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Official Description

Athletic training evaluation, low complexity, requiring these components:

  • A history and physical activity profile with no comorbidities that affect physical activity;
  • An examination of affected body area and other symptomatic or related systems addressing 1-2 elements from any of the following: body structures, physical activity, and/or participation deficiencies; and
  • Clinical decision making of low complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome.
Typically, 15 minutes are spent face-to-face with the patient and/or family.

© Copyright 2026 American Medical Association. All rights reserved.

Common Language Description

An athletic training evaluation, specifically coded as CPT® 97169, refers to a low complexity assessment performed by an athletic trainer. This evaluation is essential for understanding the current athletic injuries of a patient and for implementing strategies to prevent future injuries. The evaluation process begins with gathering a comprehensive medical history, which includes details about current and past injuries, any comorbidities that may influence physical activity, and a profile of the patient's physical activity levels. Following the history, a thorough physical examination is conducted on the affected body area or related systems. This examination assesses various physical parameters such as range of motion, strength, flexibility, agility, speed, endurance, and power. Additionally, tests related to circulation and sensation are performed to ensure a complete understanding of the patient's condition. The athletic trainer utilizes the information gathered during the evaluation to formulate a tailored rehabilitation, training, and prevention program. This program is based on clinical decision-making that incorporates standardized patient assessment instruments and measurable outcomes of functional performance. The typical duration of this face-to-face interaction with the patient and/or their family is approximately 15 minutes. This structured approach not only addresses immediate concerns but also sets the foundation for ongoing care and monitoring of the patient's athletic health.

© Copyright 2026 Coding Ahead. All rights reserved.

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