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CPT code 99366: Care conference, patient or family present2026 Medicare rate & RVUs

An interdisciplinary care team conference attended by the patient or family for at least 30 minutes, reported by a participating nonphysician health professional.

CMS RVU26DEffective Oct 1, 2026109 payment localities

Medicare rate · 99366

Care conference, patient or family present

Office or facility?

Work RVUs
0.82
Total RVUs
1.05
Global days
XXX

National rate · 2026

—

Not priced in the facility setting.

See every locality for 99366 →Billed by an NP, PA or therapist? →

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What 99366 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 99366 covers

99366 represents an interdisciplinary care conference conducted face to face with the patient, with or without family, by a participating nonphysician qualified health professional. The team brings together health care professionals from different disciplines to discuss the patient's care and coordinate their contributions. The conference is a team service, rather than a routine patient visit or a meeting held without the patient. It is reported when the conference lasts 30 minutes or more.

Medicare assigns this code physician fee schedule status B: payment is bundled, and Medicare never pays 99366 separately. The related conference codes distinguish meetings without the patient or family: 99367 is reported by a physician, while 99368 is reported by a nonphysician health professional. Documentation should identify the participants and disciplines, conference duration, and patient attendance; include family attendance when applicable.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

Where 99366 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

99366 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailableUnavailable
AlaskaUnavailableUnavailable
ArizonaUnavailableUnavailable
ArkansasUnavailableUnavailable
Atlanta, GAUnavailableUnavailable
Austin, TXUnavailableUnavailable
Bakersfield, CAUnavailableUnavailable
Baltimore area, MDUnavailableUnavailable
Beaumont, TXUnavailableUnavailable
Brazoria, TXUnavailableUnavailable

99366 rates by state

Office rate range in each state. Select a state to see its payment localities.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

View every state and territory as a table
99366 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

How the 99366 rate is calculated

Each of 99366’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 99366

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.82

0.82 RVUs× 1.000 GPCI

Practice expense0.39

0.39 RVUs× 1.000 GPCI

Malpractice0.05

0.05 RVUs× 1.000 GPCI

Adjusted RVUs

1.2600

Conversion factor

$33.4009

Medicare rate

$42.09

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 99366

99366 has no global surgery period, no multiple-procedure, bilateral or assistant-at-surgery adjustment, and no professional/technical split. What changes the payment is where the service happens: the place of service on the claim decides whether Medicare pays the office or the facility rate.

Place of service · 99366

Which rate does Medicare pay?

The POS code on the claim line (CMS-1500 box 24B).

POS 11 · non-facility rate · national

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99366 isn’t priced in this setting.

99366 compared with similar codes

Compare codes · National

99366 vs 99367 vs 99368: Medicare rates

Office or facility?

  • 99366

    Care conference, patient or family present0.82 wRVU

    Not priced

  • 99367

    Team conference, physician, patient absent1.1 wRVU

    Not priced

  • 99368

    Team conference, without patient0.72 wRVU

    Not priced

How to choose

99367Team conferencePhysician, patient absent
99367 is for an interdisciplinary conference without the patient or family present and is reported by a physician. Use 99366 when the patient attends and a nonphysician health professional reports the conference.
99368Team conferenceWithout patient
99368 describes an interdisciplinary conference without the patient or family present, reported by a nonphysician health professional. Patient attendance distinguishes 99366.

Codes related to 99366

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 99366
CodeHow it relatesNational office range
Same family
99367Team conference, physician, patient absentConference without the patient or family, reported by a physician.No office rate
99368Team conference, without patientConference without the patient or family, reported by a nonphysician health professional.No office rate

99366 billing questions

When should I use 99366 instead of 99367 or 99368?

Use 99366 for an interdisciplinary conference with the patient present, with or without family. Codes 99367 and 99368 describe conferences without the patient or family and distinguish physician from nonphysician reporting.

What should the conference documentation include?

Record the conference duration, participating clinicians and their disciplines, the care-planning discussion, and the patient's attendance. Include family attendance when applicable.

How much conference time does 99366 represent?

The conference lasts 30 minutes or more. The code is not reported in per-minute units.

Does Medicare pay 99366 separately?

No. Medicare physician fee schedule status B means payment is included in payment for other services.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Open CMS sourceHow we calculate rates

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