97166 Ot evaluation mod complex 45 minutes
Medicine
Also known as: OT eval moderate, Standard OT eval, Moderate OT eval
Occupational therapy evaluation of moderate complexity requiring 45 minutes. Comprehensive assessment of functional abilities and occupational performance.
Clinical Context
Used for patients with moderate functional impairment or multiple performance issues. Comprehensive baseline evaluation.
RVU Breakdown
| Work RVU | 1.54 |
| Practice Expense RVU | 1.46 |
| Malpractice RVU | 0.01 |
| Total RVU | 3.01 |
Est. Medicare Payment
$100.53
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.