# CPT 97542: Wheelchair management, each 15 minutes

Medicare CPT 97542 pays $31.06 in a non-facility setting and $31.06 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $28.83 in Arkansas to $39.88 in Alaska, a 38% spread.

Web page: https://www.med-reveal.com/rates/97542-cpt-fee-schedule
Section: Rehabilitation and Therapy
Billed by: Sports Medicine

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $31.06 |
| National facility | $31.06 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $39.88 | $39.88 |
| District of Columbia | $34.58 | $34.58 |
| California | $34.18 | $34.18 |
| New Jersey | $33.77 | $33.77 |
| New York | $33.64 | $33.64 |
| Washington | $33.56 | $33.56 |
| Massachusetts | $33.28 | $33.28 |
| Hawaii | $32.94 | $32.94 |
| Connecticut | $32.59 | $32.59 |
| Colorado | $32.12 | $32.12 |
| Maryland | $31.92 | $31.92 |
| Oregon | $31.89 | $31.89 |
| Rhode Island | $31.82 | $31.82 |
| New Hampshire | $31.62 | $31.62 |
| Florida | $31.43 | $31.43 |
| Minnesota | $31.25 | $31.25 |
| Puerto Rico | $31.22 | $31.22 |
| Virgin Islands | $31.22 | $31.22 |
| Montana | $31.06 | $31.06 |
| Nevada | $31.02 | $31.02 |
| Wyoming | $30.98 | $30.98 |
| Delaware | $30.93 | $30.93 |
| Illinois | $30.93 | $30.93 |
| Pennsylvania | $30.93 | $30.93 |
| Texas | $30.90 | $30.90 |
| North Dakota | $30.86 | $30.86 |
| South Dakota | $30.84 | $30.84 |
| Vermont | $30.75 | $30.75 |
| Virginia | $30.71 | $30.71 |
| Arizona | $30.56 | $30.56 |
| Georgia | $30.48 | $30.48 |
| Michigan | $30.31 | $30.31 |
| Maine | $30.29 | $30.29 |
| Wisconsin | $30.21 | $30.21 |
| Utah | $30.15 | $30.15 |
| North Carolina | $29.96 | $29.96 |
| New Mexico | $29.91 | $29.91 |
| South Carolina | $29.90 | $29.90 |
| Missouri | $29.85 | $29.85 |
| Indiana | $29.82 | $29.82 |
| Louisiana | $29.80 | $29.80 |
| Ohio | $29.79 | $29.79 |
| Nebraska | $29.72 | $29.72 |
| Idaho | $29.71 | $29.71 |
| Iowa | $29.61 | $29.61 |
| Tennessee | $29.57 | $29.57 |
| Kansas | $29.49 | $29.49 |
| Oklahoma | $29.42 | $29.42 |
| Kentucky | $29.40 | $29.40 |
| West Virginia | $29.28 | $29.28 |
| Alabama | $29.08 | $29.08 |
| Mississippi | $28.93 | $28.93 |
| Arkansas | $28.83 | $28.83 |

## 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
- 97537: Community/work reintegration training, each 15 minutes — https://www.med-reveal.com/rates/97537-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 97542 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