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

Reports respiratory-system remote therapeutic monitoring device supply when qualifying recordings or alerts are collected and transmitted on 16–30 days in a 30-day period.

CMS RVU26DEffective Oct 1, 2026One payment locality133.6K Medicare services in 2024

In Washington, DC area, Medicare pays $61.36 for 98976 in the office.

$61.36Office (non-facility)
Not available in this settingHospital or facility
+17.8%vs the national office rate ($52.11)

Check a contract rate as a % of Medicare · 98976 nationwide

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

We’ll open 98976 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Washington, DC area
  2. What 98976 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

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.

How Washington, DC area compares for 98976

Across 109 of 109 payment localities, the office rate for 98976 runs from $44.64 in Arkansas to $74.83 in San Benito County, CA. Washington, DC area pays $61.36. The RVUs are the same everywhere; the geographic indexes change the dollars.

98976 in Washington, DC area vs other payment areas
  1. Washington, DC area · this page$61.36
  2. Los Angeles, CA · California$61.47+$0.11
  3. Miami, FL · Florida$54.74−$6.62
  4. Chicago, IL · Illinois$52.80−$8.56
  5. Manhattan, NY · New York$60.69−$0.67
  6. Alaska · Alaska$55.32−$6.04
  7. Alabama · Alabama$45.49−$15.87

Other areas in District of Columbia first, then benchmark localities. Bars start at $0.

Every other payment area

98976 in every other Medicare payment locality
Payment localityOfficeFacility
ArkansasArkansas$44.64—
ArizonaArizona$50.45—
Bakersfield, CACalifornia$56.94—
Chico, CACalifornia$56.92—
El Centro, CACalifornia$56.92—
Fresno, CACalifornia$56.92—
Hanford, CACalifornia$56.92—
Madera, CACalifornia$56.92—

98976 rates by state

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

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$44.64

$65.88

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
98976 office rate range by state
State / territoryOffice rate rangeLocalities
AK$55.321
AL$45.491
AR$44.641
AZ$50.451
CA$56.92–$74.8329
CO$55.351
CT$56.161
DC$61.361
DE$51.451
FL$50.00–$54.743
GA$46.58–$53.002
GU$59.061
HI$59.061
IA$47.501
ID$47.791
IL$47.79–$53.764
IN$48.151
KS$46.971
KY$46.331
LA$46.14–$49.102
MA$54.78–$62.112
MD$52.70–$61.363
ME$47.84–$51.522
MI$47.64–$50.522
MN$53.371
MO$44.95–$49.623
MS$44.821
MT$52.101
NC$48.521
ND$51.911
NE$47.911
NH$54.191
NJ$56.90–$60.412
NM$47.881
NV$52.101
NY$49.42–$62.185
OH$47.601
OK$46.491
OR$51.80–$57.772
PA$47.84–$54.292
PR$52.671
RI$53.781
SC$48.121
SD$51.881
TN$47.241
TX$47.42–$55.078
UT$48.971
VA$51.13–$61.362
VI$52.671
VT$51.421
WA$54.77–$63.802
WI$49.701
WV$45.471
WY$52.021

See 98976 in every payment locality

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.

How the rate is built · 98976

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.00

0.00 RVUs× 1.000 GPCI

Practice expense1.55

1.55 RVUs× 1.000 GPCI

Malpractice0.01

0.01 RVUs× 1.000 GPCI

Adjusted RVUs

1.5600

Conversion factor

$33.4009

Medicare rate

$52.11

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Washington, DC area inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

12,956

Code
98976
Physician work
0.00
Practice expense
1.55
Malpractice
0.01

GPCI2026.csv

39

Locality
Washington, DC area
Physician work
1.054
Practice expense
1.178
Malpractice
1.113
Office calculation for 98976 in Washington, DC area
ComponentRVULocality factorAdjusted
Physician work0.00× 1.0540.0000
Practice expense1.55× 1.1781.8259
Malpractice0.01× 1.1130.0111
Total RVUs1.8370
Conversion factor× 33.4009

Office rate, Washington, DC area$61.36

Office: (0 × 1.054 + 1.55 × 1.178 + 0.01 × 1.113) × $33.4009 = $61.36

Open 98976 in the RVU calculator

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.

Place of service · 98976

Which rate does Medicare pay?

The POS code on the claim line (CMS-1500 box 24B).

POS 11 · non-facility rate · national

$52.11

Higher because the practice carries its own overhead.

How 98976 has changed in Washington, DC area

98976 · Office / nonfacility

$61.36

Effective 2026-10-01

The base rate is $10.09 higher than on 2025-10-01, moving from $51.27 to $61.36 (19.7%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release
  1. January 1, 2026

    RVU26A

    $51.27changed to$61.36

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 1.32 changed to 1.55
    • Work GPCI 1.057 changed to 1.054
    • Practice expense GPCI 1.192 changed to 1.178
    • Malpractice GPCI 1.168 changed to 1.113

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $56.34changed to$51.27

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 1.41 changed to 1.32

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $55.42changed to$56.34

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $60.89changed to$55.42

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 1.47 changed to 1.41
    • Work GPCI 1.056 changed to 1.057
    • Practice expense GPCI 1.214 changed to 1.192
    • Malpractice GPCI 1.231 changed to 1.168
  5. January 1, 2023

    RVU23A

    $68.89changed to$60.89

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 1.60 changed to 1.47
    • Work GPCI 1.054 changed to 1.056
    • Practice expense GPCI 1.236 changed to 1.214
    • Malpractice GPCI 1.294 changed to 1.231

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    No ratechanged to$68.89

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D, RVU17A, RVU17B, RVU17C, RVU17D, RVU18AR1, RVU18B, RVU18C, RVU18D, RVU19A, RVU19B, RVU19C, RVU19D, RVU20A, RVU20B, RVU20C, RVU20D, RVU21A, RVU21B, RVU21C, RVU21D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$61.36Not available in this settingRVU26D
2026-07-01$61.36Not available in this settingRVU26C
2026-04-01$61.36Not available in this settingRVU26B
2026-01-01$61.36Not available in this settingRVU26A
2025-10-01$51.27Not available in this settingRVU25D
2025-07-01$51.27Not available in this settingRVU25C
2025-04-01$51.27Not available in this settingRVU25B
2025-01-01$51.27Not available in this settingRVU25A
2024-10-01$56.34Not available in this settingRVU24D
2024-07-01$56.34Not available in this settingRVU24C
2024-04-01$56.34Not available in this settingRVU24B
2024-03-09$56.34Not available in this settingRVU24AR
2024-01-01$55.42Not available in this settingRVU24A
2023-10-01$60.89Not available in this settingRVU23D
2023-07-01$60.89Not available in this settingRVU23C
2023-04-01$60.89Not available in this settingRVU23B
2023-01-01$60.89Not available in this settingRVU23A
2022-10-01$68.89Not available in this settingRVU22D
2022-07-01$68.89Not available in this settingRVU22C
2022-04-01$68.89Not available in this settingRVU22B
2022-01-01$68.89Not available in this settingRVU22A
2021-10-01Not in this releaseNot in this releaseRVU21D
2021-07-01Not in this releaseNot in this releaseRVU21C
2021-04-01Not in this releaseNot in this releaseRVU21B
2021-01-01Not in this releaseNot in this releaseRVU21A
2020-10-01Not in this releaseNot in this releaseRVU20D
2020-07-01Not in this releaseNot in this releaseRVU20C
2020-04-01Not in this releaseNot in this releaseRVU20B
2020-01-01Not in this releaseNot in this releaseRVU20A
2019-10-01Not in this releaseNot in this releaseRVU19D
2019-07-01Not in this releaseNot in this releaseRVU19C
2019-04-01Not in this releaseNot in this releaseRVU19B
2019-01-01Not in this releaseNot in this releaseRVU19A
2018-10-01Not in this releaseNot in this releaseRVU18D
2018-07-01Not in this releaseNot in this releaseRVU18C
2018-04-01Not in this releaseNot in this releaseRVU18B
2018-01-01Not in this releaseNot in this releaseRVU18AR1
2017-10-01Not in this releaseNot in this releaseRVU17D
2017-07-01Not in this releaseNot in this releaseRVU17C
2017-04-01Not in this releaseNot in this releaseRVU17B
2017-01-01Not in this releaseNot in this releaseRVU17A
2016-10-01Not in this releaseNot in this releaseRVU16D
2016-07-01Not in this releaseNot in this releaseRVU16C
2016-04-01Not in this releaseNot in this releaseRVU16B
2016-01-01Not in this releaseNot in this releaseRVU16A
2015-10-01Not in this releaseNot in this releaseRVU15D
2015-07-01Not in this releaseNot in this releaseRVU15C
2015-04-01Not in this releaseNot in this releaseRVU15B
2015-01-01Not in this releaseNot in this releaseRVU15A
2014-10-01Not in this releaseNot in this releaseRVU14D
2014-07-01Not in this releaseNot in this releaseRVU14C
2014-04-01Not in this releaseNot in this releaseRVU14B
2014-01-01Not in this releaseNot in this releaseRVU14A
2013-10-01Not in this releaseNot in this releaseRVU13D
2013-07-01Not in this releaseNot in this releaseRVU13C
2013-04-01Not in this releaseNot in this releaseRVU13B
2013-01-01Not in this releaseNot in this releaseRVU13AR

Price 98976 for an earlier date of service

Where the Washington, DC area rate applies

Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.

  • Washington

Browse all communities in District of Columbia

98976 billing questions

How does 98976 differ from 98984?

Both cover respiratory-system RTM device supply. Use 98976 for 16–30 qualifying days in a 30-day period and 98984 for 2–15 days.

Does 98976 include RTM treatment-management work?

No. It represents device supply and data collection; treatment-management services are reported separately with the applicable RTM management code when requirements are met.

What documentation supports reporting 98976?

Document the respiratory monitoring purpose, the device or data collected, and dates showing qualifying recordings or programmed alerts on at least 16 days within the 30-day period.

Is 98976 the setup and education code?

No. Code 98975 represents initial RTM equipment setup and patient education when performed; 98976 represents respiratory-system device supply over the qualifying monitoring period.

Does the number of devices determine the code?

No. Select 98976 based on respiratory-system monitoring and the qualifying days in the 30-day period, not the number of devices or readings.

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

Show the CMS file lines behind this rate
RVUs for 98976PPRRVU2026_Oct_nonQPP.csv, line 12,956 (RVU26D)
Geographic factors for Washington, DC areaGPCI2026.csv, line 39 (RVU26D)

Open CMS sourceHow we calculate rates

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