97164 Pt re-eval established plan care
Medicine
Also known as: PT re-eval, Progress evaluation, Plan modification
Physical therapy re-evaluation assessing progress toward established treatment plan goals and modifying care plan as needed.
Clinical Context
Performed periodically to document progress and adjust treatment. Required for medical necessity documentation.
RVU Breakdown
| Work RVU | 0.96 |
| Practice Expense RVU | 1.05 |
| Malpractice RVU | 0.01 |
| Total RVU | 2.02 |
Est. Medicare Payment
$67.47
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.