CPT 97162Physical TherapyUntimed · per session
PT evaluation — moderate complexity
What CPT 97162 covers
CPT 97162 is the moderate-complexity PT evaluation: 1–2 comorbidities, 3+ examination elements, an evolving presentation, and moderate decision-making.
The most common level for pediatric outpatient PT evaluations.
Using 97162 on superbills
- Typical for developmental gross-motor referrals with several exam domains (tone, ROM, strength, motor milestones).
Documentation that supports it
- Comorbidities considered, examination elements, and standardized motor measures
Common ICD-10 pairings
Examples seen in pediatric practice — always code the diagnosis that fits the client.
G80.9R26.9F82Q05.9
FAQ
What standardized tests support a 97162 pediatric eval?
Common choices include the PDMS-2, BOT-2, and AIMS depending on age. The test itself doesn't set the level — the documented complexity does.
Related codes
Educational reference only — not billing, coding, or legal advice. CPT® is a registered trademark of the American Medical Association. Verify current code definitions and payer policies before billing.