$31.32
Gait training targets walking, including stairs and assistive device use. Neuromuscular reeducation targets balance, coordination, or proprioception as the focus of treatment.
On this page
CMS RVU26D · Effective 2026-10-01
97116 Gait training Medicare reimbursement rates in Nebraska
Timed one-on-one therapy to improve walking, stair negotiation, or assistive device use, reported in units supported by direct treatment time. Compare 97116 office and facility rates across CMS payment localities in Nebraska.
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 97116 in Nebraska?
Nebraska 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
$27.80
1 of 1 localities have a supported rate.
Payment area: Nebraska
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 97116: Gait training therapy, each 15 minutes
Timed one-on-one therapy to improve walking, stair negotiation, or assistive device use, reported in units supported by direct treatment time.
Gait training is skilled, one-on-one instruction to improve a patient’s walking pattern, safety, and endurance. Typical patients include those recovering from stroke, hip or knee replacement, lower extremity fracture, Parkinson disease, or fall-related deconditioning. The therapist analyzes gait deviations and trains weight shifting, step length, cadence, stair climbing, curbs, and use of walkers, canes, or crutches. Physical therapists and physical therapist assistants commonly provide it in outpatient clinics and private practices, with use in skilled nursing and other Part B settings.
Report units based on direct one-on-one gait-training minutes; Medicare uses the combined minutes of timed therapy services that day to determine the total billable units under its 8-minute rule. Documentation should record treatment minutes, gait deficits addressed, cues or assistance levels, devices used, and progress toward the plan of care. Report the appropriate therapy discipline modifier, such as GP for a physical therapy plan. The professional component modifier is not used for this therapy service. Medicare’s therapy multiple procedure payment reduction reduces the practice expense portion for the second and later therapy units furnished the same day.
CMS billing rules for 97116
- 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 · 52%
- Practice expense (office) RVU0.41 · 47%
- Malpractice RVU0.01 · 1%
5M
Medicare services in 2024 · #43 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.
97116 compared with similar codes
Office rates for Nebraska, from the same CMS release.
$33.32
Therapeutic activities use dynamic functional tasks such as transfers, lifting, or bed mobility. When treatment directly trains ambulation or stair negotiation, gait training is the better fit.
$27.80
Therapeutic exercise develops strength, flexibility, or endurance through exercise. Gait training provides skilled instruction in walking rather than isolated strengthening.
$38.41
Prosthetic training covers initial training in the use of a prosthesis. Gait training applies to ambulation instruction not centered on initial prosthetic use.
Compare 97116 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
Nebraska →
Office / nonfacility
$27.80
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 97116 in Nebraska.
PPRRVU2026_Oct_nonQPP.csv
12,862
- Code
- 97116
- Physician work
- 0.45
- Practice expense
- 0.41
- Malpractice
- 0.01
GPCI2026.csv
72
- Locality
- Nebraska
- Physician work
- 1.000
- Practice expense
- 0.923
- Malpractice
- 0.378
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.45 | × 1.000 | 0.4500 |
| Practice expense | 0.41 | × 0.923 | 0.3784 |
| Malpractice | 0.01 | × 0.378 | 0.0038 |
| Total RVUs | 0.8322 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Nebraska$27.80
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.45 | 1 |
| Practice expense | 0.41 | 0.923 |
| Malpractice | 0.01 | 0.378 |
(0.45 × 1 + 0.41 × 0.923 + 0.01 × 0.378) × $33.4009 = $27.80
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.
97116 billing questions
How many units of gait training can be billed for a session?
Medicare combines minutes from timed therapy services to determine total units, then assigns units to services supported by their direct one-on-one minutes. Eight minutes of gait training alone supports one unit; seven minutes alone does not.
When should gait training be reported instead of neuromuscular reeducation?
Use gait training when treatment directly addresses walking, stairs, or device use during ambulation. Choose neuromuscular reeducation when the treatment primarily addresses balance, coordination, proprioception, or postural control, even if performed standing.
Is initial training to use a lower limb prosthesis reported as gait training?
Initial training centered on using a lower limb prosthesis is generally reported with the prosthetic training code. Gait training fits ambulation work not centered on initial prosthetic use.
Can gait training be billed on the same day as a physical therapy evaluation?
Yes, when distinct gait treatment is provided in addition to the evaluation and its treatment time is documented separately. Minutes spent assessing gait during the evaluation cannot also be counted as treatment.
Which modifiers are commonly appended?
Use the therapy discipline modifier, usually GP for a physical therapy plan of care. Append CQ when physical therapist assistant participation meets the applicable threshold.
Does the therapy multiple procedure payment reduction affect gait training units?
Yes. When more than one therapy unit is furnished on the same day, the practice expense portion is reduced for the second and later units.
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.
12,85997110,,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
12,86497129,,Ther ivntj 1st 15 min,A,,0.50,0.16,,0.08,,0.01,0.67,0.59,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,86597130,,Ther ivntj ea addl 15 min,A,,0.48,0.15,,0.07,,0.00,0.63,0.55,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6905302,MO,01,METROPOLITAN ST. LOUIS,1.000,0.952,1.002
7005302,MO,99,REST OF MISSOURI,1.000,0.862,0.974
7103202,MT,01,MONTANA**,1.000,1.000,0.998
7205402,NE,00,NEBRASKA,1.000,0.923,0.378
7301312,NV,00,NEVADA**,1.000,1.001,0.833
7414312,NH,40,NEW HAMPSHIRE,1.000,1.041,0.875
7512402,NJ,01,NORTHERN NJ,1.063,1.160,1.068