CPT code 98975: RTM setup, initial device setup and instruction2026 Medicare rate & RVUs

Medicare pays $21.71 for 98975 nationally in the office. Local office rates run $18.42–$30.70.

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 98975 covers

This service covers configuring remote therapeutic monitoring equipment and teaching the patient how to use it. For example, a physical therapist may help a patient start using an app-connected device to track home musculoskeletal therapy. The setup and instruction may be performed in an office or another care setting by the clinician responsible for the monitoring program; the work is distinct from later review of transmitted information or ongoing device supply.

Report 98975 when the record supports that setup and patient education were furnished, identifying the equipment and the instruction provided. It is not the code for recurring device-supply days or clinician treatment-management time; those services have separate RTM codes when furnished and documented. CMS assigns this service practice-expense and malpractice RVUs, with no work RVU.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

Where 98975 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

98975 rates by state

Office rate range in each state. Select a state to see its payment localities.

How the 98975 rate is calculated

Each of 98975’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

Payment rules and modifiers for 98975

98975 has no global surgery period, no multiple-procedure, bilateral or assistant-at-surgery adjustment, and no professional/technical split. What changes the payment is where the service happens: the place of service on the claim decides whether Medicare pays the office or the facility rate.

98975 compared with similar codes

How to choose

98976RTM device supplyRespiratory system, 16–30 days

Use 98975 for initial RTM equipment setup and patient instruction. Use 98976 for respiratory-system RTM device supply when its service criteria are met.

98977Remote monitoringMusculoskeletal, 16–30 days

98975 captures setup and instruction; 98977 represents musculoskeletal RTM device supply, not the initial teaching service.

98980RTM managementFirst 20 minutes monthly

98975 reports equipment setup and patient education. 98980 reports RTM treatment-management work measured by clinician time.

Codes related to 98975

Related codes aren’t interchangeable: bill the code that matches the service performed.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Open CMS sourceHow we calculate rates