CPT® Code 97006

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1. Indications

The athletic training re-evaluation (CPT® Code 97006) is indicated for athletes who have previously undergone an initial evaluation and are in need of ongoing assessment of their athletic injuries. The following conditions may warrant a re-evaluation:

• Assessment of Treatment Response The procedure is performed to evaluate the athlete's response to the current treatment plan and to determine if modifications are necessary.
• Monitoring Recovery Progress It is indicated for tracking the progress of recovery from an athletic injury, ensuring that the athlete is on the right path to return to their sport.
• Adjustment of Rehabilitation Program The re-evaluation allows for the adjustment of the rehabilitation, training, and prevention program based on the athlete's current status and needs.

2. Procedure

The procedure for an athletic training re-evaluation involves several key steps that ensure a thorough assessment of the athlete's condition. Each step is crucial for developing an effective plan of care.

• Interim History Collection The athletic trainer begins the re-evaluation by taking an interim history from the athlete. This involves asking questions about the athlete's current condition, any changes since the last evaluation, and their overall response to the treatment received thus far.
• Evaluation of Treatment Response Following the history collection, the athletic trainer assesses the athlete's response to the treatment plan. This may include discussions about pain levels, functional abilities, and any limitations the athlete may be experiencing.
• Physical Examination A comprehensive physical examination is conducted to evaluate various physical parameters, including range of motion, strength, flexibility, agility, speed, endurance, and power. This examination helps to identify any areas that may require further attention or modification in the treatment plan.
• Revising the Plan of Care Based on the findings from the interim history and physical examination, the athletic trainer revises the plan of care. This may involve updating rehabilitation exercises, adjusting training protocols, or implementing new prevention strategies to address the athlete's current needs.

3. Post-Procedure

After the athletic training re-evaluation, the athlete is provided with an updated plan of care that outlines the next steps in their rehabilitation and training process. The athletic trainer may schedule follow-up appointments to monitor the athlete's progress and make further adjustments as necessary. It is important for the athlete to adhere to the revised plan and communicate any changes in their condition during subsequent visits. This ongoing assessment and adjustment process is vital for ensuring optimal recovery and preventing future injuries.