CPT® Code 97171

An athletic training evaluation, specifically coded as CPT® 97171, is a comprehensive assessment performed by a qualified athletic trainer to evaluate high complexity athletic injuries and to develop a tailored rehabilitation and prevention program. This evaluation is characterized by several critical components that ensure a thorough understanding of the patient's condition. The process begins with gathering a detailed medical history and physical activity profile, which includes identifying three or more comorbidities that may impact the patient's physical activity. Following this, a comprehensive examination of the body systems is conducted using standardized tests and measures, addressing a total of four or more elements related to body structures, physical activity, and/or participation deficiencies. The clinical presentation during this evaluation is noted to have unstable and unpredictable characteristics, which necessitates a high level of clinical decision-making complexity. This decision-making process is supported by the use of standardized patient assessment instruments and/or measurable assessments of functional outcomes. Typically, the athletic training evaluation lasts approximately 45 minutes of face-to-face interaction with the patient and/or their family, allowing for an in-depth understanding of the patient's needs and the formulation of an effective treatment plan. This evaluation not only addresses current athletic injuries but also focuses on preventing the recurrence of such injuries, making it a vital component of athletic training services.