CPT code 99367: Team conference, physician, patient absent2026 Medicare rate & RVUs in Massachusetts
Reports a physician’s participation in a multidisciplinary care conference lasting at least 30 minutes, conducted without the patient or family present.
CMS doesn’t publish an office rate for 99367 in Massachusetts.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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What 99367 covers
This service reports a physician’s participation in a multidisciplinary care conference about a shared patient. The patient and family are not present, and the conference lasts at least 30 minutes. Participants use the discussion to coordinate clinical care or plan services. The code distinguishes physician participation from nonphysician professional participation in the team-conference code family. Physicians report it for qualifying conference work in care-planning settings.
Medicare assigns 99367 physician fee schedule status B. Medicare never pays it separately; payment is included in payment for other services. The code’s criteria include physician participation, the patient and family’s absence, and a conference lasting at least 30 minutes. A conference with the patient or family present, or one without physician participation, is represented by a different team-conference code.
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 99367 pays more and less in Massachusetts
| Payment locality | Office | Facility |
|---|---|---|
| Metropolitan Boston, MA | Unavailable | Unavailable |
| Rest of Massachusetts | Unavailable | Unavailable |
How the 99367 rate is calculated
Each of 99367’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 · 99367
RVUs × geographic indexes × conversion factor
Work1.10
1.10 RVUs× 1.000 GPCI
Practice expense0.24
0.24 RVUs× 1.000 GPCI
Malpractice0.07
0.07 RVUs× 1.000 GPCI
Adjusted RVUs
1.4100
Conversion factor
$33.4009
Medicare rate
$47.10
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 99367
99367 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 · 99367
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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99367 isn’t priced in this setting.
99367 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 99366Care conferencePatient or family present
- 99366 describes a team conference with the patient or family present and nonphysician qualified health care professional participation; 99367 is for physician participation without them.
- 99368Team conferenceWithout patient
- 99368 is for nonphysician qualified health care professional participation in a conference without the patient or family. 99367 identifies physician participation.
- 99358Prolonged E/MWithout direct contact
- 99358 describes prolonged evaluation and management work without direct patient contact, not physician participation in an interdisciplinary team conference.
- 99360Physician standbyPer 30 minutes
- 99360 describes physician standby services, not participation in a care-planning conference.
99367 billing questions
When should I use 99367 instead of 99366?
Use 99367 for a qualifying conference without the patient or family when a physician participates. Code 99366 describes a conference with the patient or family present and nonphysician qualified health care professional participation.
How does 99367 differ from 99368?
Both describe team conferences without the patient or family. Code 99367 identifies physician participation; 99368 identifies nonphysician qualified health care professional participation.
What conference duration does 99367 describe?
The conference lasts at least 30 minutes.
Does Medicare pay 99367 separately?
No. Medicare assigns status B, so it never pays the code separately; payment is included in payment for other services.
Should I report 99367 when the patient or family attends?
No. The patient and family are not present for 99367. A conference with the patient or family present is represented by a different team-conference code.
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
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