Athletic training evaluation, moderate complexity, requiring these components:
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The CPT® Code 97170 refers to an athletic training evaluation characterized by moderate complexity. This evaluation is essential for assessing athletic injuries and preventing the recurrence of such injuries. The process begins with a comprehensive medical history and a physical activity profile, which includes identifying 1-2 comorbidities that may impact the patient's physical activity. Following this, a thorough examination of the affected body area, as well as other symptomatic or related systems, is conducted. This examination must address a total of three or more elements from the categories of body structures, physical activity, and/or participation deficiencies. The clinical decision-making involved in this evaluation is of moderate complexity and utilizes standardized patient assessment instruments and/or measurable assessments of functional outcomes. Typically, the athletic training evaluation requires approximately 30 minutes of face-to-face interaction with the patient and/or their family, ensuring a detailed and personalized approach to the athlete's care and rehabilitation needs.
© Copyright 2025 Coding Ahead. All rights reserved.
The athletic training evaluation (CPT® Code 97170) is indicated for athletes who require a comprehensive assessment of their current athletic injuries and the prevention of recurrent injuries. The evaluation is particularly relevant for individuals with the following conditions:
The procedure for the athletic training evaluation involves several key steps that ensure a thorough assessment of the athlete's condition:
After the athletic training evaluation, the provider typically discusses the findings with the patient and/or their family, outlining the recommended rehabilitation and training program. The patient may be advised on specific exercises, modifications to their training regimen, and strategies to prevent future injuries. Follow-up appointments may be scheduled to monitor the athlete's progress, evaluate their response to the treatment plan, and make any necessary adjustments based on their current functional status and documented changes. This ongoing assessment is vital for ensuring the athlete's safe return to their sport and optimal performance.
| Short Descr | ATHLETIC TRN EVAL MOD CMPLX | Medium Descr | ATHLETIC TRAINING EVAL MOD COMPLEX 30 MINS | Long Descr | Athletic training evaluation, moderate complexity, requiring these components: A medical history and physical activity profile with 1-2 comorbidities that affect physical activity; An examination of affected body area and other symptomatic or related systems addressing a total of 3 or more elements from any of the following: body structures, physical activity, and/or participation deficiencies; and Clinical decision making of moderate complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 30 minutes are spent face-to-face with the patient and/or family. | Status Code | Non-Covered Service | Global Days | XXX - Global Concept Does Not Apply | PC/TC Indicator (26, TC) | 9 - Not Applicable | Multiple Procedures (51) | 9 - Concept does not apply. | Bilateral Surgery (50) | 9 - Concept does not apply. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 9 - Concept does not apply. | Co-Surgeons (62) | 9 - Concept does not apply. | Team Surgery (66) | 9 - Concept does not apply. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Non-Covered Service, not paid under OPPS | Type of Service (TOS) | 1 - Medical Care | Berenson-Eggers TOS (BETOS) | M5D - Specialist - other | MUE | 0 |
| G0 | Telehealth services for diagnosis, evaluation, or treatment, of symptoms of an acute stroke | GP | Services delivered under an outpatient physical therapy plan of care | GY | Item or service statutorily excluded, does not meet the definition of any medicare benefit or, for non-medicare insurers, is not a contract benefit | XU | Unusual non-overlapping service, the use of a service that is distinct because it does not overlap usual components of the main service |
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| 2017-01-01 | Added | Added |
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