# CPT 97164

> Medicare paid $55.63 for CPT 97164 in the office (non-facility) setting and $55.63 in a facility under the Q2 2017 Physician Fee Schedule, effective April 2017. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment.

## What it is

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.

## Selected release

- Release: Q2 2017 (2017 B)
- Effective: April 1 – June 30, 2017
- Status indicator: A
- Office (non-facility) national allowed amount: $55.63
- Facility national allowed amount: $55.63
- Sequestration: not applied

## RVUs and formula

- Work RVU: 0.75
- Office (non-facility) practice expense RVU: 0.73
- Facility practice expense RVU: 0.73
- Malpractice RVU: 0.07
- 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 (Q2 2017)
- CMS file: https://www.cms.gov/medicare/medicare-fee-for-service-payment/physicianfeesched/downloads/rvu17b.zip
- Parsed file: PPRRVU17_V0209.csv, row 16,213
- Canonical page: https://localishealth.com/cpt/97164/2017/A
- Release-specific citation URL: https://localishealth.com/cpt/97164/2017/B
- Last significant update: 2026-08-04T03:07:42+00:00