Billing code 97760: Orthotic trainingMedicare rate & RVUs in Oklahoma
Report orthotic management and training for skilled assessment, fitting, adjustment, or instruction in use of an orthosis during an initial encounter.
Medicare pays $42.91 for 97760 in the office in Oklahoma (Oklahoma). Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 97760 covers
A physical or occupational therapist typically reports this service while assessing how an orthosis fits and functions, making adjustments, and teaching the patient or caregiver how to apply, remove, or use it. The orthosis may support an upper or lower extremity or the trunk. Common settings include outpatient rehabilitation and hospital therapy departments. Assessment and fitting that are integral to the orthotic management service are included when not separately reported.
Choose this code for an initial orthotic management encounter rather than prosthetic training or a subsequent orthotic management encounter. Document the orthosis and body area, the skilled assessment or adjustments performed, the instruction provided, and the treatment time. The service is timed in 15-minute units. It is a therapy service without separate professional and technical components, so modifier 26 does not apply. When multiple therapy units are furnished on the same day, practice expense is reduced for the second and later units.
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.
97760 in Oklahoma
| Payment locality | Office | Facility |
|---|---|---|
| Oklahoma | $42.91 | Unavailable |
How the 97760 rate is calculated
Each of 97760’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 · 97760
RVUs × geographic indexes × conversion factor
Work0.50
0.50 RVUs× 1.000 GPCI
Practice expense0.87
0.87 RVUs× 1.000 GPCI
Malpractice0.01
0.01 RVUs× 1.000 GPCI
Adjusted RVUs
1.3800
Conversion factor
$33.4009
Medicare rate
$46.09
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 97760
The CMS indicators that decide how 97760 is paid alongside other services.
CMS payment indicators · 97760
Orthotic training
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 5 | Therapy reduction: practice expense of the second and later units is reduced. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 7 | Therapy service: the split doesn’t apply. |
What modifiers do to the payment
Modifier CQ · payment effect
With and without the modifier
97760 without CQ · national office
$46.09
Orthotic training
97760-CQ · Allowed amount unchanged
$46.09
Medicare cuts its own payment by 15% after the patient’s 20% coinsurance; the allowed amount stays the same. On $100 allowed: $20 coinsurance, then Medicare pays $68 instead of $80.
97760 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 97763Orthotic/prosthetic care
- 97760 represents an initial orthotic management encounter; 97763 represents a subsequent encounter for orthotic management and training.
- 97761Prosthetic training
- Choose 97760 for orthosis management and training. Choose 97761 when the training concerns a prosthesis.
- 97755Assistive technology
- 97755 is for assessment of assistive technology needs; 97760 covers skilled management, fitting, adjustment, or use training for an orthosis.
97760 billing questions
How is 97760 different from 97763?
97760 is for an initial orthotic management encounter. Use 97763 for subsequent orthotic management encounters.
When should 97761 be used instead?
Use 97761 for prosthetic training, such as instruction in using a prosthesis. Use 97760 for management and training involving an orthosis.
Can orthotic fitting or assessment be billed separately?
Assessment and fitting integral to the orthotic management service are included when not otherwise reported. Document any distinct service before considering separate reporting.
How are units counted?
The service is timed in 15-minute units. The record should support the skilled orthotic work and the time reported.
Should modifier 26 be appended?
No. This therapy service is not divided into professional and technical components.
What happens when other therapy units are billed on the same day?
Practice expense is reduced for the second and later therapy units furnished that day, including applicable units of this 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 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
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