CPT 97750
Global XXX ActivePhysical performance test
CPT 97750 Billing & Documentation Guide
CPT code 97750 (Physical performance test) is classified under Physical Medicine with a global period indicator of XXX. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 0.45, a non-facility practice expense RVU of 0.55, and a malpractice RVU of 0.01, a total non-facility RVU of 1.01 and facility RVU of 1.01. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $34.8, though rates vary from $30.98 to $43.35 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 97750, 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 97750 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 8 units of 97750 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 97750
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 0.45 | 0.45 |
| Practice Expense RVU | 0.55 | 0.55 |
| Malpractice RVU | 0.01 | 0.01 |
| Total RVU | 1.01 | 1.01 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 97750
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 | $37.49 | $37.49 | $35.6 - $43.35 | 29 |
| Florida | $34.11 | $34.11 | $33.09 - $35 | 3 |
| Georgia | $32.98 | $32.98 | $31.82 - $34.14 | 2 |
| Illinois | $33.47 | $33.47 | $32.32 - $34.59 | 4 |
| Michigan | $32.75 | $32.75 | $32.18 - $33.32 | 2 |
| North Carolina | $32.38 | $32.38 | $32.38 - $32.38 | 1 |
| New York | $36.69 | $36.69 | $32.72 - $38.46 | 5 |
| Ohio | $32.14 | $32.14 | $32.14 - $32.14 | 1 |
| Pennsylvania | $33.52 | $33.52 | $32.21 - $34.82 | 2 |
| Texas | $33.51 | $33.51 | $32.06 - $34.79 | 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 97750
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 97750 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 |
| 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 |
| 36592 | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 95831 | Column 1 (primary), can be billed with modifier | No | More extensive procedure |
| 95832 | Column 1 (primary), can be billed with modifier | No | More extensive procedure |
| 95833 | Column 1 (primary), can be billed with modifier | No | More extensive procedure |
| 95834 | Column 1 (primary), can be billed with modifier | No | More extensive procedure |
| 95851 | Column 1 (primary), can be billed with modifier | No | Standards of medical/surgical practice |
| 95851 | Column 1 (primary), can be billed with modifier | No | Standards of medical/surgical practice |
Frequently Asked Questions, CPT 97750
What does CPT code 97750 mean? +
CPT code 97750 represents: Physical performance test. It's in the Physical Medicine category with a global period of XXX.
What is the Medicare reimbursement for CPT 97750? +
The 2026 Medicare national average non-facility payment for CPT 97750 is $34.8. Rates range from $30.98 to $43.35 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 97750? +
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 97750? +
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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