CPT code 99367: Team conference, physician, patient absent2026 Medicare rate & RVUs in Maine

CMS doesn’t publish an office rate for 99367 in Maine.

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

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 Maine

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.

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.

99367 compared with similar codes

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.

Codes related to 99367

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

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