# CPT 97535: Self-care/home management training, each 15 minutes

Medicare CPT 97535 pays $32.40 in a non-facility setting and $32.40 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $29.84 in Arkansas to $40.87 in Alaska, a 37% spread.

Web page: https://www.med-reveal.com/rates/97535-cpt-fee-schedule
Section: Rehabilitation and Therapy
Billed by: Sports Medicine

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $32.40 |
| National facility | $32.40 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $40.87 | $40.87 |
| District of Columbia | $36.28 | $36.28 |
| California | $35.91 | $35.91 |
| New Jersey | $35.35 | $35.35 |
| New York | $35.20 | $35.20 |
| Washington | $35.19 | $35.19 |
| Massachusetts | $34.88 | $34.88 |
| Hawaii | $34.59 | $34.59 |
| Connecticut | $34.08 | $34.08 |
| Colorado | $33.60 | $33.60 |
| Maryland | $33.35 | $33.35 |
| Oregon | $33.33 | $33.33 |
| Rhode Island | $33.21 | $33.21 |
| New Hampshire | $33.06 | $33.06 |
| Florida | $32.77 | $32.77 |
| Minnesota | $32.66 | $32.66 |
| Puerto Rico | $32.58 | $32.58 |
| Virgin Islands | $32.58 | $32.58 |
| Montana | $32.40 | $32.40 |
| Nevada | $32.36 | $32.36 |
| Wyoming | $32.31 | $32.31 |
| Delaware | $32.24 | $32.24 |
| Pennsylvania | $32.21 | $32.21 |
| North Dakota | $32.20 | $32.20 |
| Texas | $32.19 | $32.19 |
| Illinois | $32.18 | $32.18 |
| South Dakota | $32.18 | $32.18 |
| Vermont | $32.06 | $32.06 |
| Virginia | $32.01 | $32.01 |
| Arizona | $31.82 | $31.82 |
| Georgia | $31.70 | $31.70 |
| Maine | $31.52 | $31.52 |
| Michigan | $31.50 | $31.50 |
| Wisconsin | $31.45 | $31.45 |
| Utah | $31.34 | $31.34 |
| North Carolina | $31.14 | $31.14 |
| New Mexico | $31.05 | $31.05 |
| South Carolina | $31.05 | $31.05 |
| Missouri | $30.99 | $30.99 |
| Indiana | $30.98 | $30.98 |
| Louisiana | $30.94 | $30.94 |
| Ohio | $30.92 | $30.92 |
| Nebraska | $30.88 | $30.88 |
| Idaho | $30.86 | $30.86 |
| Iowa | $30.75 | $30.75 |
| Tennessee | $30.69 | $30.69 |
| Kansas | $30.60 | $30.60 |
| Oklahoma | $30.50 | $30.50 |
| Kentucky | $30.48 | $30.48 |
| West Virginia | $30.31 | $30.31 |
| Alabama | $30.12 | $30.12 |
| Mississippi | $29.94 | $29.94 |
| Arkansas | $29.84 | $29.84 |

## Related codes

- 97165: Occupational therapy evaluation, low complexity — https://www.med-reveal.com/rates/97165-cpt-fee-schedule
- 97166: Occupational therapy evaluation, moderate complexity — https://www.med-reveal.com/rates/97166-cpt-fee-schedule
- 97167: Occupational therapy evaluation, high complexity — https://www.med-reveal.com/rates/97167-cpt-fee-schedule
- 97168: Re-evaluation of occupational therapy established plan of care — https://www.med-reveal.com/rates/97168-cpt-fee-schedule
- 97537: Community/work reintegration training, each 15 minutes — https://www.med-reveal.com/rates/97537-cpt-fee-schedule
- 97542: Wheelchair management, each 15 minutes — https://www.med-reveal.com/rates/97542-cpt-fee-schedule
- G0129: Occupational therapy services requiring skills of a qualified occupational therapist, per session — https://www.med-reveal.com/rates/G0129-hcpcs-fee-schedule

Commercial negotiated rates for 97535 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules