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98966 Ph1 assmt & management nqhp 5-10

Medicine

Also known as: nurse call, phone assessment, telephone management

Telephone assessment and management service provided by a non-physician healthcare provider for a patient with established clinical relationship, 5-10 minutes of clinical time.

In Plain Language

phone check-in with a nurse or healthcare provider

Clinical Context

Used for brief telephone consultation by non-physician providers for established patients requiring assessment and management of clinical issues.

RVU Breakdown

Work RVU0.25
Total RVU0.25

Est. Medicare Payment

$8.35

National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).

Billing & Documentation

Medicine section codes cover a wide range of non-surgical services. Documentation should include the clinical indication, procedure details, interpretation (if applicable), and any patient-specific findings.

How This Code Compares

With a work RVU of 0.25, this code ranks in the 16th percentile among Medicine codes — 3.1x below the median (0.78). The highest wRVU in this category is 23.92.

Specialties

NursingCare CoordinationTelemedicine

Frequently Asked Questions

What is CPT code 98966?

CPT 98966 (Ph1 assmt & management nqhp 5-10) is a Medicine code. Telephone assessment and management service provided by a non-physician healthcare provider for a patient with established clinical relationship, 5-10 minutes of clinical time.

Who uses CPT code 98966?

CPT 98966 is used by Nursing, Care Coordination, Telemedicine. Used for brief telephone consultation by non-physician providers for established patients requiring assessment and management of clinical issues.

When is CPT 98966 used?

Used for brief telephone consultation by non-physician providers for established patients requiring assessment and management of clinical issues.

Track This Code in RVU Edge

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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.