{
    "code": "97150",
    "coding_system": "CPT",
    "canonical_url": "https://localishealth.com/cpt/97150/2020/A",
    "release_specific_url": "https://localishealth.com/cpt/97150/2020/D",
    "description": "A therapy session run with two or more patients at the same time. The therapist is present and directing the work throughout, but attention is divided across the group rather than given to one person continuously — that constant-attention difference is exactly what separates this from the one-on-one therapy codes. It is not a timed code, so a session counts as one unit for each patient no matter how long the group runs.",
    "answer": {
        "question": "How much did Medicare pay for CPT 97150 in Q4 2020?",
        "text": "Medicare paid $18.77 for CPT 97150 in the office (non-facility) setting and $18.77 in a facility under the Q4 2020 Physician Fee Schedule, effective October 2020. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This price has been unchanged since Q1 2020, when it increased 0.2%."
    },
    "release": {
        "schedule": "pfs",
        "year": 2020,
        "quarter": "D",
        "label": "Q4 2020",
        "effective": "October 1 – December 31, 2020",
        "revision": 1
    },
    "status": {
        "code": "A",
        "non_facility_payable": true,
        "facility_payable": true
    },
    "national_rates_usd": {
        "office_non_facility": 18.77,
        "facility": 18.77,
        "sequestration_applied": false,
        "gpci": 1
    },
    "rvus": {
        "work": 0.29,
        "practice_expense_non_facility": 0.22,
        "practice_expense_facility": 0.22,
        "malpractice": 0.01
    },
    "formula": "(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor",
    "conversion_factor": 36.0896,
    "source": {
        "label": "Physician relative value file (Q4 2020)",
        "cms_url": "https://www.cms.gov/files/zip/rvu20d-updated-11232020.zip",
        "local_source_url": "https://localishealth.com/sources/physician-fee-schedule/2020/D",
        "file": "PPRRVU20_OCT.csv",
        "row": 17054,
        "sha256": "504fd19a9bc1d2eeebb290adac2d7de6c56d4e86cde7532df1862fe42494d319"
    },
    "modified_at": "2026-08-04T03:10:00+00:00"
}