Summary & Overview
HCPCS G0667: Team Remote E/M for Established Patient, 25 Minutes
HCPCS Level II code G0667 designates a team-based remote evaluation and management service for an established patient with an estimated 25 minutes of total team time. This code captures care delivered by a multidisciplinary team remotely, reflecting growing use of coordinated, non-face-to-face management for chronic and complex patients. Nationally, adoption of team-based remote E/M codes matters because it supports broader care models that prioritize efficiency, care coordination, and access outside traditional office encounters.
Key payers included in the analysis are Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of the code’s clinical intent, typical use cases, and the sites where it is most applicable. The publication outlines benchmark considerations for reimbursement and utilization, summarizes recent policy developments affecting team-based remote services, and contextualizes clinical scenarios where a 25-minute team remote E/M is appropriate.
This summary provides operational clarity for billing and coding teams, revenue cycle staff, and clinical managers seeking to understand how G0667 fits into virtual care portfolios and multidisciplinary care pathways. Data not available in the input is noted where applicable.
Billing Code Overview
HCPCS Level II code G0667 denotes team-based remote evaluation and management for an established patient, with an estimated total team time of 25 minutes. The description indicates a remote E/M service delivered by a care team rather than a single practitioner.
Service Type: Team remote evaluation and management
Typical Site of Service: Remote / Telehealth-like setting (care team performing services outside of a face-to-face visit)
Data not available in the input.
Clinical & Coding Specifications
Clinical Context
A typical patient is an established primary care or behavioral health patient receiving asynchronous team-based management for ongoing chronic conditions. The patient has had a recent change in symptoms or medication adherence concerns and the clinical staff (nurse care manager, medical assistant, or clinical pharmacist) reviews the electronic message, recent vitals, and medication list, compiles a summary, and communicates findings to the supervising physician or qualified health care professional. The supervising clinician reviews the team’s assessment and documents a decision or care plan that requires approximately 25 minutes of cumulative time over the calendar month, provided on behalf of the established patient.
A realistic workflow: the patient sends a portal message about increased shortness of breath. A nurse documents symptom details, recent blood pressure and weight trends, and medication use, then escalates the summary to the physician. The physician reviews the team documentation, adjusts medication and orders a lab, documents the plan, and the team communicates the decision back to the patient. Total clinician time attributable to managing the patient’s problem during the month is about 25 minutes, qualifying for this team remote E/M service.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
25 | Significant, separately identifiable E/M service by the same physician on the same day | When a face-to-face E/M visit occurs the same day in addition to the remote team service and the in-person visit is distinct and separately documented. |