CPT 97610
Global XXX ActiveLow frequency non-thermal us
CPT 97610 Billing & Documentation Guide
CPT code 97610 (Low frequency non-thermal us) is classified under Physical Medicine with a global period indicator of XXX. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 0.39, a non-facility practice expense RVU of 11.5, and a malpractice RVU of 0.01, a total non-facility RVU of 11.9 and facility RVU of 0.46. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $414.45, though rates vary from $343.15 to $568.53 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 97610, ensure documentation supports medical necessity and the specific components required for the code's level of service. For E/M codes, document MDM (medical decision-making) elements: problems addressed, data reviewed, and risk. For procedural codes, document the indication, technique, and any complications. Always verify NCCI edits before bundling 97610 with related codes; this code has 10 PTP bundling relationships on file (see table below).
Payment Status & Global Period
Active code (paid under MPFS)
No global period (E/M and other non-procedural services)
MUE Limit (Medically Unlikely Edits)
Submitting more than 1 units of 97610 for the same patient on the same date triggers automatic line denial unless an appropriate modifier and supporting documentation justify the higher quantity.
RVU Breakdown, CPT 97610
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 0.39 | 0.39 |
| Practice Expense RVU | 11.5 | 0.06 |
| Malpractice RVU | 0.01 | 0.01 |
| Total RVU | 11.9 | 0.46 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 97610
State-level averages across all MAC localities. Non-facility rates typically apply to office-based services; facility rates apply to hospital outpatient / inpatient.
| State | Non-Facility | Facility | Range (Non-Fac) | Localities |
|---|---|---|---|---|
| California | $468.18 | $16.04 | $434.41 - $568.53 | 29 |
| Florida | $399.07 | $15.69 | $380.74 - $413.73 | 3 |
| Georgia | $379.89 | $15.36 | $356.05 - $403.72 | 2 |
| Illinois | $384.86 | $15.65 | $364.24 - $408.19 | 4 |
| Michigan | $374.18 | $15.38 | $364.1 - $384.26 | 2 |
| North Carolina | $371.61 | $15.11 | $371.61 - $371.61 | 1 |
| New York | $442.61 | $16.33 | $378.17 - $471.19 | 5 |
| Ohio | $364.06 | $15.19 | $364.06 - $364.06 | 1 |
| Pennsylvania | $389.74 | $15.47 | $365.96 - $413.52 | 2 |
| Texas | $391.56 | $15.38 | $362.88 - $419.74 | 8 |
Source: CMS PFSRVU 2026 · Updated 2026-04-01. Full locality-level detail available for all 53 states, contact us for custom reports.
NCCI Bundling Edits, CPT 97610
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 97610 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 36591 | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 36592 | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 96523 | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 97035 | Column 1 (primary), can be billed with modifier | Yes | HCPCS/CPT procedure code definition |
| 97602 | Column 1 (primary), can be billed with modifier | No | Mutually exclusive procedures |
| 97607 | Column 1 (primary), can be billed with modifier | Yes | Mutually exclusive procedures |
| 97608 | Column 1 (primary), can be billed with modifier | Yes | Mutually exclusive procedures |
| 11000 | Column 2 (secondary), bundled into primary | Yes | More extensive procedure |
| 11004 | Column 2 (secondary), bundled into primary | Yes | More extensive procedure |
| 11005 | Column 2 (secondary), bundled into primary | Yes | More extensive procedure |
Frequently Asked Questions, CPT 97610
What does CPT code 97610 mean? +
CPT code 97610 represents: Low frequency non-thermal us. It's in the Physical Medicine category with a global period of XXX.
What is the Medicare reimbursement for CPT 97610? +
The 2026 Medicare national average non-facility payment for CPT 97610 is $414.45. Rates range from $343.15 to $568.53 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 97610? +
Medicine section spans a wide range: therapy services use GP/GO/GN (PT/OT/SLP plans of care) and KX (above cap with documentation). Drug administration uses JW (waste) and JZ (no waste). Professional/technical split applies to some diagnostic codes.
What bundling edits apply to CPT 97610? +
This code has 10 NCCI PTP bundling relationships. See the NCCI Bundling section below for full list.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
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