CPT and HCPCS Codes Between Doctors and Patients

If You Find These Codes on Your Medical Bill, You'll Know What They Are

If you find any of the following CPT or HCPCS codes on a medical bill, or the EOB (Estimate of Benefits) sent to you by your insurance or other payer, then it means the bill is intended to cover either phone time or email time.

Learn more about the rules for using these CPT codes and be sure the provider who billed the codes has followed the rules. The rules include who originated the call or email, when it was made, and possibly the outcome of the contact.

Just because these codes are now available to doctors for service reimbursement doesn't mean your insurer will pay for them, however. You may be billed for this time. If you have questions about the bill, make sure you understand how these CPT / HCPCS codes were developed and the rules for using them, then contact your doctor's office to discuss them.

Telephone Services–Physician

  • 99441 phone call 5 to 10 minutes of medical discussion
  • 99442 phone call 11 to 20 minutes of medical discussion
  • 99443 phone call 21 to 31 minutes of medical discussion

Telephone Services–Non-Physician Healthcare Provider

Non-physician refers to a nurse, nurse practitioner or physician assistant (see physician extenders)

  • 98966 phone call 5 to 10 minutes of medical discussion
  • 98967 phone call 11 to 20 minutes of medical discussion
  • 98968 phone call 21 to 30 minutes of medical discussion
  • Online Services – Physician

  • 99444 Email or some other online service to discuss a medical problem
  • Online Services – Non-Physician Healthcare Provider

    Non-physician refers to a nurse, nurse practitioner or physician assistant (see physician extenders)

  • 98969 Email or some other online service to discuss a medical problem
  • Continue Reading