CPT 97033 Fee Schedule
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
| Key Fact | Detail |
|---|---|
| Service Type | • Medicine Services and Procedures • Physical Medicine and Rehabilitation Evaluations |
| Common Place of Service | • 11 - Office • 49 - Independent Clinic |
| Common Modifiers | • None • GP - Services delivered under an outpatient physical therapy plan of care • GO - Services delivered under an outpatient occupational therapy plan of care |
| Complexity Level | Low |
National average reimbursement for CPT 97033 by major payers:
$21.25
$23.66
$21.74
$24.59
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for CPT 97033 | ||||||
United | 97033 | $33.06 | 1760189237 - BRIAN PUERLING | 930579722 | OR | Family Nurse Practitioner (363LF0000X) |
United | 97033 | $61.50 | 1578173506 - KAYLA HOWELL | 931097258 | OR | Physical Therapist (225100000X) |
United | 97033 | $21.29 | 1962762260 - MARY GRACE BAUTISTA | 832849989 | OR | Physical Therapist (225100000X) |
United | 97033 | $42.00 | 1558975151 - AMBER OYAMA | 931272735 | OR | Family Nurse Practitioner (363LF0000X) |
United | 97033 | $19.98 | 1942968946 - DESIREE WEST | 262998718 | OR | Family Nurse Practitioner (363LF0000X) |
United | 97033 | $39.36 | 1477399459 - ISABEL LIN | 930599056 | OR | Physical Therapist (225100000X) |
United | 97033 | $21.29 | 1841784345 - KAYLA FACUNDUS | 843055429 | OR | Family Nurse Practitioner (363LF0000X) |
United | 97033 | $38.56 | 1528252129 - MEGAN HULL | 931271596 | OR | Family Nurse Practitioner (363LF0000X) |
United | 97033 | $32.59 | 1114584331 - TIMOTHY BAUMGARTE | 272006180 | OR | Family Nurse Practitioner (363LF0000X) |
United | 97033 | $21.29 | 1770272148 - MARK PEQUIGNOT | 200686677 | OR | Family Nurse Practitioner (363LF0000X) |
United | 97033 | $61.50 | 1053836825 - ANNA ACREE | 930386906 | OR | Acute Care Nurse Practitioner (363LA2100X) |
United | 97033 | $21.29 | 1689918161 - JD HEALTH AND WELLNESS CENTER | 455486253 | OR | Naturopath (175F00000X) |
United | 97033 | $19.98 | 1861009060 - JACLYN MCLAUGHLIN | 850812156 | OR | Family Nurse Practitioner (363LF0000X) |
United | 97033 | $140.36 | 1215566922 - SARAH FIHN | 271346767 | OR | Family Nurse Practitioner (363LF0000X) |
United | 97033 | $19.98 | 1134800113 - SHAWN MARSHALL | 850812156 | OR | Family Nurse Practitioner (363LF0000X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
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CPT 97033 vs. Other Physical Medicine and Rehabilitation Evaluations Codes
The CPT 97033 code is part of the Medicine Services and Procedures services used for Physical Medicine and Rehabilitation Evaluations. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 97033 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 97033. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 97033 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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