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See a sample rate comparisonCPT 97037 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.
Appl Modality 1 Lllt Po Pain, Application Of A Modality To 1 Or More Areas Low Level Laser Therapy Ie Nonthermal And Non Ablative For Post Operative Pain Reduction
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Physical Medicine and Rehabilitation Evaluations |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 97037 |
| Medicaid Fee Schedule | View Medicaid rates for 97037 |
National average reimbursement for CPT 97037 by major payers:
$58.69
$N/A
$116.00
$99,999.77
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CPT 97037
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See a sample payer proposalCPT 97037 vs. Other Physical Medicine and Rehabilitation Evaluations Codes
The CPT 97037 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 97037 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 |
|---|---|---|
| 97037-CPT | Low | Appl Modality 1 Lllt Po Pain, Application Of A Modality To 1 Or More Areas Low Level Laser Therapy Ie Nonthermal And Non Ablative For Post Operative Pain Reduction |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 97037. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 97037 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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