CPT Codes

Remote Therapeutic Monitoring (RTM) services are billed using a set of CPT codes that cover patient setup, device access, data collection, and clinical monitoring time. Each code has specific requirements related to patient activity, timing, and billing cycles.

Device Setup and Data Transmission Codes:

98975: Initial Setup and Patient Education

This code covers the initial onboarding of a patient into RTM, including education on how the service works and how to use the mobile app or platform.

• When billed: Once per episode of care
• Requirements: Patient education and successful setup and 16 days of patient engagement within a 30-day period
• Billing cycle: One-time (not monthly)
• 2026 reimbursement: ~$19 (payer-dependent)

98977: Device Supply and Data Collection

This code is used when a patient is provided access to an RTM platform and submits qualifying therapeutic data during a billing period.

• When billed: Once every 30 days
• Requirements: At least 16 days of patient data must be collected during the 30 days
• Billing cycle: 30-day billing period
• 2026 reimbursement: ~$55 (payer-dependent)

98985: Device Supply (Short-Duration RTM)

This code applies to short-duration RTM services and is designed to lower the barrier to entry for RTM by requiring a shorter data collection period.

• When billed: Once every 30 days
• Requirements: 2 to 15 days of patient-generated data within a 30-day period.
• Billing cycle: 30-day billing period
• 2026 reimbursement: ~$40 (payer-dependent)

Patient Monitoring and Interaction Codes

98979: Patient Monitoring (Short-Duration RTM)

This code applies to short-duration RTM services and is designed to lower the barrier to entry for RTM by requiring a shorter monitoring time requirement.

• When billed: Once per calendar month
• Requirements: 10-19 minutes of monitoring time, one documented interactive communication (phone call, video chat)
• Billing cycle: Monthly
• 2026 reimbursement: ~$26 (payer-dependent)

98980: Patient Monitoring (First 20 Minutes)

This code is billed based on the total documented clinical monitoring time accumulated during the billing cycle. Monitoring time includes reviewing patient data and engaging the patient as clinically appropriate.

• When billed: Once per calendar month
• Requirements: At least 20 minutes of documented monitoring time, one documented interactive communication (phone call, video chat)
• Billing cycle: Monthly
• 2026 reimbursement: ~$50 (payer-dependent)

98981: Patient Monitoring (Each Additional 20 Minutes)

This code may be billed for each additional 20 minutes of monitoring time beyond the initial 20 minutes covered by 98980.

• When billed: No monthly cap
• Requirements: Additional 20-minute increments of monitoring time beyond 98980, one documented interactive communication (phone call, video chat)
• Billing cycle: Monthly
• 2026 reimbursement: ~$40 (payer-dependent)