# CPT 97161

> Medicare paid $100.20 for CPT 97161 in the office (non-facility) setting and $100.20 in a facility under the Q4 2024 Physician Fee Schedule, effective October 2024. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This price has been unchanged since Q1 2024, when it decreased 1.4%.

## What it is

An initial physical-therapy evaluation for a straightforward case — for example, rehab for a single-region issue like an ankle sprain with no other health factors complicating the plan of care. The therapist takes a brief history, examines the affected area, and documents a plan of care; total time is typically about 20 minutes, the shortest of the three PT evaluation levels.

## Selected release

- Release: Q4 2024 (2024 D)
- Effective: October 1 – December 31, 2024
- Status indicator: A
- Office (non-facility) national allowed amount: $100.20
- Facility national allowed amount: $100.20
- Sequestration: not applied

## RVUs and formula

- Work RVU: 1.54
- Office (non-facility) practice expense RVU: 1.43
- Facility practice expense RVU: 1.43
- Malpractice RVU: 0.04
- Conversion factor: 33.2875
- Formula: `(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor`

## Source and citation

- Source: Physician relative value file (Q4 2024)
- CMS file: https://www.cms.gov/files/zip/rvu24d.zip
- Parsed file: PPRRVU24_OCT.csv, row 18,422
- Canonical page: https://localishealth.com/cpt/97161/2024/A
- Release-specific citation URL: https://localishealth.com/cpt/97161/2024/D
- Last significant update: 2026-08-04T03:14:25+00:00