$51.26
97550 is for individual caregiver training, while 97552 is for training two or more caregivers together.
On this page
CMS RVU26D · Effective 2026-10-01
97552 Caregiver training Medicare reimbursement rates in New Mexico
Reports face-to-face group instruction for two or more caregivers when a patient’s condition requires caregiver support for function at home or in the community. Compare 97552 office and facility rates across CMS payment localities in New Mexico.
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 97552 in New Mexico?
New Mexico 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
$20.95
1 of 1 localities have a supported rate.
Payment area: New Mexico
One mapped payment locality.
Facility setting
$9.31
1 of 1 localities have a supported rate.
Payment area: New Mexico
One mapped payment locality.
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.
Caregiver training
About 97552: Group caregiver functional training
Reports face-to-face group instruction for two or more caregivers when a patient’s condition requires caregiver support for function at home or in the community.
A qualified health professional trains two or more caregivers together in strategies that support a patient’s functional performance at home or in the community. Instruction may address practical caregiving tasks such as mobility, transfers, daily activities, communication, feeding, problem-solving, or safety. The patient is not present during the training. The service is distinct from treating the patient directly or giving one caregiver individual instruction.
Report this code for each 15 minutes of qualifying group training. Documentation should identify the caregivers, the patient’s need for caregiver assistance, the skilled strategies taught, and the face-to-face training time. CMS assigns the service work and practice-expense values, with separate practice-expense inputs for office and facility settings. The code is part of the caregiver-training family; individual caregiver instruction is reported with the corresponding individual-training codes.
Where the value comes from
- Work RVU0.23 · 35%
- Practice expense (office) RVU0.42 · 64%
- Malpractice RVU0.01 · 2%
148
Medicare services in 2024 · #4574 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.
97552 compared with similar codes
Office rates for New Mexico, from the same CMS release.
$25.39
97551 reports additional individual caregiver-training time with 97550; it is not the group-training code.
$31.05
97535 covers self-care or home-management training directed to the patient. 97552 covers caregiver instruction with the patient absent.
Compare 97552 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
New Mexico →
Office / nonfacility
$20.95
Facility
$9.31
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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 97552 in New Mexico.
PPRRVU2026_Oct_nonQPP.csv
12,898
- Code
- 97552
- Physician work
- 0.23
- Practice expense
- 0.42
- Malpractice
- 0.01
GPCI2026.csv
77
- Locality
- New Mexico
- Physician work
- 1.000
- Practice expense
- 0.917
- Malpractice
- 1.201
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.23 | × 1.000 | 0.2300 |
| Practice expense | 0.42 | × 0.917 | 0.3851 |
| Malpractice | 0.01 | × 1.201 | 0.0120 |
| Total RVUs | 0.6271 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, New Mexico$20.95
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.23 | 1 |
| Practice expense | 0.42 | 0.917 |
| Malpractice | 0.01 | 1.201 |
(0.23 × 1 + 0.42 × 0.917 + 0.01 × 1.201) × $33.4009 = $20.95
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.23 | 1 |
| Practice expense | 0.04 | 0.917 |
| Malpractice | 0.01 | 1.201 |
(0.23 × 1 + 0.04 × 0.917 + 0.01 × 1.201) × $33.4009 = $9.31
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.
97552 billing questions
When should this code be used instead of 97550?
Use 97552 when two or more caregivers receive the training together. Code 97550 describes individual caregiver training.
Does the patient attend the group training?
No. This caregiver-training service is performed face-to-face with the caregivers while the patient is absent.
How are units reported?
Report one unit for each 15 minutes of qualifying group training, supported by documentation of the face-to-face training time.
Can this be reported for teaching the patient directly?
No. The service is for caregiver instruction without the patient present. Direct self-care or home-management training for the patient is represented by 97535 when its requirements are met.
What documentation supports the service?
Document why the patient needs caregiver assistance, who attended, the functional strategies taught, and the time spent in face-to-face group instruction.
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.
12,89597546,,Work hardening add-on,R,,0.00,0.00,,0.00,,0.00,0.00,0.00,7,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,89697550,,Caregiver traing 1st 30 min,A,,1.00,0.57,,0.18,,0.01,1.58,1.19,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,89797551,,Caregiver traing ea addl 15,A,,0.54,0.24,,0.09,,0.00,0.78,0.63,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,89897552,,Group caregiver training,A,,0.23,0.42,,0.04,,0.01,0.66,0.28,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,89997597,,Dbrdmt opn wnd 1st 20 cm/<,A,,0.75,2.24,,0.13,,0.05,3.04,0.93,0,000,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,90097598,,Dbrdmt opn wnd addl 20cm/<,A,,0.49,0.88,,0.10,,0.06,1.43,0.65,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,90197602,,Wound(s) care non-selective,B,,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
7414312,NH,40,NEW HAMPSHIRE,1.000,1.041,0.875
7512402,NJ,01,NORTHERN NJ,1.063,1.160,1.068
7612402,NJ,99,REST OF NEW JERSEY,1.040,1.092,1.097
7704212,NM,05,NEW MEXICO,1.000,0.917,1.201
7813202,NY,01,MANHATTAN,1.064,1.162,1.586
7913202,NY,02,NYC SUBURBS/LONG ISLAND,1.064,1.189,1.857
8013202,NY,03,POUGHKPSIE/N NYC SUBURBS,1.045,1.095,1.210