97750 Physical performance test
What 97750 is
CMS fee schedule short descriptor: Physical performance test.
Full CPT long descriptions are licensed by the American Medical Association and are not published on this site; the short descriptor above is the one CMS prints in its own fee schedule file. See About CPT.
Medicare payment for 97750 (CY2026)
| Work RVU | Practice expense RVU | Malpractice RVU | Total | Medicare rate | |
|---|---|---|---|---|---|
| Non-facility (office) | 0.45 | 0.55 | 0.01 | 1.01 | $33.73 |
| Facility (hospital, ASC) | 0.45 | 0.55 | 0.01 | 1.01 | $33.73 |
National rates: total RVUs x the CY2026 conversion factor of 33.4009 (non-QP), before geographic adjustment. Actual Medicare payment is 80% of the rate shown after the deductible; the patient or secondary payer owes the 20% coinsurance.
Status: Active - payable under the Physician Fee Schedule. Global period: Global concept does not apply.
Medically Unlikely Edit (MUE)
Medicare caps 97750 at 8 units per date of service for practitioner claims (MAI 3 - date of service edit (clinical): units above the MUE may pay with documentation on appeal), rationale: Clinical: Data. Units above the cap are denied unless the edit's adjudication rules allow an appeal with documentation.
Billed with 97750? These codes are bundled into it
97750 is a Column 1 code in 10 active NCCI PTP edits. When one of these Column 2 codes is reported on the same date of service, it is denied as bundled - unless the edit's modifier indicator is 1 and documentation supports a distinct service with an NCCI-associated modifier.
| Column 2 code | Short description | Modifier indicator | |
|---|---|---|---|
36591 | Draw blood off venous device | 0 - no modifier bypass | Check pair |
36592 | Collect blood from picc | 0 - no modifier bypass | Check pair |
95851 | Range of motion measurements | 0 - no modifier bypass | Check pair |
95852 | Range of motion measurements | 0 - no modifier bypass | Check pair |
96523 | Irrig drug delivery device | 0 - no modifier bypass | Check pair |
97150 | Group therapeutic procedures | 0 - no modifier bypass | Check pair |
97169 | Athletic trn eval low cmplx | 0 - no modifier bypass | Check pair |
97170 | Athletic trn eval mod cmplx | 0 - no modifier bypass | Check pair |
97171 | Athletic trn eval high cmplx | 0 - no modifier bypass | Check pair |
97172 | Athletic trn re-eval plan cr | 0 - no modifier bypass | Check pair |
97750 is bundled into these codes
97750 appears as a Column 2 code in 45 active edits. Reported with one of these Column 1 codes on the same date of service, 97750 is the code that denies.
| Column 1 code | Short description | Modifier indicator | |
|---|---|---|---|
0693T | Compre ful bdy 3d mtn alys | 1 | Check pair |
0734T | Rem r-t mtn nrehab tx mgmt | 0 | Check pair |
90912 | Bfb training 1st 15 min | 1 | Check pair |
90913 | Bfb training ea addl 15 min | 1 | Check pair |
93668 | Peripheral vascular rehab | 1 | Check pair |
93797 | Phys/qhp op car rhab wo ecg | 1 | Check pair |
93798 | Phys/qhp op car rhab w/ecg | 1 | Check pair |
94625 | Phy/qhp op pulm rhb w/o mntr | 1 | Check pair |
94626 | Phy/qhp op pulm rhb w/mntr | 1 | Check pair |
96000 | Motion analysis video/3d | 1 | Check pair |
96001 | Motion test w/ft press meas | 1 | Check pair |
96002 | Dynamic surface emg | 1 | Check pair |
96004 | Phys review of motion tests | 1 | Check pair |
97140 | Manual therapy 1/> regions | 1 | Check pair |
97161 | Pt eval low complex 20 min | 0 | Check pair |
Data: CMS CY2026 Physician Fee Schedule RVU file (October release, RVU26D) and Medicare NCCI PTP practitioner edits v32.3 (2026 Q4). Verify against the official files before billing or contracting decisions.