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CPT Code 98000: Description, Time, Reimbursement, and Why Medicare Denies It

CPT code 98000 telehealth billing 2026 hero banner: new patient audio-video visit at straightforward MDM or 15 minutes, Medicare status indicator I blocking payment despite a published $53.44 rate, the 99202 crosswalk for Medicare claims, POS 10 versus POS 02 rate differences, and the 36.5% RVU gap against office visit codes, from ClaimMax RCM.

What Is CPT Code 98000? CPT code 98000 covers a synchronous audio-video telemedicine visit with a new patient requiring straightforward medical decision making, or 15 to 29 minutes of total time on the encounter date. The American Medical Association introduced the code effective January 1, 2025. The code sits in the CPT book, and traditional […]