98967 Ph1 assmt & management nqhp 11-20
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, 11-20 minutes of clinical time.
In Plain Language
longer phone call with a nurse or healthcare provider
Clinical Context
Used for moderate-length telephone consultation by non-physician providers for established patients.
RVU Breakdown
| Work RVU | 0.50 |
| Total RVU | 0.50 |
Est. Medicare Payment
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 0.50, this code ranks in the 34th percentile among Medicine codes — 1.6x below the median (0.78). The highest wRVU in this category is 23.92.
Specialties
Frequently Asked Questions
What is CPT code 98967?
CPT 98967 (Ph1 assmt & management nqhp 11-20) is a Medicine code. Telephone assessment and management service provided by a non-physician healthcare provider for a patient with established clinical relationship, 11-20 minutes of clinical time.
Who uses CPT code 98967?
CPT 98967 is used by Nursing, Care Coordination, Telemedicine. Used for moderate-length telephone consultation by non-physician providers for established patients.
When is CPT 98967 used?
Used for moderate-length telephone consultation by non-physician providers for established patients.
Track This Code in RVU Edge
Log procedures, calculate wRVUs, and benchmark against MGMA data — all in one app.
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.