# CPT 98968: Nonphysician Telephone Assessment 21-30 Min

Medicare CPT 98968 pays $34.74 in a non-facility setting and $29.06 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $33.14 in Arkansas to $47.55 in Alaska, a 43% spread.

Web page: https://www.med-reveal.com/rates/98968-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 | $34.74 |
| National facility | $29.06 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $47.55 | $41.50 |
| District of Columbia | $37.77 | $31.08 |
| New Jersey | $37.22 | $30.83 |
| New York | $37.21 | $30.87 |
| California | $36.98 | $30.26 |
| Washington | $36.64 | $30.17 |
| Massachusetts | $36.46 | $30.08 |
| Connecticut | $36.07 | $29.96 |
| Hawaii | $35.69 | $29.24 |
| Maryland | $35.50 | $29.58 |
| Colorado | $35.47 | $29.43 |
| Rhode Island | $35.44 | $29.57 |
| Florida | $35.40 | $29.70 |
| Oregon | $35.24 | $29.26 |
| Illinois | $35.13 | $29.64 |
| New Hampshire | $35.02 | $29.11 |
| Pennsylvania | $34.83 | $29.27 |
| Puerto Rico | $34.83 | $29.09 |
| Virgin Islands | $34.83 | $29.09 |
| Montana | $34.74 | $29.06 |
| Delaware | $34.69 | $29.08 |
| Texas | $34.69 | $29.10 |
| Nevada | $34.63 | $28.95 |
| Wyoming | $34.56 | $28.89 |
| Minnesota | $34.53 | $28.69 |
| Georgia | $34.49 | $29.08 |
| Michigan | $34.46 | $29.13 |
| Virginia | $34.39 | $28.81 |
| Arizona | $34.36 | $28.86 |
| North Dakota | $34.34 | $28.66 |
| Vermont | $34.32 | $28.70 |
| South Dakota | $34.29 | $28.62 |
| Utah | $34.13 | $28.79 |
| New Mexico | $34.12 | $28.92 |
| Maine | $34.08 | $28.66 |
| Louisiana | $33.99 | $28.80 |
| Missouri | $33.99 | $28.77 |
| Ohio | $33.96 | $28.77 |
| South Carolina | $33.95 | $28.70 |
| Wisconsin | $33.90 | $28.46 |
| North Carolina | $33.89 | $28.59 |
| West Virginia | $33.84 | $28.91 |
| Indiana | $33.74 | $28.47 |
| Kentucky | $33.68 | $28.63 |
| Idaho | $33.66 | $28.44 |
| Nebraska | $33.63 | $28.39 |
| Oklahoma | $33.62 | $28.55 |
| Tennessee | $33.61 | $28.45 |
| Iowa | $33.57 | $28.37 |
| Kansas | $33.54 | $28.41 |
| Alabama | $33.32 | $28.35 |
| Mississippi | $33.31 | $28.42 |
| Arkansas | $33.14 | $28.26 |

## 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 98968 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