CPT code 99368: Team conference, without patient2026 Medicare rate & RVUs in New York

CMS doesn’t publish an office rate for 99368 in New York.

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

What 99368 covers

This service represents an interdisciplinary conference in which health care professionals discuss a patient’s care while the patient and family are absent. A nonphysician qualified health care professional reports it for their participation. The discussion may involve care planning and coordination among the professionals involved in the patient’s treatment; it is distinct from a conference attended by the patient or family and from one reported for a physician’s participation.

The service is timed at 30 minutes or more. Medicare assigns this code bundled status B: Medicare does not pay it separately, and its payment is included in payment for other services. The code has no separate Medicare payment under the physician fee schedule. Document the conference, its participants, the patient-care discussion, and the time spent to support code selection.

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 99368 pays more and less in New York

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

How the 99368 rate is calculated

Each of 99368’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 99368

99368 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.

99368 compared with similar codes

How to choose

99366Care conferencePatient or family present

Use 99366 when the patient or family attends the interdisciplinary conference; 99368 represents a conference without them.

99367Team conferencePhysician, patient absent

Both represent a conference without the patient or family. The reporting participant is a nonphysician qualified health care professional for 99368 and a physician for 99367.

99374Home health supervision15–29 minutes monthly

99374 represents home health care plan oversight, not participation in an interdisciplinary team conference.

Codes related to 99368

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