97168 Ot re-eval established plan care
Medicine
Also known as: OT re-eval, Progress check, Plan update
Occupational therapy re-evaluation assessing progress and modifying treatment plan based on functional outcomes.
Clinical Context
Periodic assessment to document progress and update treatment goals. Necessary for continued medical necessity.
RVU Breakdown
| Work RVU | 0.96 |
| Practice Expense RVU | 1.08 |
| Malpractice RVU | 0.01 |
| Total RVU | 2.05 |
Est. Medicare Payment
$68.47
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.