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CMS RVU26D · Effective 2026-10-01

98972 in Redding

Office / nonfacility

$35.32

Base rate per service

Facility setting

$29.47

Base rate per service

Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.

Online digital care

About 98972: Online digital assessment, 21 or more minutes

Reports an established patient's online digital assessment and management by a qualified nonphysician health care professional when cumulative service time reaches 21 minutes.

A qualified nonphysician health care professional uses an asynchronous online exchange, such as a secure patient portal, to assess and manage an established patient's health concern. The work may include reviewing the patient's submitted information, evaluating the concern, and sending clinical guidance or a management plan. The code captures cumulative service time across a period of up to seven days, rather than a single face-to-face visit or telephone call.

Report 98972 when documented time for the online assessment and management reaches 21 minutes or more during that service period. The record should support the patient's concern, the online exchange, the clinical work performed, and the total time counted. CMS assigns 0.69 work RVU, 0.31 office practice-expense RVU or 0.15 facility practice-expense RVU, and 0.03 malpractice RVU. The CMS facts provided list no additional payment rules for this code.

Where the value comes from

  • Work RVU0.69 · 67%
  • Practice expense (office) RVU0.31 · 30%
  • Malpractice RVU0.03 · 3%

1.3K

Medicare services in 2024 · #2808 by national volume

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.

98972 compared with similar codes

Office rates for Redding, from the same CMS release.

98970

Digital assessment

Qualified nonphysician, 5–10 minutes

$12.70

Both describe online digital assessment and management by a nonphysician professional. Choose 98970 for 5 to 10 minutes; 98972 requires at least 21 minutes.

98971

Digital assessment

11-20 minutes

$23.72

98971 covers 11 to 20 minutes of online digital assessment and management. Report 98972 when the documented cumulative time reaches 21 minutes or more.

98968

Telephone management

21–30 minutes

$35.72

98968 is for telephone assessment and management, with a 21-to-30-minute time range. Use 98972 for qualifying online digital service time.

The same code, a different location

How does Redding compare?

In Bakersfield, the office rate for 98972 is $35.44—$0.12 higher than the $35.32 rate in Redding. Both use the same code, release and participation basis.

98972 across payment areas

Same release and payment basis · bars start at $0

  1. Redding · This locality

    $35.32

  2. Bakersfield

    $35.44

    $0.12 higher than Redding

  3. Chico

    $35.32

    The same base rate than Redding

  4. El Centro

    $35.33

    $0.01 higher than Redding

  5. Fresno

    $35.32

    The same base rate than Redding

  6. Hanford-Corcoran

    $35.32

    The same base rate than Redding

  7. Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    $36.91

    $1.59 higher than Redding

Other payment areas listed in California appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, 98972 ranges from $32.46 in Arkansas to $46.15 in Alaska*. This is a geographic range, not an average.

The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.

Compare all 108 other payment areas

  • Madera

    California · 98972

    Office

    $35.32

    Facility

    $29.47

    The same base rate than Redding for the office setting.

  • Merced

    California · 98972

    Office

    $35.32

    Facility

    $29.47

    The same base rate than Redding for the office setting.

  • Modesto

    California · 98972

    Office

    $35.32

    Facility

    $29.47

    The same base rate than Redding for the office setting.

  • Napa

    California · 98972

    Office

    $38.65

    Facility

    $31.61

    $3.33 higher than Redding for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 98972

    Office

    $36.55

    Facility

    $30.24

    $1.23 higher than Redding for the office setting.

  • Rest Of California

    California · 98972

    Office

    $35.32

    Facility

    $29.47

    The same base rate than Redding for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 98972

    Office

    $35.66

    Facility

    $29.81

    $0.34 higher than Redding for the office setting.

  • Sacramento-Roseville-Folsom

    California · 98972

    Office

    $36.46

    Facility

    $30.24

    $1.14 higher than Redding for the office setting.

  • Salinas

    California · 98972

    Office

    $36.30

    Facility

    $30.10

    $0.98 higher than Redding for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 98972

    Office

    $36.66

    Facility

    $30.27

    $1.34 higher than Redding for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 98972

    Office

    $40.30

    Facility

    $32.76

    $4.98 higher than Redding for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 98972

    Office

    $40.26

    Facility

    $32.73

    $4.94 higher than Redding for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 98972

    Office

    $41.05

    Facility

    $33.34

    $5.73 higher than Redding for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 98972

    Office

    $40.91

    Facility

    $33.20

    $5.59 higher than Redding for the office setting.

  • San Luis Obispo-Paso Robles

    California · 98972

    Office

    $35.77

    Facility

    $29.68

    $0.45 higher than Redding for the office setting.

  • Santa Cruz-Watsonville

    California · 98972

    Office

    $36.65

    Facility

    $30.16

    $1.33 higher than Redding for the office setting.

  • Santa Maria-Santa Barbara

    California · 98972

    Office

    $36.30

    Facility

    $30.07

    $0.98 higher than Redding for the office setting.

  • Santa Rosa-Petaluma

    California · 98972

    Office

    $36.99

    Facility

    $30.43

    $1.67 higher than Redding for the office setting.

  • Stockton

    California · 98972

    Office

    $35.32

    Facility

    $29.47

    The same base rate than Redding for the office setting.

  • Vallejo

    California · 98972

    Office

    $38.61

    Facility

    $31.56

    $3.29 higher than Redding for the office setting.

  • Visalia

    California · 98972

    Office

    $35.32

    Facility

    $29.47

    The same base rate than Redding for the office setting.

  • Yuba City

    California · 98972

    Office

    $35.32

    Facility

    $29.47

    The same base rate than Redding for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 98972

    Office

    $37.60

    Facility

    $31.31

    $2.28 higher than Redding for the office setting.

  • Miami

    Florida · 98972

    Office

    $36.36

    Facility

    $30.80

    $1.04 higher than Redding for the office setting.

  • Chicago

    Illinois · 98972

    Office

    $35.91

    Facility

    $30.54

    $0.59 higher than Redding for the office setting.

  • Manhattan

    New York · 98972

    Office

    $38.14

    Facility

    $31.93

    $2.82 higher than Redding for the office setting.

  • Alaska*

    Alaska · 98972

    Office

    $46.15

    Facility

    $40.46

    $10.83 higher than Redding for the office setting.

  • Alabama

    Alabama · 98972

    Office

    $32.67

    Facility

    $28.00

    $2.65 lower than Redding for the office setting.

  • Arkansas

    Arkansas · 98972

    Office

    $32.46

    Facility

    $27.87

    $2.86 lower than Redding for the office setting.

  • Arizona

    Arizona · 98972

    Office

    $33.94

    Facility

    $28.76

    $1.38 lower than Redding for the office setting.

  • Colorado

    Colorado · 98972

    Office

    $35.12

    Facility

    $29.44

    $0.20 lower than Redding for the office setting.

  • Connecticut

    Connecticut · 98972

    Office

    $35.87

    Facility

    $30.12

    $0.55 higher than Redding for the office setting.

  • Delaware

    Delaware · 98972

    Office

    $34.29

    Facility

    $29.01

    $1.03 lower than Redding for the office setting.

  • Fort Lauderdale

    Florida · 98972

    Office

    $35.35

    Facility

    $29.93

    $0.03 higher than Redding for the office setting.

  • Rest Of Florida

    Florida · 98972

    Office

    $34.45

    Facility

    $29.34

    $0.87 lower than Redding for the office setting.

  • Atlanta

    Georgia · 98972

    Office

    $34.84

    Facility

    $29.41

    $0.48 lower than Redding for the office setting.

  • Rest Of Georgia

    Georgia · 98972

    Office

    $33.48

    Facility

    $28.71

    $1.84 lower than Redding for the office setting.

  • Hawaii, Guam

    Hawaii · 98972

    Office

    $35.40

    Facility

    $29.32

    $0.08 higher than Redding for the office setting.

  • Iowa

    Iowa · 98972

    Office

    $32.92

    Facility

    $28.03

    $2.40 lower than Redding for the office setting.

  • Idaho

    Idaho · 98972

    Office

    $33.05

    Facility

    $28.13

    $2.27 lower than Redding for the office setting.

  • East St. Louis

    Illinois · 98972

    Office

    $34.59

    Facility

    $29.67

    $0.73 lower than Redding for the office setting.

  • Rest Of Illinois

    Illinois · 98972

    Office

    $34.07

    Facility

    $29.19

    $1.25 lower than Redding for the office setting.

  • Suburban Chicago

    Illinois · 98972

    Office

    $35.62

    Facility

    $30.13

    $0.30 higher than Redding for the office setting.

  • Indiana

    Indiana · 98972

    Office

    $33.13

    Facility

    $28.18

    $2.19 lower than Redding for the office setting.

  • Kansas

    Kansas · 98972

    Office

    $32.91

    Facility

    $28.08

    $2.41 lower than Redding for the office setting.

  • Kentucky

    Kentucky · 98972

    Office

    $33.17

    Facility

    $28.42

    $2.15 lower than Redding for the office setting.

  • New Orleans

    Louisiana · 98972

    Office

    $33.93

    Facility

    $28.90

    $1.39 lower than Redding for the office setting.

  • Rest Of Louisiana

    Louisiana · 98972

    Office

    $33.17

    Facility

    $28.44

    $2.15 lower than Redding for the office setting.

  • Metropolitan Boston

    Massachusetts · 98972

    Office

    $37.25

    Facility

    $30.87

    $1.93 higher than Redding for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 98972

    Office

    $35.12

    Facility

    $29.49

    $0.20 lower than Redding for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 98972

    Office

    $35.77

    Facility

    $30.03

    $0.45 higher than Redding for the office setting.

  • Rest Of Maryland

    Maryland · 98972

    Office

    $34.68

    Facility

    $29.27

    $0.64 lower than Redding for the office setting.

  • Rest Of Maine

    Maine · 98972

    Office

    $33.20

    Facility

    $28.28

    $2.12 lower than Redding for the office setting.

  • Southern Maine

    Maine · 98972

    Office

    $33.94

    Facility

    $28.64

    $1.38 lower than Redding for the office setting.

  • Detroit

    Michigan · 98972

    Office

    $34.73

    Facility

    $29.57

    $0.59 lower than Redding for the office setting.

  • Rest Of Michigan

    Michigan · 98972

    Office

    $33.63

    Facility

    $28.75

    $1.69 lower than Redding for the office setting.

  • Minnesota

    Minnesota · 98972

    Office

    $34.00

    Facility

    $28.50

    $1.32 lower than Redding for the office setting.

  • Metropolitan Kansas City

    Missouri · 98972

    Office

    $33.75

    Facility

    $28.73

    $1.57 lower than Redding for the office setting.

  • Metropolitan St. Louis

    Missouri · 98972

    Office

    $33.91

    Facility

    $28.82

    $1.41 lower than Redding for the office setting.

  • Rest Of Missouri

    Missouri · 98972

    Office

    $32.95

    Facility

    $28.34

    $2.37 lower than Redding for the office setting.

  • Mississippi

    Mississippi · 98972

    Office

    $32.70

    Facility

    $28.10

    $2.62 lower than Redding for the office setting.

  • Montana**

    Montana · 98972

    Office

    $34.40

    Facility

    $29.06

    $0.92 lower than Redding for the office setting.

  • North Carolina

    North Carolina · 98972

    Office

    $33.35

    Facility

    $28.36

    $1.97 lower than Redding for the office setting.

  • North Dakota**

    North Dakota · 98972

    Office

    $33.81

    Facility

    $28.46

    $1.51 lower than Redding for the office setting.

  • Nebraska

    Nebraska · 98972

    Office

    $32.98

    Facility

    $28.05

    $2.34 lower than Redding for the office setting.

  • New Hampshire

    New Hampshire · 98972

    Office

    $34.70

    Facility

    $29.14

    $0.62 lower than Redding for the office setting.

  • Northern Nj

    New Jersey · 98972

    Office

    $37.58

    Facility

    $31.38

    $2.26 higher than Redding for the office setting.

  • Rest Of New Jersey

    New Jersey · 98972

    Office

    $36.37

    Facility

    $30.54

    $1.05 higher than Redding for the office setting.

  • New Mexico

    New Mexico · 98972

    Office

    $33.74

    Facility

    $28.84

    $1.58 lower than Redding for the office setting.

  • Nevada**

    Nevada · 98972

    Office

    $34.25

    Facility

    $28.90

    $1.07 lower than Redding for the office setting.

  • Nyc Suburbs/Long Island

    New York · 98972

    Office

    $38.69

    Facility

    $32.34

    $3.37 higher than Redding for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 98972

    Office

    $36.63

    Facility

    $30.78

    $1.31 higher than Redding for the office setting.

  • Queens

    New York · 98972

    Office

    $38.21

    Facility

    $31.89

    $2.89 higher than Redding for the office setting.

  • Rest Of New York

    New York · 98972

    Office

    $33.59

    Facility

    $28.51

    $1.73 lower than Redding for the office setting.

  • Ohio

    Ohio · 98972

    Office

    $33.51

    Facility

    $28.63

    $1.81 lower than Redding for the office setting.

  • Oklahoma

    Oklahoma · 98972

    Office

    $33.07

    Facility

    $28.30

    $2.25 lower than Redding for the office setting.

  • Portland

    Oregon · 98972

    Office

    $35.66

    Facility

    $29.73

    $0.34 higher than Redding for the office setting.

  • Rest Of Oregon

    Oregon · 98972

    Office

    $34.06

    Facility

    $28.74

    $1.26 lower than Redding for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 98972

    Office

    $35.44

    Facility

    $29.87

    $0.12 higher than Redding for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 98972

    Office

    $33.50

    Facility

    $28.59

    $1.82 lower than Redding for the office setting.

  • Puerto Rico

    Puerto Rico · 98972

    Office

    $34.50

    Facility

    $29.10

    $0.82 lower than Redding for the office setting.

  • Rhode Island

    Rhode Island · 98972

    Office

    $35.07

    Facility

    $29.55

    $0.25 lower than Redding for the office setting.

  • South Carolina

    South Carolina · 98972

    Office

    $33.47

    Facility

    $28.53

    $1.85 lower than Redding for the office setting.

  • South Dakota**

    South Dakota · 98972

    Office

    $33.74

    Facility

    $28.39

    $1.58 lower than Redding for the office setting.

  • Tennessee

    Tennessee · 98972

    Office

    $33.00

    Facility

    $28.14

    $2.32 lower than Redding for the office setting.

  • Austin

    Texas · 98972

    Office

    $34.94

    Facility

    $29.28

    $0.38 lower than Redding for the office setting.

  • Beaumont

    Texas · 98972

    Office

    $33.40

    Facility

    $28.54

    $1.92 lower than Redding for the office setting.

  • Brazoria

    Texas · 98972

    Office

    $34.27

    Facility

    $28.98

    $1.05 lower than Redding for the office setting.

  • Dallas

    Texas · 98972

    Office

    $34.43

    Facility

    $29.10

    $0.89 lower than Redding for the office setting.

  • Fort Worth

    Texas · 98972

    Office

    $34.34

    Facility

    $29.07

    $0.98 lower than Redding for the office setting.

  • Galveston

    Texas · 98972

    Office

    $34.34

    Facility

    $29.04

    $0.98 lower than Redding for the office setting.

  • Houston

    Texas · 98972

    Office

    $34.89

    Facility

    $29.58

    $0.43 lower than Redding for the office setting.

  • Rest Of Texas

    Texas · 98972

    Office

    $33.78

    Facility

    $28.71

    $1.54 lower than Redding for the office setting.

  • Utah

    Utah · 98972

    Office

    $33.68

    Facility

    $28.66

    $1.64 lower than Redding for the office setting.

  • Virginia

    Virginia · 98972

    Office

    $33.93

    Facility

    $28.68

    $1.39 lower than Redding for the office setting.

  • Virgin Islands

    United States Virgin Islands · 98972

    Office

    $34.50

    Facility

    $29.10

    $0.82 lower than Redding for the office setting.

  • Vermont

    Vermont · 98972

    Office

    $33.80

    Facility

    $28.51

    $1.52 lower than Redding for the office setting.

  • Rest Of Washington

    Washington · 98972

    Office

    $35.01

    Facility

    $29.38

    $0.31 lower than Redding for the office setting.

  • Seattle (King Cnty)

    Washington · 98972

    Office

    $37.72

    Facility

    $31.17

    $2.40 higher than Redding for the office setting.

  • Wisconsin

    Wisconsin · 98972

    Office

    $33.27

    Facility

    $28.15

    $2.05 lower than Redding for the office setting.

  • West Virginia

    West Virginia · 98972

    Office

    $33.48

    Facility

    $28.83

    $1.84 lower than Redding for the office setting.

  • Wyoming**

    Wyoming · 98972

    Office

    $34.14

    Facility

    $28.80

    $1.18 lower than Redding for the office setting.

See how rates vary across the country

98972 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

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.

$32.46

$46.15

Color shows the midpoint of each state’s locality range.

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$46.151
AL$32.671
AR$32.461
AZ$33.941
CA$35.32–$41.0529
CO$35.121
CT$35.871
DC$37.601
DE$34.291
FL$34.45–$36.363
GA$33.48–$34.842
GU$35.401
HI$35.401
IA$32.921
ID$33.051
IL$34.07–$35.914
IN$33.131
KS$32.911
KY$33.171
LA$33.17–$33.932
MA$35.12–$37.252
MD$34.68–$37.603
ME$33.20–$33.942
MI$33.63–$34.732
MN$34.001
MO$32.95–$33.913
MS$32.701
MT$34.401
NC$33.351
ND$33.811
NE$32.981
NH$34.701
NJ$36.37–$37.582
NM$33.741
NV$34.251
NY$33.59–$38.695
OH$33.511
OK$33.071
OR$34.06–$35.662
PA$33.50–$35.442
PR$34.501
RI$35.071
SC$33.471
SD$33.741
TN$33.001
TX$33.40–$34.948
UT$33.681
VA$33.93–$37.602
VI$34.501
VT$33.801
WA$35.01–$37.722
WI$33.271
WV$33.481
WY$34.141

Explore 98972 on the national rate map →

Where does this rate apply?

Redding is a Medicare payment area. Our Census mapping connects it to 32 cities and communities in California, including the examples shown here.

Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.

Browse all communities in California →

Why are the office and facility amounts different?

For 98972 in Redding, the physician’s office rate is $35.32 and the facility-setting rate is $29.47: a difference of $5.85.

The calculation uses a different practice-expense RVU for each setting. Both amounts here are physician fee-schedule amounts. The facility figure does not include a hospital’s separate charges, so this comparison does not tell you the total cost of receiving care in each setting.

See the inputs behind this difference →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 98972 in Redding. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$38.85

$35.32 × 110% = $38.85

A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.

Working with a whole code list?

Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.

Compare your contract offer →

How this local rate is calculated

Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 98972 in Redding.

PPRRVU2026_Oct_nonQPP.csv

12,954

Code
98972
Physician work
0.69
Practice expense
0.31
Malpractice
0.03

GPCI2026.csv

19

Locality
Redding
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 98972 in Redding
ComponentRVULocality factorAdjusted
Physician work0.69× 1.0170.7017
Practice expense0.31× 1.0960.3398
Malpractice0.03× 0.5360.0161
Total RVUs1.0576
Conversion factor× 33.4009

Office / nonfacility rate, Redding$35.32

Open 98972 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.691.017
Practice expense0.311.096
Malpractice0.030.536

(0.69 × 1.017 + 0.31 × 1.096 + 0.03 × 0.536) × $33.4009 = $35.32

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work0.691.017
Practice expense0.151.096
Malpractice0.030.536

(0.69 × 1.017 + 0.15 × 1.096 + 0.03 × 0.536) × $33.4009 = $29.47

The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.

How this rate has changed

98972 · Office / nonfacility

$35.32

Effective 2026-10-01

The base rate is $2.25 higher than on 2025-10-01, moving from $33.07 to $35.32 (6.8%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release

  1. January 1, 2026

    RVU26A

    $33.07changed to$35.32

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 0.28 changed to 0.31
    • Work GPCI 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.560 changed to 0.536

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $33.07

    Held through RVU25B, RVU25C, RVU25D.

Explore release dates and calculate this code in an earlier period →

Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.

Inspect every release and its CMS source
Effective fromOffice / nonfacilityFacilityCMS release
2026-10-01$35.32$29.47RVU26D
2026-07-01$35.32$29.47RVU26C
2026-04-01$35.32$29.47RVU26B
2026-01-01$35.32$29.47RVU26A
2025-10-01$33.07$32.72RVU25D
2025-07-01$33.07$32.72RVU25C
2025-04-01$33.07$32.72RVU25B
2025-01-01$33.07$32.72RVU25A

98972 billing questions

When should 98972 be selected instead of 98971?

Use 98972 when cumulative online assessment and management time reaches 21 minutes or more during the service period. Code 98971 covers the shorter 11-to-20-minute level.

Can each portal message be billed separately?

No. Select the code using the cumulative qualifying time for the online service period, not the number of messages exchanged.

How is 98972 different from telephone code 98968?

98972 represents an online digital exchange. Code 98968 represents telephone assessment and management and uses a 21-to-30-minute time range.

What should the record show?

Document the established patient's concern, the online assessment and management performed, the relevant exchange, and the cumulative time supporting the 21-minute threshold.

Does 98972 describe a live video visit?

No. It describes assessment and management through an online digital exchange, not a synchronous video encounter.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.

Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.

RVUs for 98972PPRRVU2026_Oct_nonQPP.csv, line 12,954 (RVU26D)
Geographic factors for ReddingGPCI2026.csv, line 19 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet