$32.21–$34.82
97750 centers on testing physical performance. Choose 97755 when the skilled work evaluates assistive technology options in relation to functional needs.
On this page
CMS RVU26D · Effective 2026-10-01
97755 Assistive technology Medicare reimbursement rates in Pennsylvania
A therapist evaluates a patient’s functional needs and assistive technology options through a direct, timed assessment to support task performance or access. Compare 97755 office and facility rates across CMS payment localities in Pennsylvania.
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 97755 in Pennsylvania?
Pennsylvania has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
$36.36–$38.86
2 of 2 localities have a supported rate.
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.
Rehabilitation therapy
About 97755: Assistive technology needs assessment
A therapist evaluates a patient’s functional needs and assistive technology options through a direct, timed assessment to support task performance or access.
An occupational or physical therapist evaluates how a person’s functional limitations affect use of assistive technology and which device or access method could improve task performance or compensate for lost function. Examples include evaluating wheelchair access and control options, computer access, augmentative communication, or environmental controls. The clinician observes the patient’s abilities and may trial options during a one-to-one assessment in an outpatient rehabilitation setting.
Report 97755 for the assessment itself, rather than routine device instruction or orthotic or prosthetic management. Documentation should connect the functional problem to the technology considered, describe relevant trials and findings, state skilled recommendations, and support the direct face-to-face minutes. The service is timed in 15-minute units. This therapy service is billed without a professional-component modifier. When multiple therapy units are furnished on the same day, CMS reduces practice expense for the second and later units, which can affect this code when it falls in that sequence.
CMS billing rules for 97755
- 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 RVU0.62 · 55%
- Practice expense (office) RVU0.50 · 44%
- Malpractice RVU0.01 · 1%
2K
Medicare services in 2024 · #2444 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.
97755 compared with similar codes
Office rates for Pennsylvania, from the same CMS release.
$43.69–$47.65
97760 covers orthotic management and training. 97755 covers assessment of assistive technology needs, rather than orthosis-focused management.
$38.48–$41.74
97761 covers prosthetic training. 97755 is the assessment of assistive technology options, not training the patient to use a prosthesis.
Compare 97755 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.
2 of 2 payment localities
Metropolitan Philadelphia →
Office / nonfacility
$38.86
Facility
Unavailable
Rest Of Pennsylvania →
Office / nonfacility
$36.36
Facility
Unavailable
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97755 billing questions
When should 97755 be used instead of orthotic management codes?
Use 97755 for a broader assessment of assistive technology needs and options. Use 97760 or 97763 when the work is orthotic management or training, and 97761 for prosthetic training.
How are units determined?
The service is timed in 15-minute units of direct, one-to-one assessment. Document the face-to-face minutes and the assessment work performed.
Does modifier -26 apply?
No. CMS classifies 97755 as a therapy service, and a professional-component modifier does not apply.
Does 97755 include purchase or routine instruction for a device?
It reports the skilled assessment of technology needs and options, not the device itself or routine instruction. Document any distinct service separately when appropriate.
How does the therapy multiple procedure reduction affect 97755?
CMS reduces practice expense for the second and later therapy units furnished on the same day. The reduction can affect 97755 if it is among those 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.
12,90597608,,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
12,91197763,,Orthc/prostc mgmt sbsq enc,A,,0.48,1.01,,1.01,NA,0.01,1.50,1.50,7,XXX,0.00,0.00,0.00,5,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00