97167 Ot evaluation high complex 60 minutes
Medicine
Also known as: OT eval high complex, Comprehensive OT eval, Complex OT eval
Occupational therapy evaluation of high complexity requiring 60 minutes. Comprehensive evaluation for patients with multiple functional limitations.
Clinical Context
Used for medically complex patients with multiple occupational performance deficits. Thorough baseline documentation.
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.