CPT code 98976: RTM device supply, respiratory system, 16–30 days2026 Medicare rate & RVUs

Medicare pays $52.11 for 98976 nationally in the office. Local office rates run $44.64–$74.83.

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

What 98976 covers

This code represents supplying a remote therapeutic monitoring device for respiratory-system data collection and transmission over 16–30 days in a 30-day period. It is used in care such as monitoring treatment adherence or response for patients with conditions such as asthma or COPD. Pulmonary and other clinicians managing respiratory therapy may use the data to follow a patient between visits; the code is for the device-supply service, not the clinician’s review or treatment-management work.

Select the code based on the monitored system and the number of qualifying days, rather than the number of devices or readings. Documentation should identify the respiratory monitoring purpose, the device or data being collected, and the dates supporting at least 16 qualifying days within the 30-day period. The shorter respiratory-system supply code, 98984, applies when data collection occurs on 2–15 days. Initial setup and patient education are represented separately by 98975 when that service is performed; RTM treatment-management work is reported separately when its requirements are met.

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 98976 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

98976 rates by state

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

How the 98976 rate is calculated

Each of 98976’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 98976

98976 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.

98976 compared with similar codes

How to choose

98984RTM device supplyRespiratory system, 2–15 days

Both codes cover respiratory-system RTM device supply. Choose 98976 for 16–30 qualifying days in the 30-day period; choose 98984 for 2–15 days.

98977Remote monitoringMusculoskeletal, 16–30 days

This is the RTM supply code for musculoskeletal-system monitoring. Code 98976 is for respiratory-system monitoring.

98975RTM setupInitial device setup and instruction

Code 98975 represents initial equipment setup and patient education, while 98976 represents device supply and data collection during the monitoring period.

98980RTM managementFirst 20 minutes monthly

Code 98980 represents RTM treatment-management work; 98976 represents respiratory-system device supply and qualifying monitoring days.

Codes related to 98976

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