,,0.50,0.47,,0.47,NA,0.01,0.98,0.98,7,XXX,0.00,0.00,0.00,5,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,86197113,,Aquatic therapy/exercises,A,,0.48,0.62,,0.62,NA,0.01,1.11,1.11,7,XXX,0.00,0.00,0.00,5,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,86297116,,Gait training therapy,A,,0.45,0.41,,0.41,NA,0.01,0.87,0.87,7,XXX,0.00,0.00,0.00,5,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,86397124,,Massage therapy,A,,0.35,0.53,,0.53,NA,0.01,0.89,0.89,7,XXX,0.00,0.00,0.00,5,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4410212,GA,01,ATLANTA,1.003,1.016,1.201
4510212,GA,99,REST OF GEORGIA,1.000,0.892,1.192
4601212,HI,01,"HAWAII, GUAM",1.000,1.137,0.579
4702202,ID,00,IDAHO,1.000,0.920,0.473
4806102,IL,16,CHICAGO,1.007,1.005,2.295
4906102,IL,12,EAST ST. LOUIS,1.000,0.920,2.014
5006102,IL,15,SUBURBAN CHICAGO,1.007,1.027,1.772