# CPT 97163

> Medicare paid $102.43 for CPT 97163 in the office (non-facility) setting and $102.43 in a facility under the Q3 2022 Physician Fee Schedule, effective July 2022. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This price has been unchanged since Q1 2022, when it increased 0.5%.

## 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 2022 (2022 C)
- Effective: July 1 – September 30, 2022
- Status indicator: A
- Office (non-facility) national allowed amount: $102.43
- Facility national allowed amount: $102.43
- Sequestration: not applied

## RVUs and formula

- Work RVU: 1.54
- Office (non-facility) practice expense RVU: 1.35
- Facility practice expense RVU: 1.35
- Malpractice RVU: 0.07
- Conversion factor: 34.6062
- Formula: `(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor`

## Source and citation

- Source: Physician relative value file (Q3 2022)
- CMS file: https://www.cms.gov/files/zip/rvu22c-updated-06172022.zip
- Parsed file: PPRRVU22_JUL.csv, row 17,403
- Canonical page: https://localishealth.com/cpt/97163/2022/A
- Release-specific citation URL: https://localishealth.com/cpt/97163/2022/C
- Last significant update: 2026-08-04T03:11:49+00:00