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.
In Washington, DC area, Medicare pays $61.36 for 98976 in the office.
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.
On this page 11 sections
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.
- Washington, DC area · this page$61.36
- Los Angeles, CA · California$61.47+$0.11
- Miami, FL · Florida$54.74−$6.62
- Chicago, IL · Illinois$52.80−$8.56
- Manhattan, NY · New York$60.69−$0.67
- Alaska · Alaska$55.32−$6.04
- Alabama · Alabama$45.49−$15.87
Other areas in District of Columbia first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| 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 | — |
| Merced, CACalifornia | $56.92 | — |
| Modesto, CACalifornia | $56.92 | — |
| Napa, CACalifornia | $68.40 | — |
| Oxnard, CACalifornia | $61.40 | — |
| Redding, CACalifornia | $56.92 | — |
| Rest of CaliforniaCalifornia | $56.92 | — |
| Riverside, CACalifornia | $57.03 | — |
| Sacramento, CACalifornia | $60.39 | — |
| Salinas, CACalifornia | $60.18 | — |
| San Diego, CACalifornia | $62.10 | — |
| Marin County, CACalifornia | $73.15 | — |
| San Francisco, CACalifornia | $73.14 | — |
| San Benito County, CACalifornia | $74.83 | — |
| Santa Clara County, CACalifornia | $74.79 | — |
| San Luis Obispo, CACalifornia | $59.15 | — |
| Santa Cruz, CACalifornia | $63.08 | — |
| Santa Maria, CACalifornia | $60.54 | — |
| Santa Rosa, CACalifornia | $63.75 | — |
| Stockton, CACalifornia | $56.92 | — |
| Vallejo, CACalifornia | $68.39 | — |
| Visalia, CACalifornia | $56.92 | — |
| Yuba City, CACalifornia | $56.92 | — |
| ColoradoColorado | $55.35 | — |
| ConnecticutConnecticut | $56.16 | — |
| DelawareDelaware | $51.45 | — |
| Fort Lauderdale, FLFlorida | $53.05 | — |
| Rest of FloridaFlorida | $50.00 | — |
| Atlanta, GAGeorgia | $53.00 | — |
| Rest of GeorgiaGeorgia | $46.58 | — |
| Hawaii, Guam, HIHawaii | $59.06 | — |
| IowaIowa | $47.50 | — |
| IdahoIdaho | $47.79 | — |
| East St. Louis, ILIllinois | $48.30 | — |
| Rest of IllinoisIllinois | $47.79 | — |
| Suburban Chicago, ILIllinois | $53.76 | — |
| IndianaIndiana | $48.15 | — |
| KansasKansas | $46.97 | — |
| KentuckyKentucky | $46.33 | — |
| New Orleans, LALouisiana | $49.10 | — |
| Rest of LouisianaLouisiana | $46.14 | — |
| Metropolitan Boston, MAMassachusetts | $62.11 | — |
| Rest of MassachusettsMassachusetts | $54.78 | — |
| Baltimore area, MDMaryland | $55.96 | — |
| Rest of MarylandMaryland | $52.70 | — |
| Rest of MaineMaine | $47.84 | — |
| Southern Maine, MEMaine | $51.52 | — |
| Detroit, MIMichigan | $50.52 | — |
| Rest of MichiganMichigan | $47.64 | — |
| MinnesotaMinnesota | $53.37 | — |
| Metropolitan Kansas City, MOMissouri | $48.94 | — |
| Metropolitan St. Louis, MOMissouri | $49.62 | — |
| Rest of MissouriMissouri | $44.95 | — |
| MississippiMississippi | $44.82 | — |
| MontanaMontana | $52.10 | — |
| North CarolinaNorth Carolina | $48.52 | — |
| North DakotaNorth Dakota | $51.91 | — |
| NebraskaNebraska | $47.91 | — |
| New HampshireNew Hampshire | $54.19 | — |
| Northern New JerseyNew Jersey | $60.41 | — |
| Rest of New JerseyNew Jersey | $56.90 | — |
| New MexicoNew Mexico | $47.88 | — |
| NevadaNevada | $52.10 | — |
| NYC suburbs and Long Island, NYNew York | $62.18 | — |
| Poughkeepsie and northern NYC suburbs, NYNew York | $57.09 | — |
| Queens, NYNew York | $61.68 | — |
| Rest of New YorkNew York | $49.42 | — |
| OhioOhio | $47.60 | — |
| OklahomaOklahoma | $46.49 | — |
| Portland, OROregon | $57.77 | — |
| Rest of OregonOregon | $51.80 | — |
| Metropolitan Philadelphia, PAPennsylvania | $54.29 | — |
| Rest of PennsylvaniaPennsylvania | $47.84 | — |
| Puerto RicoPuerto Rico | $52.67 | — |
| Rhode IslandRhode Island | $53.78 | — |
| South CarolinaSouth Carolina | $48.12 | — |
| South DakotaSouth Dakota | $51.88 | — |
| TennesseeTennessee | $47.24 | — |
| Austin, TXTexas | $55.07 | — |
| Beaumont, TXTexas | $47.42 | — |
| Brazoria, TXTexas | $51.57 | — |
| Dallas, TXTexas | $51.85 | — |
| Fort Worth, TXTexas | $51.34 | — |
| Galveston, TXTexas | $51.69 | — |
| Houston, TXTexas | $51.87 | — |
| Rest of TexasTexas | $49.43 | — |
| UtahUtah | $48.97 | — |
| VirginiaVirginia | $51.13 | — |
| Virgin Islands, VIUnited States Virgin Islands | $52.67 | — |
| VermontVermont | $51.42 | — |
| Rest of WashingtonWashington | $54.77 | — |
| King County, WAWashington | $63.80 | — |
| WisconsinWisconsin | $49.70 | — |
| West VirginiaWest Virginia | $45.47 | — |
| WyomingWyoming | $52.02 | — |
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
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $55.32 | 1 |
| AL | $45.49 | 1 |
| AR | $44.64 | 1 |
| AZ | $50.45 | 1 |
| CA | $56.92–$74.83 | 29 |
| CO | $55.35 | 1 |
| CT | $56.16 | 1 |
| DC | $61.36 | 1 |
| DE | $51.45 | 1 |
| FL | $50.00–$54.74 | 3 |
| GA | $46.58–$53.00 | 2 |
| GU | $59.06 | 1 |
| HI | $59.06 | 1 |
| IA | $47.50 | 1 |
| ID | $47.79 | 1 |
| IL | $47.79–$53.76 | 4 |
| IN | $48.15 | 1 |
| KS | $46.97 | 1 |
| KY | $46.33 | 1 |
| LA | $46.14–$49.10 | 2 |
| MA | $54.78–$62.11 | 2 |
| MD | $52.70–$61.36 | 3 |
| ME | $47.84–$51.52 | 2 |
| MI | $47.64–$50.52 | 2 |
| MN | $53.37 | 1 |
| MO | $44.95–$49.62 | 3 |
| MS | $44.82 | 1 |
| MT | $52.10 | 1 |
| NC | $48.52 | 1 |
| ND | $51.91 | 1 |
| NE | $47.91 | 1 |
| NH | $54.19 | 1 |
| NJ | $56.90–$60.41 | 2 |
| NM | $47.88 | 1 |
| NV | $52.10 | 1 |
| NY | $49.42–$62.18 | 5 |
| OH | $47.60 | 1 |
| OK | $46.49 | 1 |
| OR | $51.80–$57.77 | 2 |
| PA | $47.84–$54.29 | 2 |
| PR | $52.67 | 1 |
| RI | $53.78 | 1 |
| SC | $48.12 | 1 |
| SD | $51.88 | 1 |
| TN | $47.24 | 1 |
| TX | $47.42–$55.07 | 8 |
| UT | $48.97 | 1 |
| VA | $51.13–$61.36 | 2 |
| VI | $52.67 | 1 |
| VT | $51.42 | 1 |
| WA | $54.77–$63.80 | 2 |
| WI | $49.70 | 1 |
| WV | $45.47 | 1 |
| WY | $52.02 | 1 |
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
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
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.00 | × 1.054 | 0.0000 |
| Practice expense | 1.55 | × 1.178 | 1.8259 |
| Malpractice | 0.01 | × 1.113 | 0.0111 |
| Total RVUs | 1.8370 | ||
| 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
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.
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
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.
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.
March 9, 2024
RVU24AR
$55.42changed to$56.34
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
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
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.
January 1, 2022
RVU22A
No ratechanged to$68.89
Held through RVU22B, RVU22C, RVU22D.
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.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $61.36 | Not available in this setting | RVU26D |
| 2026-07-01 | $61.36 | Not available in this setting | RVU26C |
| 2026-04-01 | $61.36 | Not available in this setting | RVU26B |
| 2026-01-01 | $61.36 | Not available in this setting | RVU26A |
| 2025-10-01 | $51.27 | Not available in this setting | RVU25D |
| 2025-07-01 | $51.27 | Not available in this setting | RVU25C |
| 2025-04-01 | $51.27 | Not available in this setting | RVU25B |
| 2025-01-01 | $51.27 | Not available in this setting | RVU25A |
| 2024-10-01 | $56.34 | Not available in this setting | RVU24D |
| 2024-07-01 | $56.34 | Not available in this setting | RVU24C |
| 2024-04-01 | $56.34 | Not available in this setting | RVU24B |
| 2024-03-09 | $56.34 | Not available in this setting | RVU24AR |
| 2024-01-01 | $55.42 | Not available in this setting | RVU24A |
| 2023-10-01 | $60.89 | Not available in this setting | RVU23D |
| 2023-07-01 | $60.89 | Not available in this setting | RVU23C |
| 2023-04-01 | $60.89 | Not available in this setting | RVU23B |
| 2023-01-01 | $60.89 | Not available in this setting | RVU23A |
| 2022-10-01 | $68.89 | Not available in this setting | RVU22D |
| 2022-07-01 | $68.89 | Not available in this setting | RVU22C |
| 2022-04-01 | $68.89 | Not available in this setting | RVU22B |
| 2022-01-01 | $68.89 | Not available in this setting | RVU22A |
| 2021-10-01 | Not in this release | Not in this release | RVU21D |
| 2021-07-01 | Not in this release | Not in this release | RVU21C |
| 2021-04-01 | Not in this release | Not in this release | RVU21B |
| 2021-01-01 | Not in this release | Not in this release | RVU21A |
| 2020-10-01 | Not in this release | Not in this release | RVU20D |
| 2020-07-01 | Not in this release | Not in this release | RVU20C |
| 2020-04-01 | Not in this release | Not in this release | RVU20B |
| 2020-01-01 | Not in this release | Not in this release | RVU20A |
| 2019-10-01 | Not in this release | Not in this release | RVU19D |
| 2019-07-01 | Not in this release | Not in this release | RVU19C |
| 2019-04-01 | Not in this release | Not in this release | RVU19B |
| 2019-01-01 | Not in this release | Not in this release | RVU19A |
| 2018-10-01 | Not in this release | Not in this release | RVU18D |
| 2018-07-01 | Not in this release | Not in this release | RVU18C |
| 2018-04-01 | Not in this release | Not in this release | RVU18B |
| 2018-01-01 | Not in this release | Not in this release | RVU18AR1 |
| 2017-10-01 | Not in this release | Not in this release | RVU17D |
| 2017-07-01 | Not in this release | Not in this release | RVU17C |
| 2017-04-01 | Not in this release | Not in this release | RVU17B |
| 2017-01-01 | Not in this release | Not in this release | RVU17A |
| 2016-10-01 | Not in this release | Not in this release | RVU16D |
| 2016-07-01 | Not in this release | Not in this release | RVU16C |
| 2016-04-01 | Not in this release | Not in this release | RVU16B |
| 2016-01-01 | Not in this release | Not in this release | RVU16A |
| 2015-10-01 | Not in this release | Not in this release | RVU15D |
| 2015-07-01 | Not in this release | Not in this release | RVU15C |
| 2015-04-01 | Not in this release | Not in this release | RVU15B |
| 2015-01-01 | Not in this release | Not in this release | RVU15A |
| 2014-10-01 | Not in this release | Not in this release | RVU14D |
| 2014-07-01 | Not in this release | Not in this release | RVU14C |
| 2014-04-01 | Not in this release | Not in this release | RVU14B |
| 2014-01-01 | Not in this release | Not in this release | RVU14A |
| 2013-10-01 | Not in this release | Not in this release | RVU13D |
| 2013-07-01 | Not in this release | Not in this release | RVU13C |
| 2013-04-01 | Not in this release | Not in this release | RVU13B |
| 2013-01-01 | Not in this release | Not in this release | RVU13AR |
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
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
Fee sheets
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