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RTMBase2026 Compliant

CPT 98984

2026 Billing Guide

RTM Device Therapy 16+ Day

Reimbursement

$47.06

Threshold

2d

2026 Status

Active

What is CPT Code 98984?

CPT 98984 is defined as: Remote therapeutic monitoring (RTM) device supply and technical support for monitoring non-musculoskeletal system status (e.g., therapy adherence, therapy response, respiratory system status). This code covers the provision of the device and the daily transmission of recordings or programmed alerts for each 30-day period, requiring a minimum of 16 days of data transmission.

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)

1.41

Practice Expense

Malpractice

0

Risk Factor

Total RVU

1.41

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

2026 CMS Policy Intelligence

two-tier compliance

In 2026, the introduction of the 2-15 day codes creates a two-tier system. 98984 remains the 'Gold Standard' for high-compliance months, while the short-duration codes serve as a safety net.

efficiency adjustment exemption

As a zero-Work RVU code (PE only), 98984 is not subject to the -2.5% efficiency adjustment applied to physician work values.

conversion factor

Utilizes the 2026 Non-QP rate of $33.40.

Administrative Framework

Place of Service

11 (Office)12 (Home)

NCCI Exclusions

Do not bill with:98976989779945498985 (mutually exclusive per month)

Key Modifiers

N/ATechnical component code; modifiers like 26/TC are typically not applicable.

Operational Requirements

transmission threshold

Requires a minimum of 16 days of data transmission within a 30-day period. For 2-15 days of data, use the new 2026 short-duration codes instead.

device type

The device must be a 'medical device' as defined by the FDA. Self-reported data via a general health app does not qualify unless the app is part of a regulated system.

billing interval

Reported once every 30 days per patient.

non-musculoskeletal

Specifically for monitoring adherence to therapy (e.g., medication or exercise) or other non-MSK physiological parameters.

Compliance Checklist

Detailed time tracking (cumulative for the month).
Specific clinical decision-making documentation.
Electronic care plan availability and access log.

Audit Defense

No specific audit defense elements defined.

2026 Update

Tiered billing logic required. If transmission is 2-15 days, down-code to short-duration codes to avoid denials.

Common Clinical Scenarios

No clinical examples provided.

Target Specialties & Utilization

PsychiatryPsychologyPulmonologyInternal Medicine

Typical Clinical Indications (ICD-10)

F41.1 (Generalized anxiety disorder)F33.x (Major depressive disorder, recurrent)J45.x (Asthma)

Frequently Asked Questions

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CPT Code 98984 for RTM Device Therapy 16+ Day - 2026 Reimbursement & Rules