$43.14
Use 97760 for the initial orthotic management and training encounter. Use 97763 for subsequent orthotic or prosthetic management and training.
On this page
CMS RVU26D · Effective 2026-10-01
97763 Orthotic/prosthetic care Medicare reimbursement rates in Kansas
Report 97763 for timed follow-up management or training involving an orthosis or prosthesis after the initial encounter. Compare 97763 office and facility rates across CMS payment localities in Kansas.
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 97763 in Kansas?
Kansas 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
$46.70
1 of 1 localities have a supported rate.
Payment area: Kansas
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 97763: Subsequent orthotic or prosthetic management
Report 97763 for timed follow-up management or training involving an orthosis or prosthesis after the initial encounter.
A therapist or other qualified practitioner uses this service at a follow-up visit to assess and manage an orthosis or prosthesis, address fit or function, make appropriate adjustments, and train the patient in use. Examples include follow-up instruction in using a brace or prosthetic limb and reassessment of how the device is working during daily activities. The service is commonly furnished in outpatient rehabilitation or a practitioner’s office.
Choose 97763 for a subsequent encounter rather than the initial orthotic or prosthetic service; report it in 15-minute units. Document the device, the skilled management or training performed, the patient’s response, and the timed service. This therapy service is not divided into professional and technical components, so modifier 26 is not appropriate. CMS reduces practice expense for the second and later therapy units furnished on the same day.
CMS billing rules for 97763
- 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 RVU0.48 · 32%
- Practice expense (office) RVU1.01 · 67%
- Malpractice RVU0.01 · 1%
48.9K
Medicare services in 2024 · #785 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.
97763 compared with similar codes
Office rates for Kansas, from the same CMS release.
$38.00
97761 covers initial prosthetic training; 97763 covers subsequent management or training involving an orthosis or prosthesis.
$31.81
97750 reports a physical performance test. Choose 97763 when the service is follow-up management or training for an orthosis or prosthesis.
$35.97
97755 is an assistive technology assessment. Use 97763 for subsequent management or training involving an orthosis or prosthesis.
Compare 97763 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
Kansas →
Office / nonfacility
$46.70
Facility
Unavailable
Need rates for a whole code list?
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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 97763 in Kansas.
PPRRVU2026_Oct_nonQPP.csv
12,911
- Code
- 97763
- Physician work
- 0.48
- Practice expense
- 1.01
- Malpractice
- 0.01
GPCI2026.csv
54
- Locality
- Kansas
- Physician work
- 1.000
- Practice expense
- 0.904
- Malpractice
- 0.504
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.48 | × 1.000 | 0.4800 |
| Practice expense | 1.01 | × 0.904 | 0.9130 |
| Malpractice | 0.01 | × 0.504 | 0.0050 |
| Total RVUs | 1.3981 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Kansas$46.70
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.48 | 1 |
| Practice expense | 1.01 | 0.904 |
| Malpractice | 0.01 | 0.504 |
(0.48 × 1 + 1.01 × 0.904 + 0.01 × 0.504) × $33.4009 = $46.70
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.
97763 billing questions
How does 97763 differ from 97760 and 97761?
97763 is for subsequent orthotic or prosthetic management and training. 97760 is the initial orthotic management service, while 97761 is initial prosthetic training.
How many units should be reported?
The code is reported in 15-minute units. Document the timed service and the management or training performed at the visit.
Can modifier 26 be appended?
No. This therapy service is not split into professional and technical components, so modifier 26 is not appropriate.
What happens to payment for multiple therapy units on the same day?
CMS reduces the practice expense for the second and each later therapy unit furnished that day.
What documentation supports a subsequent encounter?
Record the orthosis or prosthesis addressed, the follow-up assessment or training provided, the patient's response, and the timed 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.
12,90897755,,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
12,91397802,,Medical nutrition indiv in,A,,0.53,0.56,,0.25,,0.01,1.10,0.79,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,91497803,,Med nutrition indiv subseq,A,,0.45,0.49,,0.20,,0.01,0.95,0.66,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5106102,IL,99,REST OF ILLINOIS,1.000,0.913,1.563
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915
5607202,LA,01,NEW ORLEANS,1.000,0.941,1.136
5707202,LA,99,REST OF LOUISIANA,1.000,0.885,0.958