CPT Code 98968: Telephone Assessment and Management, 21-30 Minutes

Yes. Although telephone services are not classified as traditional telehealth billing under all payers, some Medicaid Services and private insurers allow billing for phone call encounters when audio-only interactive communication meets the criteria for a management service or procedure. Always follow up-to-date coding guidance for state-specific telehealth rules.

Yes, physician assistants, registered dietitians, and other qualified nonphysician providers may bill CPT codes 98966–98968, as long as the management service provided within the phone encounter falls within their licensure and scope of practice. Documentation must include pertinent information related to the patient’s concern or chronic conditions.

Telephone services should not be billed if they are originating from a related service or procedure within the previous 7 days, or if they lead to an in-person or telehealth visit within 24 hours or the soonest available appointment. The time spent on the call must be medically necessary and documented, not administrative.