CPT Code 99366: Medical Team Conference, With Patient Present

CPT code 99366 is used to report a medical team conference of 30 minutes or more where an interdisciplinary team of healthcare professionals, including at least one nonphysician qualified health care professional, meets face-to-face with the patient and/or family to discuss the patient’s care plan.

99366 requires the patient and/or family to be present, whereas 99367 specifically applies to physician participation in a team conference without direct patient/family involvement.

While 99366 is recognized as a billable code and appears on some fee schedules, actual payment depends on meeting all documentation requirements, the presence of three or more qualified professionals from different specialties, and local Medicare Administrative Contractor (MAC) policies, which may limit or deny payment for team conference codes.