{
    "code": "97164",
    "coding_system": "CPT",
    "canonical_url": "https://localishealth.com/cpt/97164/2017/A",
    "release_specific_url": "https://localishealth.com/cpt/97164/2017/A",
    "description": "A formal reassessment partway through a course of physical therapy, as opposed to a fresh initial evaluation. The therapist repeats the key measurements, compares them against the starting point, and revises the plan of care accordingly. It is meant for moments when something has actually changed — progress has stalled, the patient has worsened, or a new problem has surfaced — not as a routine note attached to every visit.",
    "answer": {
        "question": "How much did Medicare pay for CPT 97164 in Q1 2017?",
        "text": "Medicare paid $55.63 for CPT 97164 in the office (non-facility) setting and $55.63 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."
    },
    "release": {
        "schedule": "pfs",
        "year": 2017,
        "quarter": "A",
        "label": "Q1 2017",
        "effective": "January 1 – March 31, 2017",
        "revision": 1
    },
    "status": {
        "code": "A",
        "non_facility_payable": true,
        "facility_payable": true
    },
    "national_rates_usd": {
        "office_non_facility": 55.63,
        "facility": 55.63,
        "sequestration_applied": false,
        "gpci": 1
    },
    "rvus": {
        "work": 0.75,
        "practice_expense_non_facility": 0.73,
        "practice_expense_facility": 0.73,
        "malpractice": 0.07
    },
    "formula": "(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor",
    "conversion_factor": 35.8887,
    "source": {
        "label": "Physician relative value file (Q1 2017)",
        "cms_url": "https://www.cms.gov/medicare/medicare-fee-for-service-payment/physicianfeesched/downloads/rvu17a.zip",
        "local_source_url": "https://localishealth.com/sources/physician-fee-schedule/2017/A",
        "file": "PPRRVU17_V1219.csv",
        "row": 16213,
        "sha256": "fda64dc114c31e9002889c5847fcdcdc1c1ee8a1d8b26765b55e1f5da6e61bab"
    },
    "modified_at": "2026-08-04T03:07:28+00:00"
}