97162 Pt evaluation mod complex 30 minutes
Also known as: PT eval moderate, Standard PT eval, Moderate PT eval, physical therapy evaluation moderate
Physical therapy evaluation of moderate complexity requiring 30 minutes. Includes detailed history, comprehensive examination, and complex treatment planning.
In Plain Language
Physical therapy initial evaluation - moderate case
Clinical Context
Used for patients with moderate medical complexity or multiple systems involvement. Establishes comprehensive baseline.
RVU Breakdown
| Work RVU | 1.54 |
| Total RVU | 1.54 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
Medicine section codes cover a wide range of non-surgical services. Documentation should include the clinical indication, procedure details, interpretation (if applicable), and any patient-specific findings.
How This Code Compares
With a work RVU of 1.54, this code ranks in the 71st percentile among Medicine codes — 2.0x the median (0.78). The highest wRVU in this category is 23.92.
Specialties
Frequently Asked Questions
What is CPT code 97162?
CPT 97162 (Pt evaluation mod complex 30 minutes) is a Medicine code. Physical therapy evaluation of moderate complexity requiring 30 minutes. Includes detailed history, comprehensive examination, and complex treatment planning.
Who uses CPT code 97162?
CPT 97162 is used by Physical Therapy, Rehabilitation. Used for patients with moderate medical complexity or multiple systems involvement. Establishes comprehensive baseline.
When is CPT 97162 used?
Used for patients with moderate medical complexity or multiple systems involvement. Establishes comprehensive baseline.
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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.