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RTMSetup2026 Compliant

CPT 98975

2026 Billing Guide

RTM Setup & Edu

Reimbursement

$21.71

Threshold

N/A

2026 Status

Active

What is CPT Code 98975?

CPT 98975 is defined as: Remote therapeutic monitoring (eg, respiratory system status, musculoskeletal system status, therapy adherence, therapy response); initial set-up and patient education on use of equipment. This represents the administrative and clinical effort to enroll a patient in a therapeutic monitoring program and ensures the patient is proficient in using the device to monitor non-physiologic data.

This code is primarily used for RTM services. It falls under the category of Remote Therapeutic Monitoring (RTM) and is valid for the 2026 calendar year according to the CMS Physician Fee Schedule.

2026 RVU Components

Relative Value Units (Non-Facility)

Standard Formula Applied

Work RVU

0

Physician Effort

PE (Non-Fac)

0.65

Practice Expense

Malpractice

0

Risk Factor

Total RVU

0.65

Note: [(Work RVU * Work GPCI) + (PE RVU * PE GPCI) + (MP RVU * MP GPCI)] * Conversion Factor

2026 CMS Policy Intelligence

efficiency shield

Protected from the -2.5% productivity adjustment (Work RVU is 0.0).

fqhc rhc transition

G0511 is sunsetted. FQHCs and RHCs must now itemize and bill 98975 for the initial RTM setup.

specialty benefit

2026 policy continues to support PT/OT/SLP billing of RTM codes, which remain separate from clinical staff-only RPM codes.

Administrative Framework

Place of Service

11 (Office)12 (Home)22 (Outpatient Hospital)

NCCI Exclusions

Do not bill with:994539525099473

Key Modifiers

25Significant separately identifiable E/M service on the same day. Often billed with the visit that initiates the RTM service.
G2211Applicable to the associated office E/M visit establishing the longitudinal therapeutic relationship.

Operational Requirements

frequency

Once per episode of care

staff type

Clinical staff, physician, or other QHP. Unlike RPM, RTM allows therapists (PT/OT/SLP) to bill directly.

device requirement

Device must be a medical device as defined by the FDA and monitor non-physiologic data (e.g., MSK status, therapy adherence).

documentation link

Must document the specific therapeutic parameter being monitored (e.g., medication adherence, lung function activity).

Compliance Checklist

Patient consent for RTM services
Proof of education on the device
Documentation of the specific therapeutic goal being monitored

Audit Defense

device education note

Record specific feedback from the patient: e.g., 'Patient demonstrated proficiency in data syncing and exercise logging'.

parameter validation

Avoid using 98975 for physiologic data (e.g., Blood Pressure); that must be billed as RPM 99453.

2026 Update

Medicare audits focus on ensuring RTM isn't used as a workaround for RPM. Data must be 'therapeutic' (adherence/response), not 'physiologic'.

Common Clinical Scenarios

Patient with post-surgical MSK rehab (e.g., total knee arthroplasty) monitoring home exercise adherence.
COPD patient (J44.9) monitoring inhalation therapy technique and adherence via smart inhaler.
Chronic low back pain (M54.5) monitoring daily mobility and therapy response.

Target Specialties & Utilization

Physical TherapyOrthopedicsPulmonologyPain Management

Typical Clinical Indications (ICD-10)

M54.5 (Low back pain)J44.9 (COPD)M17.11 (Osteoarthritis of right knee)J45.909 (Unspecified asthma)

Frequently Asked Questions

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CPT Code 98975 for RTM Setup & Edu - 2026 Reimbursement & Rules