# CPT 97163

> Medicare paid $82.54 for CPT 97163 in the office (non-facility) setting and $82.54 in a facility under the Q3 2017 Physician Fee Schedule, effective July 2017. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This price has been unchanged since Q2 2017, when it increased 0.9%.

## What it is

The most involved of the three initial physical therapy evaluation levels. It fits a patient with a complicated history — several conditions or personal circumstances that shape what therapy is even possible — a broad examination across multiple body systems and measures, and a presentation that is unstable or shifting quickly. The extra weight sits in the reasoning rather than the time: the therapist is pulling a lot of information together into a plan that may have to change.

## Selected release

- Release: Q3 2017 (2017 C)
- Effective: July 1 – September 30, 2017
- Status indicator: A
- Office (non-facility) national allowed amount: $82.54
- Facility national allowed amount: $82.54
- Sequestration: not applied

## RVUs and formula

- Work RVU: 1.20
- Office (non-facility) practice expense RVU: 1.00
- Facility practice expense RVU: 1.00
- 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 (Q3 2017)
- CMS file: https://www.cms.gov/medicare/medicare-fee-for-service-payment/physicianfeesched/downloads/rvu17c.zip
- Parsed file: PPRRVU17_JULY_V0503.csv, row 16,232
- Canonical page: https://localishealth.com/cpt/97163/2017/B
- Release-specific citation URL: https://localishealth.com/cpt/97163/2017/C
- Last significant update: 2026-08-04T03:07:49+00:00