Physical, occupational & speech therapy

97810 - RVUs & Medicare payment (2026)

Acupuncture without electrical stimulation, initial 15 minutes.

Component	Non-facility	Facility
Work RVU	0.61	0.61
Practice expense RVU	0.79	0.17
Malpractice RVU	0.04	0.04
Total RVUs	1.44	0.82
National payment (CF $33.4009)	$48.10	$27.39
Qualifying APM payment (CF $33.5675)	$48.34	$27.53

How 97810 payment varies by locality

Medicare adjusts payment with geographic practice cost indices, so the same code pays differently across the 109 fee schedule localities. In 2026, non-facility payment for 97810 ranges from $43.73 in Arkansas (AR) to $61.38 in San Jose-Sunnyvale-Santa Clara (CA); calculate 97810 for your locality.

San Jose-Sunnyvale-Santa Clara (CA) $61.38 San Jose-Sunnyvale-Santa Clara (CA) $61.20 San Francisco-Oakland-Berkeley (CA) $60.13 San Francisco-Oakland-Berkeley (CA) $60.08 Alaska (AK) $59.40 Napa (CA) $57.11 Vallejo (CA) $57.05 NYC Suburbs/Long Island (NY) $55.53 National average $48.10 … 97 more localities between … Rest Of Missouri (MO) $44.42 Alabama (AL) $44.22 Mississippi (MS) $44.08 Arkansas (AR) $43.73

Non-facility payment for 97810 in the 2026 fee schedule ($33.4009 conversion factor), before sequestration. Gray bar = national average.

Global period: XXX

No global period: the global surgery concept does not apply to this code.

Related codes - physical, occupational & speech therapy

97161 · physical therapy evaluation, low complexity
97162 · physical therapy evaluation, moderate complexity
97163 · physical therapy evaluation, high complexity
97164 · physical therapy re-evaluation
97165 · occupational therapy evaluation, low complexity
97166 · occupational therapy evaluation, moderate complexity
97167 · occupational therapy evaluation, high complexity
97110 · therapeutic exercise, each 15 minutes
97112 · neuromuscular re-education, each 15 minutes
97116 · gait training, each 15 minutes
97140 · manual therapy, each 15 minutes
97530 · therapeutic activities, each 15 minutes
97535 · self-care and home management training, each 15 minutes
92507 · speech, language, voice treatment, individual
92523 · evaluation of speech sound production and language
92526 · treatment of swallowing or oral feeding function
98940 · chiropractic manipulation, 1-2 spinal regions
98941 · chiropractic manipulation, 3-4 spinal regions
98942 · chiropractic manipulation, 5 spinal regions
97811 · acupuncture without electrical stimulation, each additional 15 minutes
97813 · acupuncture with electrical stimulation, initial 15 minutes
97814 · acupuncture with electrical stimulation, each additional 15 minutes

Frequently asked questions

How much does Medicare pay for 97810 in 2026?

The national non-facility payment is $48.10 and the facility payment is $27.39, using the standard $33.4009 conversion factor. Actual amounts vary by Medicare locality; use the RVU calculator for your area.

What is the work RVU for 97810?

The 2026 work RVU for 97810 is 0.61. Total RVUs are 1.44 in the non-facility setting and 0.82 in the facility setting.

Why are the facility and non-facility amounts different?

Only the practice expense component changes by setting. In an office (non-facility) the practice bears the overhead, so the PE RVU is higher; in a hospital or ASC the facility bills its own overhead separately.

Source: CMS Physician Fee Schedule relative value file (rvu26c.zip, retrieved 2026-07-11). Service description is an original plain-English summary, not CPT descriptor text. CPT® is a registered trademark of the American Medical Association. Amounts are estimates before sequestration and claim-level adjustments.