© Copyright 2025 American Medical Association. All rights reserved.
A physical therapy re-evaluation, identified by CPT® Code 97002, is a critical component of the physical therapy process. This procedure is conducted to assess a patient's progress and response to previously implemented treatment strategies. During a re-evaluation, the physical therapist gathers an interim history, which includes updates on the patient's current condition, any changes in symptoms, and the effectiveness of the treatment received since the last evaluation. The therapist will inquire about the patient's experiences with their symptoms, including any activities or movements that may exacerbate or alleviate their condition. This process is essential for determining the next steps in the patient's care plan. The physical therapist will also evaluate the patient's response to treatment, which may involve reassessing joint flexibility, muscle strength, general mobility, posture, and core strength. Based on this comprehensive assessment, the therapist will revise the plan of care to ensure it aligns with the patient's current needs and goals, thereby optimizing the effectiveness of the physical therapy interventions.
© Copyright 2025 Coding Ahead. All rights reserved.
The physical therapy re-evaluation (CPT® Code 97002) is indicated for patients who have undergone a previous physical therapy evaluation and have received treatment for their condition. The re-evaluation is performed to assess the effectiveness of the treatment and to make necessary adjustments to the plan of care. Specific indications for this procedure may include:
The procedure for a physical therapy re-evaluation involves several key steps that ensure a comprehensive assessment of the patient's current status. These steps include:
After the physical therapy re-evaluation, the patient may be provided with updated instructions regarding their treatment plan. This may include recommendations for continued physical therapy sessions, specific exercises to perform at home, and any lifestyle modifications that could aid in their recovery. The therapist will also schedule follow-up appointments to monitor the patient's progress and make further adjustments to the plan of care as needed. It is essential for the patient to adhere to the revised plan to achieve optimal outcomes and improve their overall functional abilities.
| Short Descr | PT RE-EVALUATION | Medium Descr | PHYSICAL THERAPY RE-EVALUATION | Long Descr | Physical therapy re-evaluation | Status Code | Active Code | Global Days | XXX - Global Concept Does Not Apply | PC/TC Indicator (26, TC) | 7 - Physical Therapy Service, for which Payment may not be Made | Multiple Procedures (51) | 5 - Subject to 20%/25% reduction of the practice expense component... | Bilateral Surgery (50) | 0 - 150% payment adjustment for bilateral procedures does NOT apply. | Physician Supervisions | 9 - Concept does not apply. | Assistant Surgeon (80, 82) | 0 - Payment restriction for assistants at surgery applies to this procedure... | Co-Surgeons (62) | 0 - Co-surgeons not permitted for this procedure. | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Service Paid under Fee Schedule or Payment System other than OPPS | Type of Service (TOS) | 1 - Medical Care | Berenson-Eggers TOS (BETOS) | M5D - Specialist - other | MUE | Not applicable/unspecified. | CCS Clinical Classification | 212 - Diagnostic physical therapy |
| GP | Services delivered under an outpatient physical therapy plan of care |