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97161 Pt evaluation low complex 20 minutes

Medicine

Also known as: PT eval low complex, Brief PT eval, Simple PT eval

Physical therapy evaluation of low complexity requiring 20 minutes. Includes history, examination, functional testing, and treatment planning for straightforward cases.

Clinical Context

Used for straightforward musculoskeletal conditions with limited medical history complexity. Establishes baseline for treatment.

RVU Breakdown

Work RVU1.54
Practice Expense RVU1.38
Malpractice RVU0.01
Total RVU2.93

Est. Medicare Payment

$97.86

National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).

Specialties

Physical TherapyRehabilitation

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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.