CPT Codes For Physical Therapy Evaluations

Below is a list summarizing the CPT codes for physical therapy evaluations.

CPT Code 97161

CPT 97161 describes a low-complexity physical therapy evaluation requiring a history, examination, clinical presentation, and clinical decision-making, typically taking 20 minutes face-to-face with the patient and/or family.

CPT Code 97162

CPT 97162 describes a physical therapy evaluation of moderate complexity, requiring a history of the present problem, an examination of body systems, an evolving clinical presentation, and clinical decision-making of moderate complexity, typically taking 30 minutes face-to-face with the patient and/or family.

CPT Code 97163

CPT 97163 describes a physical therapy evaluation of high complexity, requiring a history of the present problem with three or more personal factors and/or comorbidities, an examination of body systems, a clinical presentation with unstable and unpredictable characteristics, and clinical decision-making of high complexity, typically requiring 45 minutes of face-to-face time with the patient and/or family.

CPT Code 97164

CPT 97164 describes a re-evaluation of an established plan of care, requiring an examination including a review of history and use of standardized tests and measures, a revised plan of care using a standardized patient assessment instrument and/or measurable assessment of functional outcome, and typically 20 minutes spent face-to-face with the patient and/or family.