CPT® Code 98967

Telephone assessment and management service provided by a nonphysician qualified health care professional to an established patient, parent, or guardian not originating from a related assessment and management service provided within the previous 7 days nor leading to an assessment and management service or procedure within the next 24 hours or soonest available appointment; 11-20 minutes of medical discussion

The CPT® Code 98967 refers to a telephone assessment and management service that is conducted by a nonphysician qualified health care professional for an established patient, parent, or guardian. This service is initiated by the patient or their representative and involves a medical discussion lasting between 11 to 20 minutes. It is important to note that this telephone service must not be related to any assessment and management service that occurred within the previous 7 days, nor should it lead to any subsequent assessment and management service or procedure within the next 24 hours or the soonest available appointment. Additionally, the service should not be performed during the post-operative period of a related surgical procedure. During the call, the nonphysician qualified health care professional, which may include roles such as a registered dietician, physical therapist, occupational therapist, or speech-language pathologist, engages with the patient to address their concerns, provide necessary counseling, and potentially modify the treatment plan based on the discussion. The details of the conversation, including the time spent, must be documented in the patient's medical record to ensure proper tracking and continuity of care.