# CPT 97162: Physical therapy evaluation, moderate complexity

Medicare CPT 97162 pays $97.86 in a non-facility setting and $97.86 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $91.20 in Arkansas to $126.43 in Alaska, a 39% spread.

Web page: https://www.med-reveal.com/rates/97162-cpt-fee-schedule
Section: Rehabilitation and Therapy
Billed by: Orthopaedic Surgery

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $97.86 |
| National facility | $97.86 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $126.43 | $126.43 |
| District of Columbia | $108.88 | $108.88 |
| California | $108.00 | $108.00 |
| New Jersey | $106.35 | $106.35 |
| Washington | $105.87 | $105.87 |
| New York | $105.75 | $105.75 |
| Massachusetts | $104.97 | $104.97 |
| Hawaii | $104.04 | $104.04 |
| Connecticut | $102.51 | $102.51 |
| Colorado | $101.36 | $101.36 |
| Oregon | $100.65 | $100.65 |
| Maryland | $100.52 | $100.52 |
| Rhode Island | $100.33 | $100.33 |
| New Hampshire | $99.71 | $99.71 |
| Minnesota | $98.97 | $98.97 |
| Puerto Rico | $98.37 | $98.37 |
| Virgin Islands | $98.37 | $98.37 |
| Florida | $98.33 | $98.33 |
| Montana | $97.86 | $97.86 |
| Nevada | $97.85 | $97.85 |
| Wyoming | $97.78 | $97.78 |
| North Dakota | $97.67 | $97.67 |
| South Dakota | $97.64 | $97.64 |
| Delaware | $97.53 | $97.53 |
| Pennsylvania | $97.41 | $97.41 |
| Texas | $97.41 | $97.41 |
| Vermont | $97.24 | $97.24 |
| Virginia | $96.98 | $96.98 |
| Illinois | $96.80 | $96.80 |
| Arizona | $96.39 | $96.39 |
| Georgia | $95.89 | $95.89 |
| Wisconsin | $95.70 | $95.70 |
| Maine | $95.69 | $95.69 |
| Michigan | $95.19 | $95.19 |
| Utah | $95.06 | $95.06 |
| North Carolina | $94.66 | $94.66 |
| Indiana | $94.33 | $94.33 |
| South Carolina | $94.31 | $94.31 |
| Nebraska | $94.11 | $94.11 |
| New Mexico | $94.11 | $94.11 |
| Missouri | $94.07 | $94.07 |
| Idaho | $94.00 | $94.00 |
| Louisiana | $93.87 | $93.87 |
| Ohio | $93.86 | $93.86 |
| Iowa | $93.75 | $93.75 |
| Tennessee | $93.52 | $93.52 |
| Kansas | $93.27 | $93.27 |
| Oklahoma | $92.86 | $92.86 |
| Kentucky | $92.72 | $92.72 |
| West Virginia | $91.97 | $91.97 |
| Alabama | $91.96 | $91.96 |
| Mississippi | $91.37 | $91.37 |
| Arkansas | $91.20 | $91.20 |

## Related codes

- 97161: Physical therapy evaluation, low complexity — https://www.med-reveal.com/rates/97161-cpt-fee-schedule
- 97163: Physical therapy evaluation, high complexity — https://www.med-reveal.com/rates/97163-cpt-fee-schedule
- 97164: Re-evaluation of physical therapy established plan of care — https://www.med-reveal.com/rates/97164-cpt-fee-schedule
- 97750: Physical performance test or measurement, with written report — https://www.med-reveal.com/rates/97750-cpt-fee-schedule
- 97755: Assistive technology assessment, with written report — https://www.med-reveal.com/rates/97755-cpt-fee-schedule

Commercial negotiated rates for 97162 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules