$13.05
Choose 98966 for 5–10 minutes of medical discussion; 98967 requires 11–20 minutes.
On this page
CMS RVU26D · Effective 2026-10-01
98967 Telephone assessment Medicare reimbursement rates in Kansas
Reports 11–20 minutes of medical discussion by a qualified nonphysician health care professional with an established patient, parent, or guardian by telephone. Compare 98967 office and facility rates across CMS payment localities in Kansas.
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.
What does Medicare pay for 98967 in Kansas?
Kansas has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$23.98
1 of 1 localities have a supported rate.
Payment area: Kansas
One mapped payment locality.
Facility setting
$19.45
1 of 1 localities have a supported rate.
Payment area: Kansas
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
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 Kansas, from the same CMS release.
Compare 98967 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Kansas →
Office / nonfacility
$23.98
Facility
$19.45
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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 Kansas.
PPRRVU2026_Oct_nonQPP.csv
12,950
- Code
- 98967
- Physician work
- 0.50
- Practice expense
- 0.23
- Malpractice
- 0.02
GPCI2026.csv
54
- Locality
- Kansas
- Physician work
- 1.000
- Practice expense
- 0.904
- Malpractice
- 0.504
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.50 | × 1.000 | 0.5000 |
| Practice expense | 0.23 | × 0.904 | 0.2079 |
| Malpractice | 0.02 | × 0.504 | 0.0101 |
| Total RVUs | 0.7180 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Kansas$23.98
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.5 | 1 |
| Practice expense | 0.23 | 0.904 |
| Malpractice | 0.02 | 0.504 |
(0.5 × 1 + 0.23 × 0.904 + 0.02 × 0.504) × $33.4009 = $23.98
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.5 | 1 |
| Practice expense | 0.08 | 0.904 |
| Malpractice | 0.02 | 0.504 |
(0.5 × 1 + 0.08 × 0.904 + 0.02 × 0.504) × $33.4009 = $19.45
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.
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.
12,94798961,,Edu&trn pt slf-mgmt nqhp 2-4,B,+,0.00,0.46,,0.46,NA,0.01,0.47,0.47,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
12,94898962,,Edu&trn pt slf-mgmt nqhp 5-8,B,+,0.00,0.35,,0.35,NA,0.01,0.36,0.36,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
12,94998966,,Ph1 assmt&mgmt nqhp 5-10,A,,0.25,0.15,,0.05,,0.01,0.41,0.31,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,95098967,,Ph1 assmt&mgmt nqhp 11-20,A,,0.50,0.23,,0.08,,0.02,0.75,0.60,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,95198968,,Ph1 assmt&mgmt nqhp 21-30,A,,0.75,0.27,,0.10,,0.02,1.04,0.87,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,95298970,,Nqhp ol dig assmt&mgmt 5-10,A,,0.25,0.11,,0.05,,0.01,0.37,0.31,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,95398971,,Nqhp ol dig assmt&mgmt 11-20,A,,0.44,0.23,,0.11,,0.02,0.69,0.57,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5106102,IL,99,REST OF ILLINOIS,1.000,0.913,1.563
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915
5607202,LA,01,NEW ORLEANS,1.000,0.941,1.136
5707202,LA,99,REST OF LOUISIANA,1.000,0.885,0.958