CPT code 98967 captures a brief, telephone-based clinical discussion delivered by a nonphysician qualified healthcare professional to an established patient, parent, or guardian, lasting 11 to 20 minutes. This code matters nationally as telehealth and virtual care modalities expand access to care and present distinct billing and documentation requirements for nonphysician clinicians. Accurate use of the code affects claims processing, audit risk, and telehealth reporting across major payers.

Key payers in this national overview include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise explanation of the service definition and clinical context, common payer coverage considerations, typical sites of service, and the set of commonly used modifiers. The publication also highlights benchmarking and policy updates relevant to telephone-based nonphysician consultations, documentation expectations for time-based telephonic services, and relationships to other virtual care billing options.

This summary provides practitioners, billing staff, and policy analysts with the operational context needed to identify appropriate use cases for CPT code 98967, understand payer coverage patterns, and recognize where further documentation or coding pathways may be required. Data not available in the input is clearly noted where applicable.