# CPT 98016: Brief communication technology-based virtual check-in, established patient, 5-10 minutes

Medicare CPT 98016 pays $17.37 in a non-facility setting and $13.03 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $16.10 in Arkansas to $22.51 in Alaska, a 40% spread.

Web page: https://www.med-reveal.com/rates/98016-cpt-fee-schedule
Section: Evaluation and Management

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $17.37 |
| National facility | $13.03 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $22.51 | $17.89 |
| District of Columbia | $19.17 | $14.06 |
| New York | $18.85 | $14.01 |
| New Jersey | $18.78 | $13.90 |
| California | $18.65 | $13.51 |
| Washington | $18.48 | $13.53 |
| Massachusetts | $18.38 | $13.50 |
| Connecticut | $18.22 | $13.55 |
| Florida | $18.02 | $13.67 |
| Hawaii | $18.00 | $13.07 |
| Maryland | $17.83 | $13.31 |
| Illinois | $17.79 | $13.59 |
| Colorado | $17.77 | $13.15 |
| Rhode Island | $17.71 | $13.22 |
| Oregon | $17.62 | $13.05 |
| New Hampshire | $17.56 | $13.04 |
| Puerto Rico | $17.43 | $13.04 |
| Virgin Islands | $17.43 | $13.04 |
| Montana | $17.37 | $13.03 |
| Pennsylvania | $17.37 | $13.12 |
| Delaware | $17.27 | $12.98 |
| Texas | $17.27 | $13.00 |
| Nevada | $17.26 | $12.92 |
| Michigan | $17.23 | $13.16 |
| Georgia | $17.21 | $13.07 |
| Wyoming | $17.19 | $12.85 |
| Minnesota | $17.09 | $12.62 |
| Arizona | $17.07 | $12.86 |
| Virginia | $17.06 | $12.79 |
| North Dakota | $16.97 | $12.63 |
| Vermont | $16.97 | $12.67 |
| New Mexico | $16.95 | $12.97 |
| South Dakota | $16.92 | $12.58 |
| Utah | $16.90 | $12.82 |
| Louisiana | $16.82 | $12.86 |
| Maine | $16.82 | $12.68 |
| Missouri | $16.81 | $12.83 |
| Ohio | $16.79 | $12.83 |
| West Virginia | $16.78 | $13.01 |
| South Carolina | $16.76 | $12.75 |
| North Carolina | $16.68 | $12.63 |
| Wisconsin | $16.63 | $12.47 |
| Kentucky | $16.57 | $12.71 |
| Indiana | $16.54 | $12.51 |
| Oklahoma | $16.50 | $12.63 |
| Idaho | $16.48 | $12.49 |
| Tennessee | $16.45 | $12.50 |
| Nebraska | $16.44 | $12.43 |
| Iowa | $16.40 | $12.42 |
| Kansas | $16.40 | $12.47 |
| Mississippi | $16.27 | $12.53 |
| Alabama | $16.24 | $12.44 |
| Arkansas | $16.10 | $12.37 |

## Related codes

- 98000: Synchronous audio-video telemedicine E/M service, new patient, straightforward medical decision making — https://www.med-reveal.com/rates/98000-cpt-fee-schedule
- 98001: Synchronous audio-video telemedicine E/M service, new patient, low medical decision making — https://www.med-reveal.com/rates/98001-cpt-fee-schedule
- 98002: Synchronous audio-video telemedicine E/M service, new patient, moderate medical decision making — https://www.med-reveal.com/rates/98002-cpt-fee-schedule
- 98003: Synchronous audio-video telemedicine E/M service, new patient, high medical decision making — https://www.med-reveal.com/rates/98003-cpt-fee-schedule
- 98004: Synchronous audio-video telemedicine E/M service, established patient, straightforward medical decision making — https://www.med-reveal.com/rates/98004-cpt-fee-schedule
- 98005: Synchronous audio-video telemedicine E/M service, established patient, low medical decision making — https://www.med-reveal.com/rates/98005-cpt-fee-schedule
- 98006: Synchronous audio-video telemedicine E/M service, established patient, moderate medical decision making — https://www.med-reveal.com/rates/98006-cpt-fee-schedule
- 98007: Synchronous audio-video telemedicine E/M service, established patient, high medical decision making — https://www.med-reveal.com/rates/98007-cpt-fee-schedule

Commercial negotiated rates for 98016 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules