# CPT 97537: Community/work reintegration training, each 15 minutes

Medicare CPT 97537 pays $32.06 in a non-facility setting and $32.06 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $29.69 in Arkansas to $40.95 in Alaska, a 38% spread.

Web page: https://www.med-reveal.com/rates/97537-cpt-fee-schedule
Section: Rehabilitation and Therapy

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $32.06 |
| National facility | $32.06 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $40.95 | $40.95 |
| District of Columbia | $35.76 | $35.76 |
| California | $35.36 | $35.36 |
| New Jersey | $34.89 | $34.89 |
| New York | $34.76 | $34.76 |
| Washington | $34.70 | $34.70 |
| Massachusetts | $34.41 | $34.41 |
| Hawaii | $34.07 | $34.07 |
| Connecticut | $33.66 | $33.66 |
| Colorado | $33.19 | $33.19 |
| Maryland | $32.97 | $32.97 |
| Oregon | $32.94 | $32.94 |
| Rhode Island | $32.85 | $32.85 |
| New Hampshire | $32.67 | $32.67 |
| Florida | $32.43 | $32.43 |
| Minnesota | $32.28 | $32.28 |
| Puerto Rico | $32.23 | $32.23 |
| Virgin Islands | $32.23 | $32.23 |
| Montana | $32.06 | $32.06 |
| Nevada | $32.02 | $32.02 |
| Wyoming | $31.98 | $31.98 |
| Delaware | $31.92 | $31.92 |
| Pennsylvania | $31.91 | $31.91 |
| Illinois | $31.90 | $31.90 |
| Texas | $31.89 | $31.89 |
| North Dakota | $31.87 | $31.87 |
| South Dakota | $31.84 | $31.84 |
| Vermont | $31.74 | $31.74 |
| Virginia | $31.70 | $31.70 |
| Arizona | $31.53 | $31.53 |
| Georgia | $31.43 | $31.43 |
| Maine | $31.24 | $31.24 |
| Michigan | $31.24 | $31.24 |
| Wisconsin | $31.17 | $31.17 |
| Utah | $31.09 | $31.09 |
| North Carolina | $30.89 | $30.89 |
| New Mexico | $30.83 | $30.83 |
| South Carolina | $30.82 | $30.82 |
| Missouri | $30.77 | $30.77 |
| Indiana | $30.75 | $30.75 |
| Louisiana | $30.72 | $30.72 |
| Ohio | $30.70 | $30.70 |
| Nebraska | $30.65 | $30.65 |
| Idaho | $30.63 | $30.63 |
| Iowa | $30.53 | $30.53 |
| Tennessee | $30.48 | $30.48 |
| Kansas | $30.39 | $30.39 |
| Oklahoma | $30.31 | $30.31 |
| Kentucky | $30.29 | $30.29 |
| West Virginia | $30.15 | $30.15 |
| Alabama | $29.96 | $29.96 |
| Mississippi | $29.80 | $29.80 |
| Arkansas | $29.69 | $29.69 |

## 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
- 97535: Self-care/home management training, each 15 minutes — https://www.med-reveal.com/rates/97535-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 97537 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