97760 Orthotic mgmt&traing 1st enc
What 97760 is
CMS fee schedule short descriptor: Orthotic mgmt&traing 1st enc.
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 97760 (CY2026)
| Work RVU | Practice expense RVU | Malpractice RVU | Total | Medicare rate | |
|---|---|---|---|---|---|
| Non-facility (office) | 0.50 | 0.87 | 0.01 | 1.38 | $46.09 |
| Facility (hospital, ASC) | 0.50 | 0.87 | 0.01 | 1.38 | $46.09 |
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 97760 at 6 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 97760? These codes are bundled into it
97760 is a Column 1 code in 110 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 | |
|---|---|---|---|
0213T | Njx paravert w/us cer/thor | 1 - modifier may bypass | Check pair |
0216T | Njx paravert w/us lumb/sac | 1 - modifier may bypass | Check pair |
29044 | Appl bdy cst sho to hip 1thi | 1 - modifier may bypass | Check pair |
29046 | Appl bdy cst sho to hip b th | 1 - modifier may bypass | Check pair |
29049 | Appl cast figure-of-eight | 1 - modifier may bypass | Check pair |
29055 | Appl cast shoulder spica | 1 - modifier may bypass | Check pair |
29058 | Appl cast plaster velpeau | 1 - modifier may bypass | Check pair |
29065 | Appl cst sho to hand lng arm | 1 - modifier may bypass | Check pair |
29075 | Appl cst elbw fngr short arm | 1 - modifier may bypass | Check pair |
29085 | Appl cast hand&lwr forearm | 1 - modifier may bypass | Check pair |
29105 | Application long arm splint | 1 - modifier may bypass | Check pair |
29125 | Appl short arm splint static | 1 - modifier may bypass | Check pair |
29126 | Appl short arm splint dyn | 1 - modifier may bypass | Check pair |
29130 | Appl finger splint static | 1 - modifier may bypass | Check pair |
29131 | Appl finger splint dynamic | 1 - modifier may bypass | Check pair |
29200 | Strapping thorax | 1 - modifier may bypass | Check pair |
29240 | Strapping of shoulder | 1 - modifier may bypass | Check pair |
29260 | Strapping of elbow or wrist | 1 - modifier may bypass | Check pair |
29280 | Strapping of hand or finger | 1 - modifier may bypass | Check pair |
29305 | Appl hip spica cast 1 leg | 1 - modifier may bypass | Check pair |
29325 | Appl hip spica cast1&1/2 | 1 - modifier may bypass | Check pair |
29345 | Application of long leg cast | 1 - modifier may bypass | Check pair |
29355 | Appl long leg cast walker | 1 - modifier may bypass | Check pair |
29358 | Appl long leg cast brace | 1 - modifier may bypass | Check pair |
29365 | Appl cylinder cast | 1 - modifier may bypass | Check pair |
29405 | Appl short leg cast | 1 - modifier may bypass | Check pair |
29425 | Appl short leg cast walking | 1 - modifier may bypass | Check pair |
29435 | Appl patllr tdn bearing cast | 1 - modifier may bypass | Check pair |
29440 | Adding walker to prev cast | 1 - modifier may bypass | Check pair |
29445 | Appl rigid tot cntc leg cast | 1 - modifier may bypass | Check pair |
Showing 30 of 110 column 2 codes. Use the pair checker for any specific combination.
97760 is bundled into these codes
97760 appears as a Column 2 code in 6 active edits. Reported with one of these Column 1 codes on the same date of service, 97760 is the code that denies.
| Column 1 code | Short description | Modifier indicator | |
|---|---|---|---|
97150 | Group therapeutic procedures | 1 | Check pair |
97755 | Assistive technology assess | 1 | Check pair |
97761 | Prosthetic traing 1st enc | 1 | Check pair |
G0151 | Hhcp-serv of pt,ea 15 min | 1 | Check pair |
G0157 | Hhc pt assistant ea 15 | 1 | Check pair |
G0159 | Hhc pt maint ea 15 min | 1 | 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.