# CPT 97530

> Medicare paid $40.42 for CPT 97530 in the office (non-facility) setting and $40.42 in a facility under the Q3 2020 Physician Fee Schedule, effective July 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 decreased 0.7%.

## What it is

Direct, one-on-one therapy using dynamic functional activities — rather than isolated exercises — to improve a patient’s ability to perform daily tasks, billed in 15-minute increments of direct contact.

## Selected release

- Release: Q3 2020 (2020 C)
- Effective: July 1 – September 30, 2020
- Status indicator: A
- Office (non-facility) national allowed amount: $40.42
- Facility national allowed amount: $40.42
- Sequestration: not applied

## RVUs and formula

- Work RVU: 0.44
- Office (non-facility) practice expense RVU: 0.66
- Facility practice expense RVU: 0.66
- Malpractice RVU: 0.02
- Conversion factor: 36.0896
- Formula: `(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor`

## Source and citation

- Source: Physician relative value file (Q3 2020)
- CMS file: https://www.cms.gov/files/zip/rvu20c-updated-06192020.zip
- Parsed file: PPRRVU20_V0618.csv, row 17,050
- Canonical page: https://localishealth.com/cpt/97530/2020/A
- Release-specific citation URL: https://localishealth.com/cpt/97530/2020/C
- Last significant update: 2026-08-04T03:09:46+00:00
