Billing code 97008: Scalp coolingMedicare rate & RVUs in Nevada

Reports preparation and placement of a mechanical scalp-cooling device for a patient receiving chemotherapy in a scalp-cooling session.

CMS RVU26DEffective Oct 1, 20261 payment locality

Medicare pays $9.97 for 97008 in the office in Nevada (Nevada**). Which amount applies depends on the service address.

$9.97Office (non-facility)
—Hospital or facility

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 97008 for the payment locality that covers the ZIP.

On this page 9 sections
  1. Rate in Nevada
  2. What 97008 covers
  3. By payment locality
  4. How it’s calculated
  5. Payment rules
  6. Similar codes
  7. Related codes
  8. Billing questions
  9. Sources

What 97008 covers

During scalp cooling for a patient receiving chemotherapy, staff prepare the mechanical cooling system and position the cooling cap on the patient’s head. The cap circulates coolant to lower scalp temperature, with the aim of reducing chemotherapy-related hair loss. This service is typically performed by trained personnel in an oncology infusion setting as part of a scalp-cooling session.

Report 97008 for the preparation-and-placement stage, rather than cap measurement and fitting or cooling after chemotherapy, which are represented by adjacent scalp-cooling codes. Documentation should identify the chemotherapy encounter and cooling device, and support that preparation and placement were performed. Record the service stage so the reported code is clear. The CMS PFS assigns no physician work RVUs; its valuation includes practice-expense and malpractice RVUs.

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.

97008 in Nevada**

97008 office and facility rates by payment locality
Payment localityOfficeFacility
Nevada**$9.97Unavailable

How the 97008 rate is calculated

Each of 97008’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 · 97008

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 0.00Practice expense 0.29Malpractice 0.01

0.3000 adjusted RVUs×$33.4009 conversion factor=$10.02

All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.

Payment rules and modifiers for 97008

97008 has no global surgery period, no multiple-procedure, bilateral or assistant-at-surgery adjustment, and no professional/technical split. What changes the payment is where the service happens: the place of service on the claim decides whether Medicare pays the office or the facility rate.

Place of service · 97008

Which rate does Medicare pay?

The POS code on the claim line (CMS-1500 box 24B).

Non-facility (office) rate · national

$10.02

Only one setting is priced for this code.

97008 compared with similar codes

Compare codes

97008 vs 97007 vs 97009 vs 97010: national Medicare rates

Swap in your local Medicare rate.

  • 97008
    Scalp cooling · 0 wRVU
    $10.02
  • 97007
    Scalp cooling · 0 wRVU
    $1,695.10+$1,685.08
  • 97009
    Scalp cooling · 0 wRVU
    $6.35−$3.67
  • 97010
    · 0.06 wRVU
    —

How to choose

97007Scalp cooling
Choose 97007 for measurement and fitting of the scalp-cooling equipment; choose 97008 for preparing the system and placing the cap.
97009Scalp cooling
97009 represents the post-chemotherapy cooling stage, while 97008 represents preparation and placement.
97010Hot or cold packs therapy
97010 describes hot or cold pack therapy. It is not the mechanical scalp-cooling preparation-and-placement service represented by 97008.

97008 billing questions

When should 97008 be selected instead of 97007?

Use 97008 for preparing the mechanical cooling setup and placing the cap. Code 97007 represents the measurement-and-fitting stage.

Does 97008 cover cooling after chemotherapy?

No. It represents preparation and placement; 97009 is the adjacent code for the post-chemotherapy scalp-cooling stage.

Can 97008 be reported with a chemotherapy administration code?

The scalp-cooling preparation and placement service may occur during a chemotherapy encounter. For example, 96413 describes a qualifying chemotherapy infusion service, while 97008 describes the scalp-cooling stage; document each service performed.

What documentation supports 97008?

Document the chemotherapy encounter, the mechanical scalp-cooling device, and that staff prepared the system and placed the cap. The record should distinguish this stage from fitting or post-chemotherapy cooling.

Is 97008 selected by elapsed treatment time?

The code identifies the preparation-and-placement stage, not a timed increment. Report the service stage performed rather than deriving units from session duration.

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
RVUs for 97008PPRRVU2026_Oct_nonQPP.csv, line 12,841 (RVU26D)
Geographic factors for Nevada**GPCI2026.csv, line 73 (RVU26D)

Open CMS sourceHow we calculate rates

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