$35.86
97750 measures physical performance and requires a written report. 97755 focuses on assessing a patient's need for assistive technology.
On this page
CMS RVU26D · Effective 2026-10-01
97750 Performance test Medicare reimbursement rates in Kentucky
Reports timed physical performance testing, such as functional capacity or musculoskeletal measurement, when results are documented in a written report. Compare 97750 office and facility rates across CMS payment localities in Kentucky.
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 97750 in Kentucky?
Kentucky 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
$31.67
1 of 1 localities have a supported rate.
Payment area: Kentucky
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 therapy
About 97750: Physical performance testing and measurement
Reports timed physical performance testing, such as functional capacity or musculoskeletal measurement, when results are documented in a written report.
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.
CMS billing rules for 97750
- 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 RVU0.45 · 45%
- Practice expense (office) RVU0.55 · 54%
- Malpractice RVU0.01 · 1%
334.8K
Medicare services in 2024 · #291 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.
97750 compared with similar codes
Office rates for Kentucky, from the same CMS release.
$27.51
Use 97750 for timed performance testing and measurement; use 97110 for therapeutic exercises intended to improve strength, endurance, or range of motion.
$32.82
97750 reports testing and measurement. 97530 reports therapeutic activities performed to improve functional performance, not the measurement of performance itself.
Compare 97750 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
Kentucky →
Office / nonfacility
$31.67
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 97750 in Kentucky.
PPRRVU2026_Oct_nonQPP.csv
12,907
- Code
- 97750
- Physician work
- 0.45
- Practice expense
- 0.55
- Malpractice
- 0.01
GPCI2026.csv
55
- Locality
- Kentucky
- Physician work
- 1.000
- Practice expense
- 0.889
- Malpractice
- 0.915
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.45 | × 1.000 | 0.4500 |
| Practice expense | 0.55 | × 0.889 | 0.4890 |
| Malpractice | 0.01 | × 0.915 | 0.0092 |
| Total RVUs | 0.9481 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Kentucky$31.67
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.45 | 1 |
| Practice expense | 0.55 | 0.889 |
| Malpractice | 0.01 | 0.915 |
(0.45 × 1 + 0.55 × 0.889 + 0.01 × 0.915) × $33.4009 = $31.67
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.
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 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.
12,90497607,,Neg prs wnd thr ndme<=50sqcm,A,,0.40,10.54,,0.10,,0.06,11.00,0.56,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,90597608,,Neg prs wnd ther ndme>50sqcm,A,,0.45,11.35,,0.12,,0.08,11.88,0.65,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,90697610,,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
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
5814112,ME,03,SOUTHERN MAINE,1.000,0.991,0.631