Remote Therapeutic Monitoring
The Centers for Medicare & Medicaid Services (CMS) introduced several updates and changes in their 2024 Physician Fee Schedule final rule, which included the ruling that federally qualified health centers (FQHCs) and rural health centers (RHCs) can now bill for RPM services and remote therapeutic monitoring (RTM). The new RTM codes are an expansion of the remote physiologic code but focus on the musculoskeletal system status, respiratory system status, therapy adherence and therapy response, and they represent the review and monitoring of data related to signs, symptoms and functions of a therapeutic response. Below is a detailed outline of the code descriptors for RPM and RTM.
The RTM CPT codes are:
| Code | Descriptor | wRVU | Non-Facility Fee |
| 98975 | Initial set-up and patient education on use of equipment for respiratory system status and musculoskeletal system status | N/A | $19.65 |
| 98977 | Remote therapeutic monitoring (e.g., respiratory system status, musculoskeletal system status, therapy adherence, therapy response); device(s) supply with scheduled (e.g., daily) recording(s) and/or programmed alert(s) transmission to monitor musculoskeletal system, each 30 days | N/A | $46.50 |
| 98980 | Remote therapeutic monitoring treatment management services, physician/other qualified health care professional time in a calendar month requiring at least one interactive communication with the patient/caregiver during the calendar month; first 20 minutes | 0.62 | $49.77 |
| 98981 | Each additional 20 minutes of RTM services (List separately in addition to code for primary procedure). | 0.61 | $39.29 |
Coding Notes
CPT code 98975: A one-time billable code for the initial set-up and patient education on use of the equipment. This code requires 16 days of collected data/measures, which can be self-reported.
CPT code 98977 (musculoskeletal): Billable once every 30 days and requires 16 days of collected data/measures, which can be self-reported.
CPT code 98980: A time-based code, billable once every 30 days, that covers the first 20 minutes of care management and interactive communication by clinical staff, MD or QHCP. This code requires at least one interactive communication within the calendar month.
CPT code 98981: A time-based code that covers every additional 20 minutes of care management and interactive communication by clinical staff, MD or QHCP. This requires at least one interactive communication within the calendar month.
Remote Therapeutic Code FAQs
Q: Is remote therapeutic monitoring (RTM) different from remote physiologic monitoring (RPM)?
