CPT Codes For Athletic Training Evaluations

Below is a list summarizing the CPT codes for athletic training evaluations.

CPT Code 97169

CPT 97169 describes an athletic training evaluation of low complexity that requires a history and physical activity profile, an examination of the affected body area and other symptomatic or related systems, and clinical decision-making of low complexity, typically taking 15 minutes of face-to-face time with the patient and/or family.

CPT Code 97170

CPT 97170 describes an athletic training evaluation of moderate complexity, requiring a medical history and physical activity profile with 1-2 comorbidities that affect physical activity, an examination of the affected body area, and other symptomatic or related systems addressing a total of 3 or more elements from any of the body structures, physical activity, and/or participation deficiencies, and clinical decision making of moderate complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome, typically taking 30 minutes of face-to-face time with the patient and/or family.

CPT Code 97171

CPT 97171 describes an athletic training evaluation of high complexity, requiring a medical history and physical activity profile, a comprehensive examination of body systems, the clinical presentation with unstable and unpredictable characteristics, and clinical decision-making of high complexity, typically taking 45 minutes face-to-face with the patient and/or family.

CPT Code 97172

CPT 97172 describes the re-evaluation of an established plan of care for athletic training, which includes an assessment of the patient’s current functional status, a revised plan of care, and an update in management options, goals, and interventions, typically requiring 20 minutes of face-to-face time with the patient and/or family.