CPT code 98977: Remote monitoring, musculoskeletal, 16–30 days2026 Medicare rate & RVUs

Reports supply of a remote monitoring device for musculoskeletal therapy when the device captures and transmits qualifying data on 16–30 days.

CMS RVU26DEffective Oct 1, 2026109 payment localities152.2K Medicare services in 2024

Medicare pays $51.44 for 98977 nationally in the office. Local office rates run $44.07–$73.87.

Medicare rate · 98977

Remote monitoring, musculoskeletal, 16–30 days

Office or facility?

Work RVUs
0
Total RVUs
1.54
Global days
XXX

National rate · 2026

$51.44

Office setting, before claim adjustments.

See every locality for 98977 →Billed by an NP, PA or therapist? →

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

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What 98977 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 98977 covers

This code covers supplying a remote therapeutic monitoring device that captures and transmits scheduled data about a patient’s musculoskeletal status. A physical therapist, physician, or other treating professional may use the data to follow a home rehabilitation program, such as therapy for persistent low-back pain or shoulder mobility limitations. The device may record therapy adherence or response, such as movement or exercise-related information, for review by the care team.

Report one unit for a 30-day period when qualifying data are recorded or transmitted on at least 16 days during that period. Documentation should identify the musculoskeletal condition, the device and data monitored, the monitoring period, and the days with qualifying data. CMS assigns no work RVU; its fee schedule valuation reflects practice expense and malpractice inputs. Setup and patient education, when performed, are represented by 98975; treatment-management services are represented by 98980 and 98981 and require their own supporting documentation.

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 98977 pays more and less

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

109 payment localities

$44.07 to $73.87

$44.07$58.97$73.87
One dot per payment locality, office / nonfacility. Hover a dot to see the locality; select it to open that rate.

109 of 109 payment localities

98977 office and facility rates by payment locality
Payment localityOfficeFacility
Alabama$44.90Unavailable
Alaska$54.61Unavailable
Arizona$49.81Unavailable
Arkansas$44.07Unavailable
Atlanta, GA$52.32Unavailable
Austin, TX$54.36Unavailable
Bakersfield, CA$56.21Unavailable
Baltimore area, MD$55.25Unavailable
Beaumont, TX$46.81Unavailable
Brazoria, TX$50.90Unavailable

98977 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.

$44.07

$65.03

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

View every state and territory as a table
98977 office rate range by state
State / territoryOffice rate rangeLocalities
AK$54.611
AL$44.901
AR$44.071
AZ$49.811
CA$56.19–$73.8729
CO$54.631
CT$55.441
DC$60.571
DE$50.791
FL$49.36–$54.043
GA$45.98–$52.322
GU$58.301
HI$58.301
IA$46.891
ID$47.171
IL$47.18–$53.084
IN$47.541
KS$46.371
KY$45.741
LA$45.55–$48.472
MA$54.08–$61.312
MD$52.02–$60.573
ME$47.22–$50.852
MI$47.03–$49.882
MN$52.681
MO$44.38–$48.993
MS$44.251
MT$51.441
NC$47.891
ND$51.241
NE$47.291
NH$53.491
NJ$56.17–$59.642
NM$47.261
NV$51.431
NY$48.78–$61.385
OH$46.991
OK$45.891
OR$51.13–$57.022
PA$47.23–$53.602
PR$51.991
RI$53.091
SC$47.501
SD$51.221
TN$46.631
TX$46.81–$54.368
UT$48.341
VA$50.47–$60.572
VI$51.991
VT$50.761
WA$54.07–$62.982
WI$49.061
WV$44.891
WY$51.351

How the 98977 rate is calculated

Each of 98977’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 · 98977

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.00

0.00 RVUs× 1.000 GPCI

Practice expense1.53

1.53 RVUs× 1.000 GPCI

Malpractice0.01

0.01 RVUs× 1.000 GPCI

Adjusted RVUs

1.5400

Conversion factor

$33.4009

Medicare rate

$51.44

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

Payment rules and modifiers for 98977

98977 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 · 98977

Which rate does Medicare pay?

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

POS 11 · non-facility rate · national

$51.44

Higher because the practice carries its own overhead.

98977 compared with similar codes

Compare codes · National

5 codes, side by side

Office or facility?

  • 98977

    Remote monitoring, musculoskeletal, 16–30 days0 wRVU

    $51.44

  • 98985

    RTM device supply, musculoskeletal, 2–15 days0 wRVU

    $51.44+$0.00

  • 98976

    RTM device supply, respiratory system, 16–30 days0 wRVU

    $52.11+$0.67

  • 98978

    CBT monitoring supply, 16–30 days0 wRVU

    Not priced

  • 98980

    RTM management, first 20 minutes monthly0.62 wRVU

    $54.11+$2.67

How to choose

98985RTM device supplyMusculoskeletal, 2–15 days
Both cover musculoskeletal RTM device supply. Choose 98977 for 16–30 days of qualifying data and 98985 for 2–15 days.
98976RTM device supplyRespiratory system, 16–30 days
Both cover RTM device supply for 16–30 days, but 98976 monitors the respiratory system rather than the musculoskeletal system.
98978CBT monitoring supply16–30 days
98978 covers device supply for cognitive behavioral therapy monitoring; 98977 is specific to musculoskeletal monitoring.
98980RTM managementFirst 20 minutes monthly
98977 represents the device-supply service. 98980 represents the first treatment-management time increment and requires its own qualifying time and communication.

98977 billing questions

When should 98977 be chosen over 98985?

Use 98977 when qualifying musculoskeletal monitoring data are captured on 16–30 days in the 30-day period. Code 98985 represents the shorter 2–15-day monitoring period.

What documentation supports the day count?

Keep the monitoring dates and device records showing qualifying musculoskeletal data were captured or transmitted on at least 16 days. Identify the condition and the data being monitored.

Does 98977 include setup or treatment-management time?

No. It represents the device-supply service. Code 98975 represents setup and patient education, while 98980 and 98981 represent RTM treatment-management time and communication.

Can 98977 be reported for respiratory monitoring?

No. 98977 is for musculoskeletal monitoring; 98976 is the corresponding device-supply code for respiratory system monitoring.

How many units are reported?

Report one unit for the 30-day monitoring period when the 16–30-day requirement is met. Do not count each device or each transmission as a separate unit.

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 98977PPRRVU2026_Oct_nonQPP.csv, line 12,957 (RVU26D)

Open CMS sourceHow we calculate rates

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