# CPT 97763: Orthotic/prosthetic management, subsequent encounter

Medicare CPT 97763 pays $50.10 in a non-facility setting and $50.10 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $45.18 in Arkansas to $60.16 in Alaska, a 33% spread.

Web page: https://www.med-reveal.com/rates/97763-cpt-fee-schedule
Section: Rehabilitation and Therapy
Billed by: Sports Medicine

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $50.10 |
| National facility | $50.10 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $60.16 | $60.16 |
| District of Columbia | $57.01 | $57.01 |
| California | $56.71 | $56.71 |
| Washington | $55.26 | $55.26 |
| New Jersey | $55.21 | $55.21 |
| New York | $54.88 | $54.88 |
| Massachusetts | $54.68 | $54.68 |
| Hawaii | $54.58 | $54.58 |
| Connecticut | $53.09 | $53.09 |
| Colorado | $52.38 | $52.38 |
| Oregon | $51.95 | $51.95 |
| Maryland | $51.77 | $51.77 |
| Rhode Island | $51.48 | $51.48 |
| New Hampshire | $51.44 | $51.44 |
| Minnesota | $50.84 | $50.84 |
| Florida | $50.53 | $50.53 |
| Puerto Rico | $50.47 | $50.47 |
| Virgin Islands | $50.47 | $50.47 |
| Montana | $50.10 | $50.10 |
| Nevada | $50.08 | $50.08 |
| Wyoming | $50.01 | $50.01 |
| North Dakota | $49.90 | $49.90 |
| South Dakota | $49.88 | $49.88 |
| Delaware | $49.74 | $49.74 |
| Texas | $49.64 | $49.64 |
| Vermont | $49.60 | $49.60 |
| Pennsylvania | $49.58 | $49.58 |
| Virginia | $49.43 | $49.43 |
| Illinois | $49.32 | $49.32 |
| Arizona | $49.01 | $49.01 |
| Georgia | $48.64 | $48.64 |
| Maine | $48.48 | $48.48 |
| Wisconsin | $48.45 | $48.45 |
| Michigan | $48.18 | $48.18 |
| Utah | $48.04 | $48.04 |
| North Carolina | $47.72 | $47.72 |
| South Carolina | $47.49 | $47.49 |
| Indiana | $47.47 | $47.47 |
| New Mexico | $47.37 | $47.37 |
| Missouri | $47.32 | $47.32 |
| Nebraska | $47.30 | $47.30 |
| Idaho | $47.23 | $47.23 |
| Louisiana | $47.19 | $47.19 |
| Ohio | $47.17 | $47.17 |
| Iowa | $47.03 | $47.03 |
| Tennessee | $46.88 | $46.88 |
| Kansas | $46.70 | $46.70 |
| Oklahoma | $46.42 | $46.42 |
| Kentucky | $46.33 | $46.33 |
| West Virginia | $45.83 | $45.83 |
| Alabama | $45.74 | $45.74 |
| Mississippi | $45.33 | $45.33 |
| Arkansas | $45.18 | $45.18 |

## Related codes

- 97010: Application of hot or cold packs — https://www.med-reveal.com/rates/97010-cpt-fee-schedule
- 97012: Application of mechanical traction — https://www.med-reveal.com/rates/97012-cpt-fee-schedule
- 97014: Application of electrical stimulation (unattended) — https://www.med-reveal.com/rates/97014-cpt-fee-schedule
- 97016: Application of vasopneumatic devices — https://www.med-reveal.com/rates/97016-cpt-fee-schedule
- 97018: Application of paraffin bath — https://www.med-reveal.com/rates/97018-cpt-fee-schedule
- 97024: Application of diathermy (e.g., microwave) — https://www.med-reveal.com/rates/97024-cpt-fee-schedule
- 97026: Application of infrared — https://www.med-reveal.com/rates/97026-cpt-fee-schedule
- 97028: Application of ultraviolet — https://www.med-reveal.com/rates/97028-cpt-fee-schedule

Commercial negotiated rates for 97763 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