98966 Insurance Policy Changes

CPT 98966, in plain terms, covers A nurse or healthcare provider conducts a brief phone assessment and handles patient care coordination over five to ten minutes. CPT 98966 is referenced in 3 tracked payer policy changes from Oregon Health Plan, Harvard Pilgrim Health Care, and 1 other payer. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for CPT 98966 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

Official descriptor: CPT 98966 on AAPC