CPT® Code 98968

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; 21-30 minutes of medical discussion

The CPT® Code 98968 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 characterized by a medical discussion lasting between 21 to 30 minutes. It is important to note that the telephone conversation 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. The professionals eligible to provide this service include registered dieticians, physical therapists, occupational therapists, and speech-language pathologists. During the call, the health care professional engages with the patient to address their concerns, provide necessary counseling, and potentially modify the treatment plan based on the discussion. Documentation of the conversation, including the time spent, is essential for record-keeping and billing purposes. This code is specifically designed to facilitate communication and management of patient care remotely, ensuring that patients receive appropriate guidance and support without the need for an in-person visit.