# CPT 97162

> Medicare paid $81.83 for CPT 97162 in the office (non-facility) setting and $81.83 in a facility under the Q1 2017 Physician Fee Schedule, effective January 2017. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment.

## What it is

The middle of the three initial physical therapy evaluation levels. It fits a patient whose history includes other conditions or personal factors that complicate the plan, whose examination covers several body systems or sets of measurements, and whose presentation is changing enough to need genuine clinical judgement. Against the low-complexity level it involves more data gathering and a less predictable case; against the high-complexity level the patient is still comparatively stable.

## Selected release

- Release: Q1 2017 (2017 A)
- Effective: January 1 – March 31, 2017
- Status indicator: A
- Office (non-facility) national allowed amount: $81.83
- Facility national allowed amount: $81.83
- Sequestration: not applied

## RVUs and formula

- Work RVU: 1.20
- Office (non-facility) practice expense RVU: 0.98
- Facility practice expense RVU: 0.98
- Malpractice RVU: 0.10
- Conversion factor: 35.8887
- Formula: `(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor`

## Source and citation

- Source: Physician relative value file (Q1 2017)
- CMS file: https://www.cms.gov/medicare/medicare-fee-for-service-payment/physicianfeesched/downloads/rvu17a.zip
- Parsed file: PPRRVU17_V1219.csv, row 16,211
- Canonical page: https://localishealth.com/cpt/97162/2017/A
- Release-specific citation URL: https://localishealth.com/cpt/97162/2017/A
- Last significant update: 2026-08-04T03:07:28+00:00