CPT Code 98966: Telephone Assessment and Management Service, 5–10 Minutes

CPT codes 98966–98968 are used by qualified non-physician healthcare professionals such as therapists, dietitians, and social workers for audio-only telephone evaluation and management services, while codes 99441–99443 are designated for physicians and certain other qualified healthcare professionals. Both code sets cover similar time increments of medical discussion (5–10 minutes, 11–20 minutes, and 21–30 minutes), but they differ by the provider type eligible to report them. However, 99411 is no longer available.

CPT codes 98966, 98967, and 98968 represent telephone evaluation and management services by qualified non-physician healthcare professionals for established patients. Specifically, 98966 covers 5–10 minutes, 98967 covers 11–20 minutes, and 98968 covers 21–30 minutes of medical discussion initiated by the patient, provided the call is not related to a recent or imminent in-person or telehealth visit.

CPT code 98966 can be billed by qualified non-physician healthcare professionals such as nurse practitioners, physician assistants, clinical nurse specialists, licensed clinical social workers, physical therapists, occupational therapists, speech pathologists, registered dietitians, and clinical psychologists, provided they are licensed and authorized by state law to deliver these services.