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CMS RVU26D · Effective 2026-10-01

98971 in Vallejo

Office / nonfacility

$26.05

Base rate per service

Facility setting

$20.77

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.

Digital assessment

About 98971: Online digital assessment and management, 11-20 minutes

Reports qualified nonphysician health care professional assessment and management through online digital communication when cumulative clinician time reaches 11-20 minutes over seven days.

A qualified nonphysician health care professional uses online digital communication to assess and manage an established patient’s health concern. The service may include reviewing the patient’s submitted information, evaluating the issue, and communicating a clinical assessment or management plan through a patient portal or similar digital platform. It is distinct from a telephone assessment and management service, even when both address a similar concern.

Select this level when the professional’s cumulative time performing the qualifying digital assessment and management reaches 11-20 minutes during the seven-day period. The patient’s messages and the professional’s clinical work should support the concern addressed, the assessment or management provided, and the time counted. Report the service for the digital episode rather than assigning separate units to each message. CMS values the service through work, practice-expense, and malpractice relative value units in the Physician Fee Schedule.

Where the value comes from

  • Work RVU0.44 · 64%
  • Practice expense (office) RVU0.23 · 33%
  • Malpractice RVU0.02 · 3%

785

Medicare services in 2024 · #3167 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.

98971 compared with similar codes

Office rates for Vallejo, from the same CMS release.

98970

Digital assessment

Qualified nonphysician, 5–10 minutes

$13.87

Use 98970 when cumulative digital assessment and management time is 5-10 minutes; 98971 requires 11-20 minutes.

98972

Digital assessment

21 or more minutes

$38.61

Use 98972 when cumulative digital assessment and management time reaches 21 minutes or more; 98971 is for 11-20 minutes.

98967

Telephone assessment

11–20 minutes

$28.18

Both cover 11-20 minutes of qualified nonphysician professional assessment and management, but 98967 is for telephone service and 98971 is for online digital communication.

99421

Online E/M

5–10 minutes over seven days

$17.99

99421 is the 5-10-minute online digital evaluation and management level in the physician or other qualified health care professional code family; 98971 is the 11-20-minute level for a qualified nonphysician health care professional.

The same code, a different location

How does Vallejo compare?

In Bakersfield, the office rate for 98971 is $23.80—$2.25 lower than the $26.05 rate in Vallejo. Both use the same code, release and participation basis.

98971 across payment areas

Same release and payment basis · bars start at $0

  1. Vallejo · This locality

    $26.05

  2. Bakersfield

    $23.80

    $2.25 lower than Vallejo

  3. Chico

    $23.72

    $2.33 lower than Vallejo

  4. El Centro

    $23.73

    $2.32 lower than Vallejo

  5. Fresno

    $23.72

    $2.33 lower than Vallejo

  6. Hanford-Corcoran

    $23.72

    $2.33 lower than Vallejo

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

    $24.83

    $1.22 lower than Vallejo

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, 98971 ranges from $21.64 in Arkansas to $30.59 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 · 98971

    Office

    $23.72

    Facility

    $19.33

    $2.33 lower than Vallejo for the office setting.

  • Merced

    California · 98971

    Office

    $23.72

    Facility

    $19.33

    $2.33 lower than Vallejo for the office setting.

  • Modesto

    California · 98971

    Office

    $23.72

    Facility

    $19.33

    $2.33 lower than Vallejo for the office setting.

  • Napa

    California · 98971

    Office

    $26.09

    Facility

    $20.80

    $0.04 higher than Vallejo for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 98971

    Office

    $24.60

    Facility

    $19.87

    $1.45 lower than Vallejo for the office setting.

  • Redding

    California · 98971

    Office

    $23.72

    Facility

    $19.33

    $2.33 lower than Vallejo for the office setting.

  • Rest Of California

    California · 98971

    Office

    $23.72

    Facility

    $19.33

    $2.33 lower than Vallejo for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 98971

    Office

    $23.95

    Facility

    $19.56

    $2.10 lower than Vallejo for the office setting.

  • Sacramento-Roseville-Folsom

    California · 98971

    Office

    $24.52

    Facility

    $19.86

    $1.53 lower than Vallejo for the office setting.

  • Salinas

    California · 98971

    Office

    $24.41

    Facility

    $19.77

    $1.64 lower than Vallejo for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 98971

    Office

    $24.69

    Facility

    $19.89

    $1.36 lower than Vallejo for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 98971

    Office

    $27.23

    Facility

    $21.58

    $1.18 higher than Vallejo for the office setting.

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

    California · 98971

    Office

    $27.21

    Facility

    $21.56

    $1.16 higher than Vallejo for the office setting.

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

    California · 98971

    Office

    $27.75

    Facility

    $21.97

    $1.70 higher than Vallejo for the office setting.

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

    California · 98971

    Office

    $27.66

    Facility

    $21.88

    $1.61 higher than Vallejo for the office setting.

  • San Luis Obispo-Paso Robles

    California · 98971

    Office

    $24.05

    Facility

    $19.49

    $2.00 lower than Vallejo for the office setting.

  • Santa Cruz-Watsonville

    California · 98971

    Office

    $24.70

    Facility

    $19.83

    $1.35 lower than Vallejo for the office setting.

  • Santa Maria-Santa Barbara

    California · 98971

    Office

    $24.42

    Facility

    $19.75

    $1.63 lower than Vallejo for the office setting.

  • Santa Rosa-Petaluma

    California · 98971

    Office

    $24.93

    Facility

    $20.01

    $1.12 lower than Vallejo for the office setting.

  • Stockton

    California · 98971

    Office

    $23.72

    Facility

    $19.33

    $2.33 lower than Vallejo for the office setting.

  • Visalia

    California · 98971

    Office

    $23.72

    Facility

    $19.33

    $2.33 lower than Vallejo for the office setting.

  • Yuba City

    California · 98971

    Office

    $23.72

    Facility

    $19.33

    $2.33 lower than Vallejo for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 98971

    Office

    $25.28

    Facility

    $20.56

    $0.77 lower than Vallejo for the office setting.

  • Miami

    Florida · 98971

    Office

    $24.38

    Facility

    $20.21

    $1.67 lower than Vallejo for the office setting.

  • Chicago

    Illinois · 98971

    Office

    $24.05

    Facility

    $20.02

    $2.00 lower than Vallejo for the office setting.

  • Manhattan

    New York · 98971

    Office

    $25.62

    Facility

    $20.97

    $0.43 lower than Vallejo for the office setting.

  • Alaska*

    Alaska · 98971

    Office

    $30.59

    Facility

    $26.33

    $4.54 higher than Vallejo for the office setting.

  • Alabama

    Alabama · 98971

    Office

    $21.80

    Facility

    $18.29

    $4.25 lower than Vallejo for the office setting.

  • Arkansas

    Arkansas · 98971

    Office

    $21.64

    Facility

    $18.20

    $4.41 lower than Vallejo for the office setting.

  • Arizona

    Arizona · 98971

    Office

    $22.71

    Facility

    $18.83

    $3.34 lower than Vallejo for the office setting.

  • Colorado

    Colorado · 98971

    Office

    $23.57

    Facility

    $19.30

    $2.48 lower than Vallejo for the office setting.

  • Connecticut

    Connecticut · 98971

    Office

    $24.07

    Facility

    $19.76

    $1.98 lower than Vallejo for the office setting.

  • Delaware

    Delaware · 98971

    Office

    $22.96

    Facility

    $19.00

    $3.09 lower than Vallejo for the office setting.

  • Fort Lauderdale

    Florida · 98971

    Office

    $23.69

    Facility

    $19.63

    $2.36 lower than Vallejo for the office setting.

  • Rest Of Florida

    Florida · 98971

    Office

    $23.04

    Facility

    $19.21

    $3.01 lower than Vallejo for the office setting.

  • Atlanta

    Georgia · 98971

    Office

    $23.35

    Facility

    $19.28

    $2.70 lower than Vallejo for the office setting.

  • Rest Of Georgia

    Georgia · 98971

    Office

    $22.35

    Facility

    $18.77

    $3.70 lower than Vallejo for the office setting.

  • Hawaii, Guam

    Hawaii · 98971

    Office

    $23.82

    Facility

    $19.26

    $2.23 lower than Vallejo for the office setting.

  • Iowa

    Iowa · 98971

    Office

    $21.99

    Facility

    $18.32

    $4.06 lower than Vallejo for the office setting.

  • Idaho

    Idaho · 98971

    Office

    $22.08

    Facility

    $18.39

    $3.97 lower than Vallejo for the office setting.

  • East St. Louis

    Illinois · 98971

    Office

    $23.11

    Facility

    $19.42

    $2.94 lower than Vallejo for the office setting.

  • Rest Of Illinois

    Illinois · 98971

    Office

    $22.75

    Facility

    $19.09

    $3.30 lower than Vallejo for the office setting.

  • Suburban Chicago

    Illinois · 98971

    Office

    $23.87

    Facility

    $19.76

    $2.18 lower than Vallejo for the office setting.

  • Indiana

    Indiana · 98971

    Office

    $22.14

    Facility

    $18.43

    $3.91 lower than Vallejo for the office setting.

  • Kansas

    Kansas · 98971

    Office

    $21.98

    Facility

    $18.35

    $4.07 lower than Vallejo for the office setting.

  • Kentucky

    Kentucky · 98971

    Office

    $22.14

    Facility

    $18.57

    $3.91 lower than Vallejo for the office setting.

  • New Orleans

    Louisiana · 98971

    Office

    $22.68

    Facility

    $18.91

    $3.37 lower than Vallejo for the office setting.

  • Rest Of Louisiana

    Louisiana · 98971

    Office

    $22.14

    Facility

    $18.59

    $3.91 lower than Vallejo for the office setting.

  • Metropolitan Boston

    Massachusetts · 98971

    Office

    $25.07

    Facility

    $20.28

    $0.98 lower than Vallejo for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 98971

    Office

    $23.55

    Facility

    $19.33

    $2.50 lower than Vallejo for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 98971

    Office

    $24.00

    Facility

    $19.70

    $2.05 lower than Vallejo for the office setting.

  • Rest Of Maryland

    Maryland · 98971

    Office

    $23.23

    Facility

    $19.17

    $2.82 lower than Vallejo for the office setting.

  • Rest Of Maine

    Maine · 98971

    Office

    $22.18

    Facility

    $18.49

    $3.87 lower than Vallejo for the office setting.

  • Southern Maine

    Maine · 98971

    Office

    $22.73

    Facility

    $18.76

    $3.32 lower than Vallejo for the office setting.

  • Detroit

    Michigan · 98971

    Office

    $23.24

    Facility

    $19.37

    $2.81 lower than Vallejo for the office setting.

  • Rest Of Michigan

    Michigan · 98971

    Office

    $22.46

    Facility

    $18.81

    $3.59 lower than Vallejo for the office setting.

  • Minnesota

    Minnesota · 98971

    Office

    $22.80

    Facility

    $18.67

    $3.25 lower than Vallejo for the office setting.

  • Metropolitan Kansas City

    Missouri · 98971

    Office

    $22.56

    Facility

    $18.80

    $3.49 lower than Vallejo for the office setting.

  • Metropolitan St. Louis

    Missouri · 98971

    Office

    $22.68

    Facility

    $18.86

    $3.37 lower than Vallejo for the office setting.

  • Rest Of Missouri

    Missouri · 98971

    Office

    $21.97

    Facility

    $18.51

    $4.08 lower than Vallejo for the office setting.

  • Mississippi

    Mississippi · 98971

    Office

    $21.80

    Facility

    $18.35

    $4.25 lower than Vallejo for the office setting.

  • Montana**

    Montana · 98971

    Office

    $23.05

    Facility

    $19.04

    $3.00 lower than Vallejo for the office setting.

  • North Carolina

    North Carolina · 98971

    Office

    $22.29

    Facility

    $18.55

    $3.76 lower than Vallejo for the office setting.

  • North Dakota**

    North Dakota · 98971

    Office

    $22.65

    Facility

    $18.64

    $3.40 lower than Vallejo for the office setting.

  • Nebraska

    Nebraska · 98971

    Office

    $22.04

    Facility

    $18.34

    $4.01 lower than Vallejo for the office setting.

  • New Hampshire

    New Hampshire · 98971

    Office

    $23.28

    Facility

    $19.11

    $2.77 lower than Vallejo for the office setting.

  • Northern Nj

    New Jersey · 98971

    Office

    $25.25

    Facility

    $20.60

    $0.80 lower than Vallejo for the office setting.

  • Rest Of New Jersey

    New Jersey · 98971

    Office

    $24.41

    Facility

    $20.03

    $1.64 lower than Vallejo for the office setting.

  • New Mexico

    New Mexico · 98971

    Office

    $22.54

    Facility

    $18.87

    $3.51 lower than Vallejo for the office setting.

  • Nevada**

    Nevada · 98971

    Office

    $22.94

    Facility

    $18.93

    $3.11 lower than Vallejo for the office setting.

  • Nyc Suburbs/Long Island

    New York · 98971

    Office

    $26.01

    Facility

    $21.25

    $0.04 lower than Vallejo for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 98971

    Office

    $24.58

    Facility

    $20.19

    $1.47 lower than Vallejo for the office setting.

  • Queens

    New York · 98971

    Office

    $25.68

    Facility

    $20.94

    $0.37 lower than Vallejo for the office setting.

  • Rest Of New York

    New York · 98971

    Office

    $22.46

    Facility

    $18.66

    $3.59 lower than Vallejo for the office setting.

  • Ohio

    Ohio · 98971

    Office

    $22.38

    Facility

    $18.72

    $3.67 lower than Vallejo for the office setting.

  • Oklahoma

    Oklahoma · 98971

    Office

    $22.08

    Facility

    $18.50

    $3.97 lower than Vallejo for the office setting.

  • Portland

    Oregon · 98971

    Office

    $23.96

    Facility

    $19.51

    $2.09 lower than Vallejo for the office setting.

  • Rest Of Oregon

    Oregon · 98971

    Office

    $22.82

    Facility

    $18.83

    $3.23 lower than Vallejo for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 98971

    Office

    $23.76

    Facility

    $19.58

    $2.29 lower than Vallejo for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 98971

    Office

    $22.38

    Facility

    $18.70

    $3.67 lower than Vallejo for the office setting.

  • Puerto Rico

    Puerto Rico · 98971

    Office

    $23.12

    Facility

    $19.07

    $2.93 lower than Vallejo for the office setting.

  • Rhode Island

    Rhode Island · 98971

    Office

    $23.51

    Facility

    $19.37

    $2.54 lower than Vallejo for the office setting.

  • South Carolina

    South Carolina · 98971

    Office

    $22.36

    Facility

    $18.66

    $3.69 lower than Vallejo for the office setting.

  • South Dakota**

    South Dakota · 98971

    Office

    $22.60

    Facility

    $18.59

    $3.45 lower than Vallejo for the office setting.

  • Tennessee

    Tennessee · 98971

    Office

    $22.04

    Facility

    $18.39

    $4.01 lower than Vallejo for the office setting.

  • Austin

    Texas · 98971

    Office

    $23.45

    Facility

    $19.20

    $2.60 lower than Vallejo for the office setting.

  • Beaumont

    Texas · 98971

    Office

    $22.31

    Facility

    $18.66

    $3.74 lower than Vallejo for the office setting.

  • Brazoria

    Texas · 98971

    Office

    $22.95

    Facility

    $18.98

    $3.10 lower than Vallejo for the office setting.

  • Dallas

    Texas · 98971

    Office

    $23.05

    Facility

    $19.06

    $3.00 lower than Vallejo for the office setting.

  • Fort Worth

    Texas · 98971

    Office

    $22.99

    Facility

    $19.03

    $3.06 lower than Vallejo for the office setting.

  • Galveston

    Texas · 98971

    Office

    $23.00

    Facility

    $19.02

    $3.05 lower than Vallejo for the office setting.

  • Houston

    Texas · 98971

    Office

    $23.36

    Facility

    $19.38

    $2.69 lower than Vallejo for the office setting.

  • Rest Of Texas

    Texas · 98971

    Office

    $22.59

    Facility

    $18.79

    $3.46 lower than Vallejo for the office setting.

  • Utah

    Utah · 98971

    Office

    $22.52

    Facility

    $18.75

    $3.53 lower than Vallejo for the office setting.

  • Virginia

    Virginia · 98971

    Office

    $22.72

    Facility

    $18.78

    $3.33 lower than Vallejo for the office setting.

  • Virgin Islands

    United States Virgin Islands · 98971

    Office

    $23.12

    Facility

    $19.07

    $2.93 lower than Vallejo for the office setting.

  • Vermont

    Vermont · 98971

    Office

    $22.64

    Facility

    $18.67

    $3.41 lower than Vallejo for the office setting.

  • Rest Of Washington

    Washington · 98971

    Office

    $23.49

    Facility

    $19.26

    $2.56 lower than Vallejo for the office setting.

  • Seattle (King Cnty)

    Washington · 98971

    Office

    $25.40

    Facility

    $20.49

    $0.65 lower than Vallejo for the office setting.

  • Wisconsin

    Wisconsin · 98971

    Office

    $22.26

    Facility

    $18.42

    $3.79 lower than Vallejo for the office setting.

  • West Virginia

    West Virginia · 98971

    Office

    $22.33

    Facility

    $18.85

    $3.72 lower than Vallejo for the office setting.

  • Wyoming**

    Wyoming · 98971

    Office

    $22.87

    Facility

    $18.86

    $3.18 lower than Vallejo for the office setting.

See how rates vary across the country

98971 · 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.

$21.64

$30.59

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$30.591
AL$21.801
AR$21.641
AZ$22.711
CA$23.72–$27.7529
CO$23.571
CT$24.071
DC$25.281
DE$22.961
FL$23.04–$24.383
GA$22.35–$23.352
GU$23.821
HI$23.821
IA$21.991
ID$22.081
IL$22.75–$24.054
IN$22.141
KS$21.981
KY$22.141
LA$22.14–$22.682
MA$23.55–$25.072
MD$23.23–$25.283
ME$22.18–$22.732
MI$22.46–$23.242
MN$22.801
MO$21.97–$22.683
MS$21.801
MT$23.051
NC$22.291
ND$22.651
NE$22.041
NH$23.281
NJ$24.41–$25.252
NM$22.541
NV$22.941
NY$22.46–$26.015
OH$22.381
OK$22.081
OR$22.82–$23.962
PA$22.38–$23.762
PR$23.121
RI$23.511
SC$22.361
SD$22.601
TN$22.041
TX$22.31–$23.458
UT$22.521
VA$22.72–$25.282
VI$23.121
VT$22.641
WA$23.49–$25.402
WI$22.261
WV$22.331
WY$22.871

Explore 98971 on the national rate map →

Where does this rate apply?

Vallejo is a Medicare payment area. Our Census mapping connects it to 11 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 98971 in Vallejo, the physician’s office rate is $26.05 and the facility-setting rate is $20.77: a difference of $5.28.

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 98971 in Vallejo. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$28.66

$26.05 × 110% = $28.66

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 98971 in Vallejo.

PPRRVU2026_Oct_nonQPP.csv

12,953

Code
98971
Physician work
0.44
Practice expense
0.23
Malpractice
0.02

GPCI2026.csv

33

Locality
Vallejo
Physician work
1.063
Practice expense
1.318
Malpractice
0.459
Office / nonfacility calculation for 98971 in Vallejo
ComponentRVULocality factorAdjusted
Physician work0.44× 1.0630.4677
Practice expense0.23× 1.3180.3031
Malpractice0.02× 0.4590.0092
Total RVUs0.7800
Conversion factor× 33.4009

Office / nonfacility rate, Vallejo$26.05

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.

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Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.441.063
Practice expense0.231.318
Malpractice0.020.459

(0.44 × 1.063 + 0.23 × 1.318 + 0.02 × 0.459) × $33.4009 = $26.05

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work0.441.063
Practice expense0.111.318
Malpractice0.020.459

(0.44 × 1.063 + 0.11 × 1.318 + 0.02 × 0.459) × $33.4009 = $20.77

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

98971 · Office / nonfacility

$26.05

Effective 2026-10-01

The base rate is $2.48 higher than on 2025-10-01, moving from $23.57 to $26.05 (10.5%).

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

    $23.57changed to$26.05

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 0.19 changed to 0.23
    • Malpractice RVU 0.03 changed to 0.02
    • Work GPCI 1.058 changed to 1.063
    • Practice expense GPCI 1.310 changed to 1.318
    • Malpractice GPCI 0.470 changed to 0.459

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $23.57

    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$26.05$20.77RVU26D
2026-07-01$26.05$20.77RVU26C
2026-04-01$26.05$20.77RVU26B
2026-01-01$26.05$20.77RVU26A
2025-10-01$23.57$23.57RVU25D
2025-07-01$23.57$23.57RVU25C
2025-04-01$23.57$23.57RVU25B
2025-01-01$23.57$23.57RVU25A

98971 billing questions

How does 98971 differ from 98970 and 98972?

The distinction is cumulative professional time during the seven-day period: 98970 covers 5-10 minutes, 98971 covers 11-20 minutes, and 98972 covers 21 minutes or more.

Can the service be reported for a phone call?

No. This code is for online digital assessment and management; telephone assessment and management by a qualified nonphysician professional is represented by 98966-98968.

How is time counted when there are several messages?

Combine the professional’s qualifying time spent on the digital assessment and management during the seven-day period. Do not count the patient’s elapsed time between messages as professional time.

What documentation supports 98971?

Record the patient’s digital concern, the professional’s assessment or management, the communication provided, and the cumulative time supporting the 11-20-minute level.

Can a physician report 98971?

This code is for an online digital assessment and management service performed by a qualified nonphysician health care professional. Physician online digital evaluation and management is represented by a separate code family, including 99421-99423.

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 98971PPRRVU2026_Oct_nonQPP.csv, line 12,953 (RVU26D)
Geographic factors for VallejoGPCI2026.csv, line 33 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet