CPT code 98978: CBT monitoring supply, 16–30 days2026 Medicare rate & RVUs in Florida
Reports remote therapeutic monitoring device supply for cognitive behavioral therapy when qualifying monitoring occurs on 16–30 days within a 30-day period.
CMS doesn’t publish an office rate for 98978 in Florida.
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 98978 covers
98978 identifies remote therapeutic monitoring device supply for monitoring related to cognitive behavioral therapy (CBT). It applies when qualifying monitoring occurs on 16–30 days within a 30-day period. The code describes the monitoring supply, not a CBT treatment session or the clinician’s remote treatment-management time. The day range distinguishes it from 98986, the shorter-period CBT supply code. RTM supply codes 98976 and 98977 cover respiratory and musculoskeletal monitoring, respectively.
Medicare lists physician fee schedule status C (carrier priced): CMS publishes no national payment, and the Medicare Administrative Contractor sets payment for each claim. The code is in CPT Category I. Choose the supply code according to the monitored subject and qualifying day count in the 30-day period. Code 98975 describes initial setup and patient education, while 98980 and 98981 describe remote treatment-management time. These codes identify different parts of an RTM service; 98978 is for CBT-related device supply in the 16–30-day range.
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 98978 pays more and less in Florida
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
| Payment locality | Office | Facility |
|---|---|---|
| Fort Lauderdale, FL | Unavailable | Unavailable |
| Miami, FL | Unavailable | Unavailable |
| Rest of Florida | Unavailable | Unavailable |
How the 98978 rate is calculated
Each of 98978’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 · 98978
RVUs × geographic indexes × conversion factor
Work0.00
0.00 RVUs× 1.000 GPCI
Practice expense0.00
0.00 RVUs× 1.000 GPCI
Malpractice0.00
0.00 RVUs× 1.000 GPCI
Adjusted RVUs
0.0000
Conversion factor
$33.4009
Medicare rate
$0.00
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 98978
98978 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 · 98978
Which rate does Medicare pay?
The POS code on the claim line (CMS-1500 box 24B).
POS 11 · non-facility rate · national
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98978 isn’t priced in this setting.
98978 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 98986CBT monitoring supply2–15 days per 30 days
- Both concern CBT-related remote monitoring supply; 98978 covers 16–30 days, while 98986 covers 2–15 days.
- 98976RTM device supplyRespiratory system, 16–30 days
- 98976 covers respiratory-system monitoring supply for 16–30 days; 98978 is for CBT-related monitoring supply.
- 98977Remote monitoringMusculoskeletal, 16–30 days
- 98977 covers musculoskeletal monitoring supply for 16–30 days; 98978 is for CBT-related monitoring supply.
- 98980RTM managementFirst 20 minutes monthly
- 98978 identifies CBT-related device supply for remote monitoring; 98980 describes remote treatment-management time.
98978 billing questions
When should I report 98978 rather than 98986?
Use 98978 for CBT-related remote monitoring supply when qualifying monitoring occurs on 16–30 days within a 30-day period. Code 98986 covers the shorter 2–15-day range.
Does 98978 represent a CBT treatment session?
No. It identifies CBT-related remote monitoring device supply, not delivery of a CBT treatment session.
How does the day count affect code selection?
98978 is for the 16–30-day range within a 30-day monitoring period. Select the range matching the qualifying monitoring days.
How does Medicare price 98978?
It has physician fee schedule status C, or carrier priced. CMS publishes no national payment, and the Medicare Administrative Contractor sets payment for each claim.
How does 98978 differ from 98975?
98978 identifies CBT-related device supply for remote monitoring. Code 98975 describes initial setup and patient education for monitoring equipment.
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
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