CPT code 98976: RTM device supply, respiratory system, 16–30 days2026 Medicare rate & RVUs in Missouri
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.
Medicare pays $44.95–$49.62 for 98976 in the office in Missouri, from Rest of Missouri to Metropolitan St. Louis, MO. Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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On this page 9 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.
Where 98976 pays more and less in Missouri
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
3 payment localities
$44.95 to $49.62
| Payment locality | Office | Facility |
|---|---|---|
| Metropolitan Kansas City, MO | $48.94 | Unavailable |
| Metropolitan St. Louis, MO | $49.62 | Unavailable |
| Rest of Missouri | $44.95 | Unavailable |
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.
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.
98976 compared with similar codes
Compare codes · National
5 codes, side by side
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.
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
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