Physical, occupational & speech therapy

97811 - RVUs & Medicare payment (2026)

Acupuncture without electrical stimulation, each additional 15 minutes.

Component	Non-facility	Facility
Work RVU	0.46	0.46
Practice expense RVU	0.36	0.13
Malpractice RVU	0.03	0.03
Total RVUs	0.85	0.62
National payment (CF $33.4009)	$28.39	$20.71
Qualifying APM payment (CF $33.5675)	$28.53	$20.81

How 97811 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 97811 ranges from $26.21 in Arkansas (AR) to $36.40 in Alaska (AK); calculate 97811 for your locality.

Alaska (AK) $36.40 San Jose-Sunnyvale-Santa Clara (CA) $34.93 San Jose-Sunnyvale-Santa Clara (CA) $34.79 San Francisco-Oakland-Berkeley (CA) $34.24 San Francisco-Oakland-Berkeley (CA) $34.20 Napa (CA) $32.69 Vallejo (CA) $32.64 NYC Suburbs/Long Island (NY) $32.51 National average $28.39 … 97 more localities between … Rest Of Missouri (MO) $26.71 Mississippi (MS) $26.46 Alabama (AL) $26.45 Arkansas (AR) $26.21

Non-facility payment for 97811 in the 2026 fee schedule ($33.4009 conversion factor), before sequestration. Gray bar = national average.

Global period: ZZZ

Add-on code: billed with a primary service and covered by the primary service’s global period.

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
97810 · acupuncture without electrical stimulation, initial 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 97811 in 2026?

The national non-facility payment is $28.39 and the facility payment is $20.71, 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 97811?

The 2026 work RVU for 97811 is 0.46. Total RVUs are 0.85 in the non-facility setting and 0.62 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.