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

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, 2026One payment locality152.2K Medicare services in 2024

In South Dakota, Medicare pays $51.22 for 98977 in the office.

$51.22Office (non-facility)
Not available in this settingHospital or facility
−0.4%vs the national office rate ($51.44)

Check a contract rate as a % of Medicare · 98977 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 98977 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in South Dakota
  2. What 98977 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 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.

How South Dakota compares for 98977

Across 109 of 109 payment localities, the office rate for 98977 runs from $44.07 in Arkansas to $73.87 in San Benito County, CA. South Dakota pays $51.22. The RVUs are the same everywhere; the geographic indexes change the dollars.

98977 in South Dakota vs other payment areas
  1. South Dakota · this page$51.22
  2. Los Angeles, CA · California$60.68+$9.46
  3. Washington, DC area · District of Columbia$60.57+$9.35
  4. Miami, FL · Florida$54.04+$2.82
  5. Chicago, IL · Illinois$52.13+$0.91
  6. Manhattan, NY · New York$59.91+$8.69
  7. Alaska · Alaska$54.61+$3.39

Other areas in South Dakota first, then benchmark localities. Bars start at $0.

Every other payment area

98977 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$44.90—
ArkansasArkansas$44.07—
ArizonaArizona$49.81—
Bakersfield, CACalifornia$56.21—
Chico, CACalifornia$56.19—
El Centro, CACalifornia$56.19—
Fresno, CACalifornia$56.19—
Hanford, CACalifornia$56.19—

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

See 98977 in every payment locality

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.

The exact South Dakota inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

12,957

Code
98977
Physician work
0.00
Practice expense
1.53
Malpractice
0.01

GPCI2026.csv

94

Locality
South Dakota
Physician work
1.000
Practice expense
1.000
Malpractice
0.336
Office calculation for 98977 in South Dakota
ComponentRVULocality factorAdjusted
Physician work0.00× 1.0000.0000
Practice expense1.53× 1.0001.5300
Malpractice0.01× 0.3360.0034
Total RVUs1.5334
Conversion factor× 33.4009

Office rate, South Dakota$51.22

Office: (0 × 1 + 1.53 × 1 + 0.01 × 0.336) × $33.4009 = $51.22

Open 98977 in the RVU calculator

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.

How 98977 has changed in South Dakota

98977 · Office / nonfacility

$51.22

Effective 2026-10-01

The base rate is $8.40 higher than on 2025-10-01, moving from $42.82 to $51.22 (19.6%).

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

    $42.82changed to$51.22

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 1.32 changed to 1.53
    • Malpractice GPCI 0.382 changed to 0.336

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $47.06changed to$42.82

    • 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

    $46.29changed to$47.06

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $49.94changed to$46.29

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 1.47 changed to 1.41
    • Malpractice GPCI 0.364 changed to 0.382
  5. January 1, 2023

    RVU23A

    $55.49changed to$49.94

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 1.60 changed to 1.47
    • Malpractice GPCI 0.347 changed to 0.364

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    No ratechanged to$55.49

    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$51.22Not available in this settingRVU26D
2026-07-01$51.22Not available in this settingRVU26C
2026-04-01$51.22Not available in this settingRVU26B
2026-01-01$51.22Not available in this settingRVU26A
2025-10-01$42.82Not available in this settingRVU25D
2025-07-01$42.82Not available in this settingRVU25C
2025-04-01$42.82Not available in this settingRVU25B
2025-01-01$42.82Not available in this settingRVU25A
2024-10-01$47.06Not available in this settingRVU24D
2024-07-01$47.06Not available in this settingRVU24C
2024-04-01$47.06Not available in this settingRVU24B
2024-03-09$47.06Not available in this settingRVU24AR
2024-01-01$46.29Not available in this settingRVU24A
2023-10-01$49.94Not available in this settingRVU23D
2023-07-01$49.94Not available in this settingRVU23C
2023-04-01$49.94Not available in this settingRVU23B
2023-01-01$49.94Not available in this settingRVU23A
2022-10-01$55.49Not available in this settingRVU22D
2022-07-01$55.49Not available in this settingRVU22C
2022-04-01$55.49Not available in this settingRVU22B
2022-01-01$55.49Not 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 98977 for an earlier date of service

Where the South Dakota rate applies

South Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in South Dakota. Some span more than one payment area; confirm with the service ZIP.

  • Aberdeen
  • Agar
  • Agency Village
  • Akaska
  • Albee
  • Alcester
  • Alexandria
  • Allen

Browse all communities in South Dakota

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)
Geographic factors for South DakotaGPCI2026.csv, line 94 (RVU26D)

Open CMS sourceHow we calculate rates

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