97165 Ot evaluation low complex 30 minutes
Also known as: OT eval low complex, Brief OT eval, ADL assessment
Occupational therapy evaluation of low complexity requiring 30 minutes. Assesses functional activities of daily living and occupational performance.
In Plain Language
Occupational therapy initial evaluation - simple case
Clinical Context
Used for straightforward occupational therapy cases. Evaluates activities of daily living and work-related function.
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 97165?
CPT 97165 (Ot evaluation low complex 30 minutes) is a Medicine code. Occupational therapy evaluation of low complexity requiring 30 minutes. Assesses functional activities of daily living and occupational performance.
Who uses CPT code 97165?
CPT 97165 is used by Occupational Therapy, Rehabilitation. Used for straightforward occupational therapy cases. Evaluates activities of daily living and work-related function.
When is CPT 97165 used?
Used for straightforward occupational therapy cases. Evaluates activities of daily living and work-related function.
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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.