97163 Pt evaluation high complex 45 minutes
Also known as: PT eval high complex, Comprehensive PT eval, Complex PT eval
Physical therapy evaluation of high complexity requiring 45 minutes. For patients with multiple conditions, significant medical history, or complex functional deficits.
Clinical Context
Used for medically complex patients with multiple comorbidities or complex functional impairments. Comprehensive baseline documentation.
RVU Breakdown
| Work RVU | 1.54 |
| Practice Expense RVU | 1.38 |
| Malpractice RVU | 0.01 |
| Total RVU | 2.93 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Specialties
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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.