# CPT 98962: Education&training Self-mgmt Nonphys 5-8 Pts

Medicare CPT 98962 pays $12.02 in a non-facility setting and $12.02 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $10.21 in Arkansas to $14.14 in District of Columbia, a 38% spread.

Web page: https://www.med-reveal.com/rates/98962-cpt-fee-schedule
Section: Medical and Therapeutic Services
Billed by: Endocrinology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $12.02 |
| National facility | $12.02 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| District of Columbia | $14.14 | $14.14 |
| California | $14.01 | $14.01 |
| Washington | $13.59 | $13.59 |
| New Jersey | $13.53 | $13.53 |
| New York | $13.50 | $13.50 |
| Hawaii | $13.49 | $13.49 |
| Massachusetts | $13.42 | $13.42 |
| Connecticut | $12.99 | $12.99 |
| Colorado | $12.70 | $12.70 |
| Alaska | $12.63 | $12.63 |
| Oregon | $12.56 | $12.56 |
| Maryland | $12.55 | $12.55 |
| New Hampshire | $12.46 | $12.46 |
| Florida | $12.38 | $12.38 |
| Rhode Island | $12.37 | $12.37 |
| Puerto Rico | $12.15 | $12.15 |
| Virgin Islands | $12.15 | $12.15 |
| Minnesota | $12.13 | $12.13 |
| Montana | $12.02 | $12.02 |
| Nevada | $11.98 | $11.98 |
| Illinois | $11.94 | $11.94 |
| Wyoming | $11.94 | $11.94 |
| Delaware | $11.85 | $11.85 |
| North Dakota | $11.83 | $11.83 |
| Texas | $11.82 | $11.82 |
| Pennsylvania | $11.81 | $11.81 |
| South Dakota | $11.80 | $11.80 |
| Vermont | $11.74 | $11.74 |
| Virginia | $11.73 | $11.73 |
| Arizona | $11.61 | $11.61 |
| Georgia | $11.56 | $11.56 |
| Michigan | $11.45 | $11.45 |
| Maine | $11.38 | $11.38 |
| Wisconsin | $11.30 | $11.30 |
| Utah | $11.29 | $11.29 |
| New Mexico | $11.12 | $11.12 |
| North Carolina | $11.12 | $11.12 |
| South Carolina | $11.09 | $11.09 |
| Missouri | $11.05 | $11.05 |
| Louisiana | $11.03 | $11.03 |
| Ohio | $11.01 | $11.01 |
| Indiana | $11.00 | $11.00 |
| Nebraska | $10.92 | $10.92 |
| Idaho | $10.91 | $10.91 |
| Iowa | $10.83 | $10.83 |
| Tennessee | $10.81 | $10.81 |
| Kansas | $10.74 | $10.74 |
| Kentucky | $10.70 | $10.70 |
| Oklahoma | $10.70 | $10.70 |
| West Virginia | $10.64 | $10.64 |
| Alabama | $10.42 | $10.42 |
| Mississippi | $10.31 | $10.31 |
| Arkansas | $10.21 | $10.21 |

## Related codes

- 90632: Hepa Vaccine Adult Dose for Intramuscular Use — https://www.med-reveal.com/rates/90632-cpt-fee-schedule
- 90633: Hepa Vaccine 2 Dose Schedule Ped/adolesc Im Use — https://www.med-reveal.com/rates/90633-cpt-fee-schedule
- 90647: Hib Prp-omp Vaccine 3 Dose Schedule Im Use — https://www.med-reveal.com/rates/90647-cpt-fee-schedule
- 90648: Hib Prp-t Vaccine 4 Dose Schedule Im Use — https://www.med-reveal.com/rates/90648-cpt-fee-schedule
- 90680: Rv5 Vaccine 3 Dose Schedule Live for Oral Use — https://www.med-reveal.com/rates/90680-cpt-fee-schedule
- 90681: Rv1 Vaccine 2 Dose Schedule Live for Oral Use — https://www.med-reveal.com/rates/90681-cpt-fee-schedule
- 90698: Dtap-ipv/hib Vaccine for Intramuscular Use — https://www.med-reveal.com/rates/90698-cpt-fee-schedule
- 90710: Measles Mumps Rubella Varicella Vacc Live Subq — https://www.med-reveal.com/rates/90710-cpt-fee-schedule

Commercial negotiated rates for 98962 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