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CPT code 98981: RTM management, each additional 20 minutes2026 Medicare rate & RVUs in New Mexico

Report 98981 for each additional 20 minutes of remote therapeutic monitoring treatment-management work after the primary monthly management service.

CMS RVU26DEffective Oct 1, 2026One payment locality79.5K Medicare services in 2024

In New Mexico, Medicare pays $39.96 for 98981 in the office and $25.25 when it’s performed in a hospital or facility.

$39.96Office (non-facility)
$25.25Hospital or facility
−3.5%vs the national office rate ($41.42)

Check a contract rate as a % of Medicare · 98981 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 98981 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in New Mexico
  2. What 98981 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 98981 covers

This add-on represents additional treatment-management time for remote therapeutic monitoring (RTM), such as reviewing a patient’s therapy-related data and managing care for a musculoskeletal or respiratory condition. Physicians and other qualified health care professionals, including therapists when acting within their scope, may furnish the management in office-based or other care settings. The monthly service requires at least one interactive communication with the patient or caregiver; device setup or data transmission alone is not this management work.

Report 98981 with the primary RTM management code 98980 when the documented work reaches an additional 20 minutes beyond the time represented by that primary service. Keep a record of the management activities, time, and required interactive communication in the applicable calendar month. CMS classifies 98981 as an add-on: it is billed only with a primary procedure and paid within that procedure’s global period.

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 New Mexico compares for 98981

Across 109 of 109 payment localities, the office rate for 98981 runs from $38.11 in Arkansas to $52.46 in Alaska. New Mexico pays $39.96. The RVUs are the same everywhere; the geographic indexes change the dollars.

98981 in New Mexico vs other payment areas
  1. New Mexico · this page$39.96
  2. Los Angeles, CA · California$45.58+$5.62
  3. Washington, DC area · District of Columbia$46.20+$6.24
  4. Miami, FL · Florida$43.77+$3.81
  5. Chicago, IL · Illinois$42.96+$3.00
  6. Manhattan, NY · New York$46.55+$6.59
  7. Alaska · Alaska$52.46+$12.50

Other areas in New Mexico first, then benchmark localities. Bars start at $0.

Every other payment area

98981 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$38.48$24.45
ArkansasArkansas$38.11$24.33
ArizonaArizona$40.65$25.12
Bakersfield, CACalifornia$43.34$25.76
Chico, CACalifornia$43.22$25.65
El Centro, CACalifornia$43.23$25.66
Fresno, CACalifornia$43.22$25.65
Hanford, CACalifornia$43.22$25.65

98981 rates by state

Office rate range in each state. Select a state to see its payment localities.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

$38.11

$52.46

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

View every state and territory as a table
98981 office rate range by state
State / territoryOffice rate rangeLocalities
AK$52.461
AL$38.481
AR$38.111
AZ$40.651
CA$43.22–$52.0529
CO$42.721
CT$43.581
DC$46.201
DE$41.181
FL$41.04–$43.773
GA$39.45–$42.002
GU$43.741
HI$43.741
IA$39.111
ID$39.291
IL$40.24–$42.964
IN$39.441
KS$39.001
KY$39.111
LA$39.07–$40.372
MA$42.60–$46.032
MD$41.78–$46.203
ME$39.44–$40.872
MI$39.80–$41.402
MN$41.291
MO$38.63–$40.463
MS$38.371
MT$41.421
NC$39.711
ND$40.821
NE$39.251
NH$42.111
NJ$44.17–$45.982
NM$39.961
NV$41.271
NY$40.12–$47.375
OH$39.681
OK$39.051
OR$41.04–$43.712
PA$39.72–$42.802
PR$41.621
RI$42.361
SC$39.741
SD$40.751
TN$39.131
TX$39.54–$42.518
UT$40.111
VA$40.78–$46.202
VI$41.621
VT$40.721
WA$42.50–$46.802
WI$39.881
WV$39.221
WY$41.161

See 98981 in every payment locality

How the 98981 rate is calculated

Each of 98981’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 · 98981

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.61

0.61 RVUs× 1.000 GPCI

Practice expense0.60

0.60 RVUs× 1.000 GPCI

Malpractice0.03

0.03 RVUs× 1.000 GPCI

Adjusted RVUs

1.2400

Conversion factor

$33.4009

Medicare rate

$41.42

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

The exact New Mexico inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

12,961

Code
98981
Physician work
0.61
Practice expense
0.60
Malpractice
0.03

GPCI2026.csv

77

Locality
New Mexico
Physician work
1.000
Practice expense
0.917
Malpractice
1.201
Office calculation for 98981 in New Mexico
ComponentRVULocality factorAdjusted
Physician work0.61× 1.0000.6100
Practice expense0.60× 0.9170.5502
Malpractice0.03× 1.2010.0360
Total RVUs1.1962
Conversion factor× 33.4009

Office rate, New Mexico$39.96

Office: (0.61 × 1 + 0.6 × 0.917 + 0.03 × 1.201) × $33.4009 = $39.96

Facility: (0.61 × 1 + 0.12 × 0.917 + 0.03 × 1.201) × $33.4009 = $25.25

Open 98981 in the RVU calculator

Payment rules and modifiers for 98981

The CMS indicators that decide how 98981 is paid alongside other services.

CMS payment indicators · 98981

RTM management, each additional 20 minutes

RuleCMS valueWhat it means
Global periodZZZAdd-on code: falls within the primary procedure’s global period.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

Codes related to 98981

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 98981
CodeHow it relatesOffice range, New Mexico
Add-on codes
98980RTM management, first 20 minutes monthlyPrimary monthly RTM treatment-management code reported with this additional-time add-on.$51.62
Used instead
98979RTM management, first 10 minutesCovers the initial shorter time band when less management time is furnished.$25.15
Often billed with
98975RTM setup, initial device setup and instructionRTM setup and patient education may be reported when furnished during the same initiation encounter.$20.10

How 98981 has changed in New Mexico

98981 · Office / nonfacility

$39.96

Effective 2026-10-01

The base rate is $2.26 higher than on 2025-10-01, moving from $37.70 to $39.96 (6.0%).

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

    $37.70changed to$39.96

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 0.56 changed to 0.60
    • Malpractice RVU 0.04 changed to 0.03
    • Practice expense GPCI 0.908 changed to 0.917
    • Malpractice GPCI 1.172 changed to 1.201

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $38.49changed to$37.70

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 0.55 changed to 0.56

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $37.86changed to$38.49

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $38.15changed to$37.86

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 0.52 changed to 0.55
    • Practice expense GPCI 0.902 changed to 0.908
    • Malpractice GPCI 1.169 changed to 1.172

  5. January 1, 2023

    RVU23A

    $39.25changed to$38.15

    • Conversion factor 34.6062 changed to 33.8872
    • Malpractice RVU 0.05 changed to 0.04
    • Practice expense GPCI 0.896 changed to 0.902
    • Malpractice GPCI 1.166 changed to 1.169

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    No ratechanged to$39.25

    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$39.96$25.25RVU26D
2026-07-01$39.96$25.25RVU26C
2026-04-01$39.96$25.25RVU26B
2026-01-01$39.96$25.25RVU26A
2025-10-01$37.70$28.30RVU25D
2025-07-01$37.70$28.30RVU25C
2025-04-01$37.70$28.30RVU25B
2025-01-01$37.70$28.30RVU25A
2024-10-01$38.49$29.42RVU24D
2024-07-01$38.49$29.42RVU24C
2024-04-01$38.49$29.42RVU24B
2024-03-09$38.49$29.42RVU24AR
2024-01-01$37.86$28.94RVU24A
2023-10-01$38.15$29.59RVU23D
2023-07-01$38.15$29.59RVU23C
2023-04-01$38.15$29.59RVU23B
2023-01-01$38.15$29.59RVU23A
2022-10-01$39.25$30.88RVU22D
2022-07-01$39.25$30.88RVU22C
2022-04-01$39.25$30.88RVU22B
2022-01-01$39.25$30.88RVU22A
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 98981 for an earlier date of service

Where the New Mexico rate applies

New Mexico is a Medicare payment area, not a city. Our Census mapping connects it to 528 cities and communities in New Mexico. Some span more than one payment area; confirm with the service ZIP.

  • Abeytas
  • Abiquiu
  • Acomita Lake
  • Adelino
  • Agua Fria
  • Alamillo
  • Alamo
  • Alamogordo

Browse all communities in New Mexico

98981 billing questions

Can 98981 be billed by itself?

No. It is an add-on reported with the primary RTM management service, 98980.

How much additional time supports 98981?

Report it for each additional 20 minutes of qualifying RTM treatment-management work beyond the time represented by 98980. Document the time and the work performed.

Is interactive communication required?

The monthly RTM management service requires at least one interactive communication with the patient or caregiver during the calendar month. Document that communication along with the management work.

Does device setup or data supply count as 98981?

No. Setup and patient education, or the supply of a monitoring device, are distinct RTM services; 98981 represents additional treatment-management time.

How does CMS treat the add-on payment?

CMS requires 98981 to be billed with a primary procedure and pays it within that procedure’s global period.

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 98981PPRRVU2026_Oct_nonQPP.csv, line 12,961 (RVU26D)
Geographic factors for New MexicoGPCI2026.csv, line 77 (RVU26D)

Open CMS sourceHow we calculate rates

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