{
    "code": "97113",
    "coding_system": "CPT",
    "canonical_url": "https://localishealth.com/cpt/97113/2017/A",
    "release_specific_url": "https://localishealth.com/cpt/97113/2017/C",
    "description": "Prescribed therapeutic exercise carried out in a pool, with the therapist working directly with the patient. Water carries much of the body's weight off painful joints while still giving gentle resistance in every direction, so patients can move further and start earlier than they could on land. The setting is the whole distinction from land-based exercise therapy — it has to be a supervised session with specific exercises, not simply time spent swimming. Time is counted in 15-minute blocks of direct one-on-one work.",
    "answer": {
        "question": "How much did Medicare pay for CPT 97113 in Q3 2017?",
        "text": "Medicare paid $43.78 for CPT 97113 in the office (non-facility) setting and $43.78 in a facility under the Q3 2017 Physician Fee Schedule, effective July 2017. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This price has been unchanged since Q1 2017, when it increased 1.1%."
    },
    "release": {
        "schedule": "pfs",
        "year": 2017,
        "quarter": "C",
        "label": "Q3 2017",
        "effective": "July 1 – September 30, 2017",
        "revision": 1
    },
    "status": {
        "code": "A",
        "non_facility_payable": true,
        "facility_payable": true
    },
    "national_rates_usd": {
        "office_non_facility": 43.78,
        "facility": 43.78,
        "sequestration_applied": false,
        "gpci": 1
    },
    "rvus": {
        "work": 0.44,
        "practice_expense_non_facility": 0.77,
        "practice_expense_facility": 0.77,
        "malpractice": 0.01
    },
    "formula": "(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor",
    "conversion_factor": 35.8887,
    "source": {
        "label": "Physician relative value file (Q3 2017)",
        "cms_url": "https://www.cms.gov/medicare/medicare-fee-for-service-payment/physicianfeesched/downloads/rvu17c.zip",
        "local_source_url": "https://localishealth.com/sources/physician-fee-schedule/2017/C",
        "file": "PPRRVU17_JULY_V0503.csv",
        "row": 16224,
        "sha256": "900a883af582a5aea1ddfbf94ff14f240d036b71a2c76cfeb2f699e487fef5ce"
    },
    "modified_at": "2026-08-04T03:07:49+00:00"
}