# CPT 98967: Nonphysician Telephone Assessment 11-20 Min

Medicare CPT 98967 pays $25.05 in a non-facility setting and $20.04 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $23.64 in Arkansas to $33.60 in Alaska, a 42% spread.

Web page: https://www.med-reveal.com/rates/98967-cpt-fee-schedule
Section: Medical and Therapeutic Services
Billed by: Clinical Neuropsychologist, Counselor, Marriage & Family Therapist, Methadone Clinic, Psychoanalyst, Social Worker

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $25.05 |
| National facility | $20.04 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $33.60 | $28.26 |
| District of Columbia | $27.40 | $21.49 |
| New York | $26.97 | $21.38 |
| New Jersey | $26.94 | $21.30 |
| California | $26.75 | $20.82 |
| Washington | $26.52 | $20.80 |
| Massachusetts | $26.37 | $20.74 |
| Connecticut | $26.12 | $20.72 |
| Hawaii | $25.82 | $20.13 |
| Florida | $25.71 | $20.68 |
| Maryland | $25.65 | $20.42 |
| Colorado | $25.60 | $20.27 |
| Rhode Island | $25.55 | $20.37 |
| Illinois | $25.46 | $20.62 |
| Oregon | $25.41 | $20.13 |
| New Hampshire | $25.28 | $20.07 |
| Puerto Rico | $25.13 | $20.06 |
| Virgin Islands | $25.13 | $20.06 |
| Pennsylvania | $25.09 | $20.18 |
| Montana | $25.05 | $20.04 |
| Texas | $24.98 | $20.04 |
| Delaware | $24.97 | $20.02 |
| Nevada | $24.95 | $19.93 |
| Wyoming | $24.88 | $19.87 |
| Georgia | $24.86 | $20.08 |
| Michigan | $24.85 | $20.15 |
| Minnesota | $24.80 | $19.65 |
| Arizona | $24.72 | $19.86 |
| Virginia | $24.72 | $19.80 |
| North Dakota | $24.65 | $19.64 |
| Vermont | $24.64 | $19.68 |
| South Dakota | $24.61 | $19.60 |
| New Mexico | $24.55 | $19.95 |
| Utah | $24.52 | $19.81 |
| Maine | $24.46 | $19.67 |
| Louisiana | $24.42 | $19.84 |
| Missouri | $24.41 | $19.81 |
| Ohio | $24.39 | $19.81 |
| South Carolina | $24.37 | $19.74 |
| West Virginia | $24.33 | $19.98 |
| North Carolina | $24.29 | $19.62 |
| Wisconsin | $24.27 | $19.47 |
| Indiana | $24.15 | $19.50 |
| Kentucky | $24.14 | $19.69 |
| Idaho | $24.08 | $19.47 |
| Oklahoma | $24.08 | $19.61 |
| Nebraska | $24.04 | $19.42 |
| Tennessee | $24.04 | $19.49 |
| Iowa | $23.99 | $19.41 |
| Kansas | $23.98 | $19.45 |
| Mississippi | $23.81 | $19.49 |
| Alabama | $23.80 | $19.42 |
| Arkansas | $23.64 | $19.34 |

## 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 98967 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