# CPT 97164

> Medicare paid $69.79 for CPT 97164 in the office (non-facility) setting and $69.79 in a facility under the Q3 2021 Physician Fee Schedule, effective July 2021. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This price has been unchanged since Q1 2021, when it increased 15.8%.

## 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: Q3 2021 (2021 C)
- Effective: July 1 – September 30, 2021
- Status indicator: A
- Office (non-facility) national allowed amount: $69.79
- Facility national allowed amount: $69.79
- Sequestration: not applied

## RVUs and formula

- Work RVU: 0.96
- Office (non-facility) practice expense RVU: 1.00
- Facility practice expense RVU: 1.00
- Malpractice RVU: 0.04
- Conversion factor: 34.8931
- Formula: `(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor`

## Source and citation

- Source: Physician relative value file (Q3 2021)
- CMS file: https://www.cms.gov/files/zip/rvu21c-updated-6302021.zip
- Parsed file: PPRRVU21_JUL.csv, row 17,122
- Canonical page: https://localishealth.com/cpt/97164/2021/A
- Release-specific citation URL: https://localishealth.com/cpt/97164/2021/C
- Last significant update: 2026-08-04T03:10:45+00:00