Reference

The 2026 Medicare RTM codes

Remote Therapeutic Monitoring lets a clinic bill for the home programs it already prescribes. Six CPT codes cover it, two of them new for 2026. This page is built to be printed or forwarded — your biller can work from it directly.

CodeWhat it coversCadenceRate
98975Initial device setup & patient educationOnce per episode of care$22
98977MSK device supply, 16–30 days of data per monthPer patient, per month$40
98985NEW 2026MSK device supply, 2–15 days of data per monthPer patient, per month$40
98980Treatment management, first 20 minutes per monthPer patient, per month$54
98979NEW 2026Treatment management, 10–19 minutes per monthPer patient, per month$26
98981Treatment management, each additional 20 minutesPer patient, per month$41

CMS 2026 Medicare Physician Fee Schedule, national non-facility averages, rounded to the dollar.

What changed in 2026

The two codes marked NEW 2026 are why RTM is worth revisiting if you looked at it before and walked away:

  • 98985 — device supply and monitoring at 2–15 days of data in a month. Previously monitoring only became billable at 16 days, so a patient who trained twice a week produced nothing billable.
  • 98979 — treatment management for 10–19 minutes of review in a month. Previously the first billable tier was 20 minutes.

What one patient typically bills per month

Codes combine by how much the patient actually engages and how much review time the clinician logs. The common tiers:

Light

$66/patient/mo

2–15 data days · new 2026 codes

98985 + 98979

Standard

$94/patient/mo

16+ data days · 20 min review

98977 + 98980

High

$135/patient/mo

16+ data days · 40 min review

98977 + 98980 + 98981

Plus 98975 setup at $22, billed once per episode of care.

Who bills what

Your clinic bills these codes under its own NPI, the same way it bills everything else. Movra compiles the monitoring data, time logs, and documentation into a claim-ready packet your biller submits. Movra does not bill on your behalf and never takes a percentage of your reimbursement.

Want to see what this is worth in your clinic?

The calculator runs your own patient volume and payer mix against these rates, and the 3½-minute breakdown shows how the documentation gets built.

Run your clinic’s numbers

Rates are drawn from the CMS 2026 Medicare Physician Fee Schedule, national non-facility averages. Actual rates are geographically adjusted (GPCI) and vary by locality.

Commercial payer rates and coverage vary. Reimbursement depends on payer policy, patient engagement, and medical necessity.

This calculator is an educational estimate, not a guarantee of revenue or reimbursement.

Your clinic bills under its own NPI. Movra packages the documentation your biller submits — Movra does not bill on your behalf.

This page is general billing reference, not coding or legal advice. Confirm coverage and documentation requirements with your payers and your biller.