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See a sample rate comparisonCPT 97033 Fee Schedule
Last Verified: October 2026
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.
Drug Given By Current Device, Medication Delivery Through The Skin Surface By Using A Weak Electrical Charge (Iontophoresis). Typically Used By Physical Therapists To Treat Pain And Inflammation Of Soft Tissues.
| 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 | 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 |
| Medicare Fee Schedule | $19.04 national non-facility rate (2026) · View Medicare rates for 97033 |
| Medicaid Fee Schedule | $15.99 median of the 7 states in the free preview · View Medicaid rates for 97033 |
National average reimbursement for CPT 97033 by major payers:
$21.25
$23.66
$21.74
$23.88
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CPT 97033
5 of 25 sample ratesHigher to lower in this preview
Sarah Fihn
$140.36Published rateJulia Balcom
$50.22Published rateJared Houser
$33.06Published rateJd Health And Wellness Center
$21.29Published rateMadalyn Taylor
$19.98Published rate
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See a sample payer proposalCPT 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.
| Code | Complexity | Description |
|---|---|---|
| 97032-CPT | Low | Application Of A Modality To O, Application Of A Modality To One Or More Areas Electricalstimulation(Manual) Each 15 Minutes Application Of A Modality To One Or More Areas Electrical |
| 97033-CPT | Low | Drug Given By Current Device, Medication Delivery Through The Skin Surface By Using A Weak Electrical Charge (Iontophoresis). Typically Used By Physical Therapists To Treat Pain And Inflammation Of Soft Tissues. |
| 97034-CPT | Low | Application Of A Modality To O, Application Of A Modality To One Or More Areas Contrastbaths Each 15 Minutes Application Of A Modality To One Or More Areas Contrast |
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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