98972 Nqhp ol dig assmt & management 21+
Also known as: online assessment, digital health service, comprehensive digital consultation
Online digital assessment and management service provided by a non-physician qualified healthcare provider using secure patient portal or other asynchronous technology, 21 or more minutes of clinical review.
In Plain Language
comprehensive online health consultation
Clinical Context
Used for comprehensive asynchronous digital consultation by non-physician providers for established patients requiring detailed review.
RVU Breakdown
| Work RVU | 0.69 |
| Total RVU | 0.69 |
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 0.69, this code ranks in the 45th percentile among Medicine codes — 1.1x below the median (0.78). The highest wRVU in this category is 23.92.
Specialties
Frequently Asked Questions
What is CPT code 98972?
CPT 98972 (Nqhp ol dig assmt & management 21+) is a Medicine code. Online digital assessment and management service provided by a non-physician qualified healthcare provider using secure patient portal or other asynchronous technology, 21 or more minutes of clinical review.
Who uses CPT code 98972?
CPT 98972 is used by Nursing, Care Coordination, Digital Health. Used for comprehensive asynchronous digital consultation by non-physician providers for established patients requiring detailed review.
When is CPT 98972 used?
Used for comprehensive asynchronous digital consultation by non-physician providers for established patients requiring detailed review.
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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.