CPT® Code 97164

Official Description

Re-evaluation of physical therapy established plan of care, requiring these components:

An examination including a review of history and use of standardized tests and measures is required; and
Revised plan of care using a standardized patient assessment instrument and/or measurable assessment of functional outcome

Typically, 20 minutes are spent face-to-face with the patient and/or family.

Common Language Description

The CPT® Code 97164 refers to the re-evaluation of a physical therapy established plan of care. This procedure is essential for assessing the ongoing effectiveness of the treatment provided to the patient. During this re-evaluation, the physical therapist conducts a comprehensive examination that includes a thorough review of the patient's medical history and the application of standardized tests and measures. This process is crucial for understanding the patient's current condition, any changes that may have occurred since the initial evaluation, and the overall effectiveness of the treatment plan. The physical therapist will also utilize a standardized patient assessment instrument and/or measurable assessments of functional outcomes to revise the plan of care accordingly. Typically, this re-evaluation involves approximately 20 minutes of face-to-face interaction with the patient and/or their family, ensuring that all relevant information is gathered and that the patient’s needs are adequately addressed. The goal of this procedure is to ensure that the treatment remains aligned with the patient's evolving condition and to facilitate optimal recovery and functional improvement.