98968 Ph1 assmt & management nqhp 21-30
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, 21-30 minutes of clinical time.
In Plain Language
extended phone consultation with nurse or care provider
Clinical Context
Used for extended telephone consultation by non-physician providers for established patients requiring detailed assessment.
RVU Breakdown
| Work RVU | 0.75 |
| Total RVU | 0.75 |
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 0.75, this code ranks in the 48th percentile among Medicine codes — 1.0x below the median (0.78). The highest wRVU in this category is 23.92.
Specialties
Frequently Asked Questions
What is CPT code 98968?
CPT 98968 (Ph1 assmt & management nqhp 21-30) is a Medicine code. Telephone assessment and management service provided by a non-physician healthcare provider for a patient with established clinical relationship, 21-30 minutes of clinical time.
Who uses CPT code 98968?
CPT 98968 is used by Nursing, Care Coordination, Telemedicine. Used for extended telephone consultation by non-physician providers for established patients requiring detailed assessment.
When is CPT 98968 used?
Used for extended telephone consultation by non-physician providers for established patients requiring detailed assessment.
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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.