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CMS RVU26D · Effective 2026-10-01

98967 in Wyoming**

Office / nonfacility

$24.88

Base rate per service

Facility setting

$19.87

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.

Telephone services

About 98967: Established patient telephone assessment

Reports 11–20 minutes of medical discussion by a qualified nonphysician health care professional with an established patient, parent, or guardian by telephone.

This service covers a telephone medical discussion between a qualified nonphysician health care professional and an established patient, parent, or guardian. An NP or PA may use it to assess a change in symptoms, discuss a medication response, or address another clinical concern that can be managed by phone. It is a discussion service, not an online exchange or patient self-management education session.

Select 98967 when the medical discussion lasts 11–20 minutes; use the adjacent telephone codes for shorter or longer discussions. Document the recipient, clinical issue, assessment or management provided, and time spent in medical discussion. The CPT reporting criteria exclude a call that arises from a related assessment and management service in the prior 7 days or leads to an assessment and management service or procedure within 24 hours or the soonest available appointment. CMS PFS data assign work, practice-expense, and malpractice RVUs, with separate office and facility practice-expense inputs.

Where the value comes from

  • Work RVU0.50 · 67%
  • Practice expense (office) RVU0.23 · 31%
  • Malpractice RVU0.02 · 3%

9.6K

Medicare services in 2024 · #1492 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.

98967 compared with similar codes

Office rates for Wyoming**, from the same CMS release.

98966

Telephone assessment

5–10 minutes

$13.61

Choose 98966 for 5–10 minutes of medical discussion; 98967 requires 11–20 minutes.

98968

Telephone management

21–30 minutes

$34.56

Choose 98968 when the medical discussion lasts 21–30 minutes; 98967 covers 11–20 minutes.

98971

Digital assessment

11-20 minutes

$22.87

98971 describes online digital assessment and management time accumulated over 7 days, rather than a telephone discussion.

The same code, a different location

How does Wyoming** compare?

98967 across payment areas

Same release and payment basis · bars start at $0

  1. Wyoming** · This locality

    $24.88

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

    $26.92

    $2.04 higher than Wyoming**

  3. Dc + Md/Va Suburbs

    $27.40

    $2.52 higher than Wyoming**

  4. Miami

    $26.39

    $1.51 higher than Wyoming**

  5. Chicago

    $26.07

    $1.19 higher than Wyoming**

  6. Manhattan

    $27.76

    $2.88 higher than Wyoming**

  7. Alaska*

    $33.60

    $8.72 higher than Wyoming**

Other payment areas listed in Wyoming 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, 98967 ranges from $23.64 in Arkansas to $33.60 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

  • Alabama

    Alabama · 98967

    Office

    $23.80

    Facility

    $19.42

    $1.08 lower than Wyoming** for the office setting.

  • Arkansas

    Arkansas · 98967

    Office

    $23.64

    Facility

    $19.34

    $1.24 lower than Wyoming** for the office setting.

  • Arizona

    Arizona · 98967

    Office

    $24.72

    Facility

    $19.86

    $0.16 lower than Wyoming** for the office setting.

  • Bakersfield

    California · 98967

    Office

    $25.84

    Facility

    $20.35

    $0.96 higher than Wyoming** for the office setting.

  • Chico

    California · 98967

    Office

    $25.76

    Facility

    $20.27

    $0.88 higher than Wyoming** for the office setting.

  • El Centro

    California · 98967

    Office

    $25.77

    Facility

    $20.27

    $0.89 higher than Wyoming** for the office setting.

  • Fresno

    California · 98967

    Office

    $25.76

    Facility

    $20.27

    $0.88 higher than Wyoming** for the office setting.

  • Hanford-Corcoran

    California · 98967

    Office

    $25.76

    Facility

    $20.27

    $0.88 higher than Wyoming** for the office setting.

  • Madera

    California · 98967

    Office

    $25.76

    Facility

    $20.27

    $0.88 higher than Wyoming** for the office setting.

  • Merced

    California · 98967

    Office

    $25.76

    Facility

    $20.27

    $0.88 higher than Wyoming** for the office setting.

  • Modesto

    California · 98967

    Office

    $25.76

    Facility

    $20.27

    $0.88 higher than Wyoming** for the office setting.

  • Napa

    California · 98967

    Office

    $28.22

    Facility

    $21.61

    $3.34 higher than Wyoming** for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 98967

    Office

    $26.66

    Facility

    $20.74

    $1.78 higher than Wyoming** for the office setting.

  • Redding

    California · 98967

    Office

    $25.76

    Facility

    $20.27

    $0.88 higher than Wyoming** for the office setting.

  • Rest Of California

    California · 98967

    Office

    $25.76

    Facility

    $20.27

    $0.88 higher than Wyoming** for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 98967

    Office

    $25.99

    Facility

    $20.50

    $1.11 higher than Wyoming** for the office setting.

  • Sacramento-Roseville-Folsom

    California · 98967

    Office

    $26.59

    Facility

    $20.77

    $1.71 higher than Wyoming** for the office setting.

  • Salinas

    California · 98967

    Office

    $26.48

    Facility

    $20.67

    $1.60 higher than Wyoming** for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 98967

    Office

    $26.75

    Facility

    $20.76

    $1.87 higher than Wyoming** for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 98967

    Office

    $29.43

    Facility

    $22.36

    $4.55 higher than Wyoming** for the office setting.

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

    California · 98967

    Office

    $29.40

    Facility

    $22.34

    $4.52 higher than Wyoming** for the office setting.

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

    California · 98967

    Office

    $29.97

    Facility

    $22.75

    $5.09 higher than Wyoming** for the office setting.

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

    California · 98967

    Office

    $29.88

    Facility

    $22.66

    $5.00 higher than Wyoming** for the office setting.

  • San Luis Obispo-Paso Robles

    California · 98967

    Office

    $26.09

    Facility

    $20.39

    $1.21 higher than Wyoming** for the office setting.

  • Santa Cruz-Watsonville

    California · 98967

    Office

    $26.74

    Facility

    $20.66

    $1.86 higher than Wyoming** for the office setting.

  • Santa Maria-Santa Barbara

    California · 98967

    Office

    $26.48

    Facility

    $20.64

    $1.60 higher than Wyoming** for the office setting.

  • Santa Rosa-Petaluma

    California · 98967

    Office

    $26.99

    Facility

    $20.84

    $2.11 higher than Wyoming** for the office setting.

  • Stockton

    California · 98967

    Office

    $25.76

    Facility

    $20.27

    $0.88 higher than Wyoming** for the office setting.

  • Vallejo

    California · 98967

    Office

    $28.18

    Facility

    $21.58

    $3.30 higher than Wyoming** for the office setting.

  • Visalia

    California · 98967

    Office

    $25.76

    Facility

    $20.27

    $0.88 higher than Wyoming** for the office setting.

  • Yuba City

    California · 98967

    Office

    $25.76

    Facility

    $20.27

    $0.88 higher than Wyoming** for the office setting.

  • Colorado

    Colorado · 98967

    Office

    $25.60

    Facility

    $20.27

    $0.72 higher than Wyoming** for the office setting.

  • Connecticut

    Connecticut · 98967

    Office

    $26.12

    Facility

    $20.72

    $1.24 higher than Wyoming** for the office setting.

  • Delaware

    Delaware · 98967

    Office

    $24.97

    Facility

    $20.02

    $0.09 higher than Wyoming** for the office setting.

  • Fort Lauderdale

    Florida · 98967

    Office

    $25.69

    Facility

    $20.62

    $0.81 higher than Wyoming** for the office setting.

  • Rest Of Florida

    Florida · 98967

    Office

    $25.05

    Facility

    $20.26

    $0.17 higher than Wyoming** for the office setting.

  • Atlanta

    Georgia · 98967

    Office

    $25.36

    Facility

    $20.27

    $0.48 higher than Wyoming** for the office setting.

  • Rest Of Georgia

    Georgia · 98967

    Office

    $24.35

    Facility

    $19.88

    $0.53 lower than Wyoming** for the office setting.

  • Hawaii, Guam

    Hawaii · 98967

    Office

    $25.82

    Facility

    $20.13

    $0.94 higher than Wyoming** for the office setting.

  • Iowa

    Iowa · 98967

    Office

    $23.99

    Facility

    $19.41

    $0.89 lower than Wyoming** for the office setting.

  • Idaho

    Idaho · 98967

    Office

    $24.08

    Facility

    $19.47

    $0.80 lower than Wyoming** for the office setting.

  • East St. Louis

    Illinois · 98967

    Office

    $25.11

    Facility

    $20.50

    $0.23 higher than Wyoming** for the office setting.

  • Rest Of Illinois

    Illinois · 98967

    Office

    $24.76

    Facility

    $20.18

    $0.12 lower than Wyoming** for the office setting.

  • Suburban Chicago

    Illinois · 98967

    Office

    $25.89

    Facility

    $20.75

    $1.01 higher than Wyoming** for the office setting.

  • Indiana

    Indiana · 98967

    Office

    $24.15

    Facility

    $19.50

    $0.73 lower than Wyoming** for the office setting.

  • Kansas

    Kansas · 98967

    Office

    $23.98

    Facility

    $19.45

    $0.90 lower than Wyoming** for the office setting.

  • Kentucky

    Kentucky · 98967

    Office

    $24.14

    Facility

    $19.69

    $0.74 lower than Wyoming** for the office setting.

  • New Orleans

    Louisiana · 98967

    Office

    $24.69

    Facility

    $19.97

    $0.19 lower than Wyoming** for the office setting.

  • Rest Of Louisiana

    Louisiana · 98967

    Office

    $24.14

    Facility

    $19.71

    $0.74 lower than Wyoming** for the office setting.

  • Metropolitan Boston

    Massachusetts · 98967

    Office

    $27.15

    Facility

    $21.17

    $2.27 higher than Wyoming** for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 98967

    Office

    $25.59

    Facility

    $20.31

    $0.71 higher than Wyoming** for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 98967

    Office

    $26.04

    Facility

    $20.66

    $1.16 higher than Wyoming** for the office setting.

  • Rest Of Maryland

    Maryland · 98967

    Office

    $25.26

    Facility

    $20.18

    $0.38 higher than Wyoming** for the office setting.

  • Rest Of Maine

    Maine · 98967

    Office

    $24.18

    Facility

    $19.57

    $0.70 lower than Wyoming** for the office setting.

  • Southern Maine

    Maine · 98967

    Office

    $24.74

    Facility

    $19.77

    $0.14 lower than Wyoming** for the office setting.

  • Detroit

    Michigan · 98967

    Office

    $25.24

    Facility

    $20.41

    $0.36 higher than Wyoming** for the office setting.

  • Rest Of Michigan

    Michigan · 98967

    Office

    $24.47

    Facility

    $19.89

    $0.41 lower than Wyoming** for the office setting.

  • Minnesota

    Minnesota · 98967

    Office

    $24.80

    Facility

    $19.65

    $0.08 lower than Wyoming** for the office setting.

  • Metropolitan Kansas City

    Missouri · 98967

    Office

    $24.57

    Facility

    $19.86

    $0.31 lower than Wyoming** for the office setting.

  • Metropolitan St. Louis

    Missouri · 98967

    Office

    $24.68

    Facility

    $19.91

    $0.20 lower than Wyoming** for the office setting.

  • Rest Of Missouri

    Missouri · 98967

    Office

    $23.97

    Facility

    $19.65

    $0.91 lower than Wyoming** for the office setting.

  • Mississippi

    Mississippi · 98967

    Office

    $23.81

    Facility

    $19.49

    $1.07 lower than Wyoming** for the office setting.

  • Montana**

    Montana · 98967

    Office

    $25.05

    Facility

    $20.04

    $0.17 higher than Wyoming** for the office setting.

  • North Carolina

    North Carolina · 98967

    Office

    $24.29

    Facility

    $19.62

    $0.59 lower than Wyoming** for the office setting.

  • North Dakota**

    North Dakota · 98967

    Office

    $24.65

    Facility

    $19.64

    $0.23 lower than Wyoming** for the office setting.

  • Nebraska

    Nebraska · 98967

    Office

    $24.04

    Facility

    $19.42

    $0.84 lower than Wyoming** for the office setting.

  • New Hampshire

    New Hampshire · 98967

    Office

    $25.28

    Facility

    $20.07

    $0.40 higher than Wyoming** for the office setting.

  • Northern Nj

    New Jersey · 98967

    Office

    $27.38

    Facility

    $21.57

    $2.50 higher than Wyoming** for the office setting.

  • Rest Of New Jersey

    New Jersey · 98967

    Office

    $26.49

    Facility

    $21.02

    $1.61 higher than Wyoming** for the office setting.

  • New Mexico

    New Mexico · 98967

    Office

    $24.55

    Facility

    $19.95

    $0.33 lower than Wyoming** for the office setting.

  • Nevada**

    Nevada · 98967

    Office

    $24.95

    Facility

    $19.93

    $0.07 higher than Wyoming** for the office setting.

  • Nyc Suburbs/Long Island

    New York · 98967

    Office

    $28.14

    Facility

    $22.19

    $3.26 higher than Wyoming** for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 98967

    Office

    $26.67

    Facility

    $21.19

    $1.79 higher than Wyoming** for the office setting.

  • Queens

    New York · 98967

    Office

    $27.81

    Facility

    $21.89

    $2.93 higher than Wyoming** for the office setting.

  • Rest Of New York

    New York · 98967

    Office

    $24.47

    Facility

    $19.71

    $0.41 lower than Wyoming** for the office setting.

  • Ohio

    Ohio · 98967

    Office

    $24.39

    Facility

    $19.81

    $0.49 lower than Wyoming** for the office setting.

  • Oklahoma

    Oklahoma · 98967

    Office

    $24.08

    Facility

    $19.61

    $0.80 lower than Wyoming** for the office setting.

  • Portland

    Oregon · 98967

    Office

    $26.00

    Facility

    $20.43

    $1.12 higher than Wyoming** for the office setting.

  • Rest Of Oregon

    Oregon · 98967

    Office

    $24.82

    Facility

    $19.83

    $0.06 lower than Wyoming** for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 98967

    Office

    $25.80

    Facility

    $20.58

    $0.92 higher than Wyoming** for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 98967

    Office

    $24.38

    Facility

    $19.78

    $0.50 lower than Wyoming** for the office setting.

  • Puerto Rico

    Puerto Rico · 98967

    Office

    $25.13

    Facility

    $20.06

    $0.25 higher than Wyoming** for the office setting.

  • Rhode Island

    Rhode Island · 98967

    Office

    $25.55

    Facility

    $20.37

    $0.67 higher than Wyoming** for the office setting.

  • South Carolina

    South Carolina · 98967

    Office

    $24.37

    Facility

    $19.74

    $0.51 lower than Wyoming** for the office setting.

  • South Dakota**

    South Dakota · 98967

    Office

    $24.61

    Facility

    $19.60

    $0.27 lower than Wyoming** for the office setting.

  • Tennessee

    Tennessee · 98967

    Office

    $24.04

    Facility

    $19.49

    $0.84 lower than Wyoming** for the office setting.

  • Austin

    Texas · 98967

    Office

    $25.45

    Facility

    $20.15

    $0.57 higher than Wyoming** for the office setting.

  • Beaumont

    Texas · 98967

    Office

    $24.31

    Facility

    $19.75

    $0.57 lower than Wyoming** for the office setting.

  • Brazoria

    Texas · 98967

    Office

    $24.97

    Facility

    $20.00

    $0.09 higher than Wyoming** for the office setting.

  • Dallas

    Texas · 98967

    Office

    $25.08

    Facility

    $20.09

    $0.20 higher than Wyoming** for the office setting.

  • Fort Worth

    Texas · 98967

    Office

    $25.01

    Facility

    $20.07

    $0.13 higher than Wyoming** for the office setting.

  • Galveston

    Texas · 98967

    Office

    $25.02

    Facility

    $20.04

    $0.14 higher than Wyoming** for the office setting.

  • Houston

    Texas · 98967

    Office

    $25.38

    Facility

    $20.41

    $0.50 higher than Wyoming** for the office setting.

  • Rest Of Texas

    Texas · 98967

    Office

    $24.59

    Facility

    $19.84

    $0.29 lower than Wyoming** for the office setting.

  • Utah

    Utah · 98967

    Office

    $24.52

    Facility

    $19.81

    $0.36 lower than Wyoming** for the office setting.

  • Virginia

    Virginia · 98967

    Office

    $24.72

    Facility

    $19.80

    $0.16 lower than Wyoming** for the office setting.

  • Virgin Islands

    United States Virgin Islands · 98967

    Office

    $25.13

    Facility

    $20.06

    $0.25 higher than Wyoming** for the office setting.

  • Vermont

    Vermont · 98967

    Office

    $24.64

    Facility

    $19.68

    $0.24 lower than Wyoming** for the office setting.

  • Rest Of Washington

    Washington · 98967

    Office

    $25.52

    Facility

    $20.24

    $0.64 higher than Wyoming** for the office setting.

  • Seattle (King Cnty)

    Washington · 98967

    Office

    $27.51

    Facility

    $21.36

    $2.63 higher than Wyoming** for the office setting.

  • Wisconsin

    Wisconsin · 98967

    Office

    $24.27

    Facility

    $19.47

    $0.61 lower than Wyoming** for the office setting.

  • West Virginia

    West Virginia · 98967

    Office

    $24.33

    Facility

    $19.98

    $0.55 lower than Wyoming** for the office setting.

See how rates vary across the country

98967 · 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.

$23.64

$33.60

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$33.601
AL$23.801
AR$23.641
AZ$24.721
CA$25.76–$29.9729
CO$25.601
CT$26.121
DC$27.401
DE$24.971
FL$25.05–$26.393
GA$24.35–$25.362
GU$25.821
HI$25.821
IA$23.991
ID$24.081
IL$24.76–$26.074
IN$24.151
KS$23.981
KY$24.141
LA$24.14–$24.692
MA$25.59–$27.152
MD$25.26–$27.403
ME$24.18–$24.742
MI$24.47–$25.242
MN$24.801
MO$23.97–$24.683
MS$23.811
MT$25.051
NC$24.291
ND$24.651
NE$24.041
NH$25.281
NJ$26.49–$27.382
NM$24.551
NV$24.951
NY$24.47–$28.145
OH$24.391
OK$24.081
OR$24.82–$26.002
PA$24.38–$25.802
PR$25.131
RI$25.551
SC$24.371
SD$24.611
TN$24.041
TX$24.31–$25.458
UT$24.521
VA$24.72–$27.402
VI$25.131
VT$24.641
WA$25.52–$27.512
WI$24.271
WV$24.331
WY$24.881

Explore 98967 on the national rate map →

Where does this rate apply?

Wyoming** is a Medicare payment area. Our Census mapping connects it to 205 cities and communities in Wyoming, 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 Wyoming →

Why are the office and facility amounts different?

For 98967 in Wyoming**, the physician’s office rate is $24.88 and the facility-setting rate is $19.87: a difference of $5.01.

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 98967 in Wyoming**. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$27.37

$24.88 × 110% = $27.37

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 98967 in Wyoming**.

PPRRVU2026_Oct_nonQPP.csv

12,950

Code
98967
Physician work
0.50
Practice expense
0.23
Malpractice
0.02

GPCI2026.csv

112

Locality
Wyoming**
Physician work
1.000
Practice expense
1.000
Malpractice
0.740
Office / nonfacility calculation for 98967 in Wyoming**
ComponentRVULocality factorAdjusted
Physician work0.50× 1.0000.5000
Practice expense0.23× 1.0000.2300
Malpractice0.02× 0.7400.0148
Total RVUs0.7448
Conversion factor× 33.4009

Office / nonfacility rate, Wyoming**$24.88

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

Open 98967 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.51
Practice expense0.231
Malpractice0.020.74

(0.5 × 1 + 0.23 × 1 + 0.02 × 0.74) × $33.4009 = $24.88

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work0.51
Practice expense0.081
Malpractice0.020.74

(0.5 × 1 + 0.08 × 1 + 0.02 × 0.74) × $33.4009 = $19.87

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

98967 · Office / nonfacility

$24.88

Effective 2026-10-01

The base rate is $1.11 higher than on 2025-10-01, moving from $23.77 to $24.88 (4.7%).

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

    $23.77changed to$24.88

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 0.22 changed to 0.23
    • Malpractice GPCI 0.739 changed to 0.740

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $23.77

    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$24.88$19.87RVU26D
2026-07-01$24.88$19.87RVU26C
2026-04-01$24.88$19.87RVU26B
2026-01-01$24.88$19.87RVU26A
2025-10-01$23.77$21.83RVU25D
2025-07-01$23.77$21.83RVU25C
2025-04-01$23.77$21.83RVU25B
2025-01-01$23.77$21.83RVU25A

98967 billing questions

How much discussion time supports 98967?

Use 98967 for 11–20 minutes of medical discussion. Document the time and the clinical work performed during the call.

Can the call be reported with a related visit?

The CPT criteria exclude a call arising from a related assessment and management service within the preceding 7 days or leading to an assessment and management service or procedure within 24 hours or the soonest available appointment.

How does 98967 differ from 98971?

98967 describes a telephone medical discussion. 98971 is for an online digital assessment and management service, with time accumulated during a 7-day period.

What should the record include?

Document who participated, the patient’s clinical concern, the assessment or management provided, and the minutes of medical discussion.

Does the recipient need to be an established patient?

Yes. The service is for an established patient or the patient’s parent or guardian.

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 98967PPRRVU2026_Oct_nonQPP.csv, line 12,950 (RVU26D)
Geographic factors for Wyoming**GPCI2026.csv, line 112 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet