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CMS RVU26D · Effective 2026-10-01

98981 in Modesto

Office / nonfacility

$43.22

Base rate per service

Facility setting

$25.65

Base rate per service

Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.

Remote monitoring

About 98981: Additional remote therapy management time

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

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.

CMS billing rules for 98981

Global period
Add-on code: billed only together with a primary procedure and paid within that procedure's global period.

Where the value comes from

  • Work RVU0.61 · 49%
  • Practice expense (office) RVU0.60 · 48%
  • Malpractice RVU0.03 · 2%

79.5K

Medicare services in 2024 · #634 by national volume

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.

98981 compared with similar codes

Office rates for Modesto, from the same CMS release.

98980

RTM management

First 20 minutes monthly

$57.11

98980 is the primary monthly RTM management service; 98981 represents each additional 20 minutes and must be reported with a primary procedure.

98979

RTM management

First 10 minutes

$27.91

98979 covers the initial shorter management-time band. Use 98981 only for additional time beyond the primary service, not instead of the primary code.

98975

RTM setup

Initial device setup and instruction

$23.42

98975 covers RTM device setup and patient education, rather than ongoing treatment-management time.

98976

RTM device supply

Respiratory system, 16–30 days

$56.92

98976 concerns respiratory-system device supply for RTM; 98981 reports additional time spent managing treatment.

The same code, a different location

How does Modesto compare?

In Bakersfield, the office rate for 98981 is $43.34—$0.12 higher than the $43.22 rate in Modesto. Both use the same code, release and participation basis.

98981 across payment areas

Same release and payment basis · bars start at $0

  1. Modesto · This locality

    $43.22

  2. Bakersfield

    $43.34

    $0.12 higher than Modesto

  3. Chico

    $43.22

    The same base rate than Modesto

  4. El Centro

    $43.23

    $0.01 higher than Modesto

  5. Fresno

    $43.22

    The same base rate than Modesto

  6. Hanford-Corcoran

    $43.22

    The same base rate than Modesto

  7. Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    $45.58

    $2.36 higher than Modesto

Other payment areas listed in California appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, 98981 ranges from $38.11 in Arkansas to $52.46 in Alaska*. This is a geographic range, not an average.

The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.

Compare all 108 other payment areas

  • Madera

    California · 98981

    Office

    $43.22

    Facility

    $25.65

    The same base rate than Modesto for the office setting.

  • Merced

    California · 98981

    Office

    $43.22

    Facility

    $25.65

    The same base rate than Modesto for the office setting.

  • Napa

    California · 98981

    Office

    $48.58

    Facility

    $27.45

    $5.36 higher than Modesto for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 98981

    Office

    $45.26

    Facility

    $26.31

    $2.04 higher than Modesto for the office setting.

  • Redding

    California · 98981

    Office

    $43.22

    Facility

    $25.65

    The same base rate than Modesto for the office setting.

  • Rest Of California

    California · 98981

    Office

    $43.22

    Facility

    $25.65

    The same base rate than Modesto for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 98981

    Office

    $43.56

    Facility

    $25.99

    $0.34 higher than Modesto for the office setting.

  • Sacramento-Roseville-Folsom

    California · 98981

    Office

    $44.95

    Facility

    $26.31

    $1.73 higher than Modesto for the office setting.

  • Salinas

    California · 98981

    Office

    $44.77

    Facility

    $26.19

    $1.55 higher than Modesto for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 98981

    Office

    $45.50

    Facility

    $26.32

    $2.28 higher than Modesto for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 98981

    Office

    $51.03

    Facility

    $28.42

    $7.81 higher than Modesto for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 98981

    Office

    $50.99

    Facility

    $28.39

    $7.77 higher than Modesto for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 98981

    Office

    $52.05

    Facility

    $28.93

    $8.83 higher than Modesto for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 98981

    Office

    $51.91

    Facility

    $28.79

    $8.69 higher than Modesto for the office setting.

  • San Luis Obispo-Paso Robles

    California · 98981

    Office

    $44.08

    Facility

    $25.82

    $0.86 higher than Modesto for the office setting.

  • Santa Cruz-Watsonville

    California · 98981

    Office

    $45.69

    Facility

    $26.21

    $2.47 higher than Modesto for the office setting.

  • Santa Maria-Santa Barbara

    California · 98981

    Office

    $44.85

    Facility

    $26.16

    $1.63 higher than Modesto for the office setting.

  • Santa Rosa-Petaluma

    California · 98981

    Office

    $46.13

    Facility

    $26.44

    $2.91 higher than Modesto for the office setting.

  • Stockton

    California · 98981

    Office

    $43.22

    Facility

    $25.65

    The same base rate than Modesto for the office setting.

  • Vallejo

    California · 98981

    Office

    $48.53

    Facility

    $27.40

    $5.31 higher than Modesto for the office setting.

  • Visalia

    California · 98981

    Office

    $43.22

    Facility

    $25.65

    The same base rate than Modesto for the office setting.

  • Yuba City

    California · 98981

    Office

    $43.22

    Facility

    $25.65

    The same base rate than Modesto for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 98981

    Office

    $46.20

    Facility

    $27.31

    $2.98 higher than Modesto for the office setting.

  • Miami

    Florida · 98981

    Office

    $43.77

    Facility

    $27.08

    $0.55 higher than Modesto for the office setting.

  • Chicago

    Illinois · 98981

    Office

    $42.96

    Facility

    $26.84

    $0.26 lower than Modesto for the office setting.

  • Manhattan

    New York · 98981

    Office

    $46.55

    Facility

    $27.93

    $3.33 higher than Modesto for the office setting.

  • Alaska*

    Alaska · 98981

    Office

    $52.46

    Facility

    $35.38

    $9.24 higher than Modesto for the office setting.

  • Alabama

    Alabama · 98981

    Office

    $38.48

    Facility

    $24.45

    $4.74 lower than Modesto for the office setting.

  • Arkansas

    Arkansas · 98981

    Office

    $38.11

    Facility

    $24.33

    $5.11 lower than Modesto for the office setting.

  • Arizona

    Arizona · 98981

    Office

    $40.65

    Facility

    $25.12

    $2.57 lower than Modesto for the office setting.

  • Colorado

    Colorado · 98981

    Office

    $42.72

    Facility

    $25.67

    $0.50 lower than Modesto for the office setting.

  • Connecticut

    Connecticut · 98981

    Office

    $43.58

    Facility

    $26.31

    $0.36 higher than Modesto for the office setting.

  • Delaware

    Delaware · 98981

    Office

    $41.18

    Facility

    $25.34

    $2.04 lower than Modesto for the office setting.

  • Fort Lauderdale

    Florida · 98981

    Office

    $42.49

    Facility

    $26.25

    $0.73 lower than Modesto for the office setting.

  • Rest Of Florida

    Florida · 98981

    Office

    $41.04

    Facility

    $25.71

    $2.18 lower than Modesto for the office setting.

  • Atlanta

    Georgia · 98981

    Office

    $42.00

    Facility

    $25.71

    $1.22 lower than Modesto for the office setting.

  • Rest Of Georgia

    Georgia · 98981

    Office

    $39.45

    Facility

    $25.14

    $3.77 lower than Modesto for the office setting.

  • Hawaii, Guam

    Hawaii · 98981

    Office

    $43.74

    Facility

    $25.51

    $0.52 higher than Modesto for the office setting.

  • Iowa

    Iowa · 98981

    Office

    $39.11

    Facility

    $24.44

    $4.11 lower than Modesto for the office setting.

  • Idaho

    Idaho · 98981

    Office

    $39.29

    Facility

    $24.54

    $3.93 lower than Modesto for the office setting.

  • East St. Louis

    Illinois · 98981

    Office

    $40.83

    Facility

    $26.08

    $2.39 lower than Modesto for the office setting.

  • Rest Of Illinois

    Illinois · 98981

    Office

    $40.24

    Facility

    $25.60

    $2.98 lower than Modesto for the office setting.

  • Suburban Chicago

    Illinois · 98981

    Office

    $42.87

    Facility

    $26.41

    $0.35 lower than Modesto for the office setting.

  • Indiana

    Indiana · 98981

    Office

    $39.44

    Facility

    $24.58

    $3.78 lower than Modesto for the office setting.

  • Kansas

    Kansas · 98981

    Office

    $39.00

    Facility

    $24.50

    $4.22 lower than Modesto for the office setting.

  • Kentucky

    Kentucky · 98981

    Office

    $39.11

    Facility

    $24.85

    $4.11 lower than Modesto for the office setting.

  • New Orleans

    Louisiana · 98981

    Office

    $40.37

    Facility

    $25.28

    $2.85 lower than Modesto for the office setting.

  • Rest Of Louisiana

    Louisiana · 98981

    Office

    $39.07

    Facility

    $24.88

    $4.15 lower than Modesto for the office setting.

  • Metropolitan Boston

    Massachusetts · 98981

    Office

    $46.03

    Facility

    $26.89

    $2.81 higher than Modesto for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 98981

    Office

    $42.60

    Facility

    $25.72

    $0.62 lower than Modesto for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 98981

    Office

    $43.44

    Facility

    $26.24

    $0.22 higher than Modesto for the office setting.

  • Rest Of Maryland

    Maryland · 98981

    Office

    $41.78

    Facility

    $25.55

    $1.44 lower than Modesto for the office setting.

  • Rest Of Maine

    Maine · 98981

    Office

    $39.44

    Facility

    $24.69

    $3.78 lower than Modesto for the office setting.

  • Southern Maine

    Maine · 98981

    Office

    $40.87

    Facility

    $24.98

    $2.35 lower than Modesto for the office setting.

  • Detroit

    Michigan · 98981

    Office

    $41.40

    Facility

    $25.93

    $1.82 lower than Modesto for the office setting.

  • Rest Of Michigan

    Michigan · 98981

    Office

    $39.80

    Facility

    $25.17

    $3.42 lower than Modesto for the office setting.

  • Minnesota

    Minnesota · 98981

    Office

    $41.29

    Facility

    $24.80

    $1.93 lower than Modesto for the office setting.

  • Metropolitan Kansas City

    Missouri · 98981

    Office

    $40.17

    Facility

    $25.12

    $3.05 lower than Modesto for the office setting.

  • Metropolitan St. Louis

    Missouri · 98981

    Office

    $40.46

    Facility

    $25.19

    $2.76 lower than Modesto for the office setting.

  • Rest Of Missouri

    Missouri · 98981

    Office

    $38.63

    Facility

    $24.81

    $4.59 lower than Modesto for the office setting.

  • Mississippi

    Mississippi · 98981

    Office

    $38.37

    Facility

    $24.57

    $4.85 lower than Modesto for the office setting.

  • Montana**

    Montana · 98981

    Office

    $41.42

    Facility

    $25.38

    $1.80 lower than Modesto for the office setting.

  • North Carolina

    North Carolina · 98981

    Office

    $39.71

    Facility

    $24.75

    $3.51 lower than Modesto for the office setting.

  • North Dakota**

    North Dakota · 98981

    Office

    $40.82

    Facility

    $24.79

    $2.40 lower than Modesto for the office setting.

  • Nebraska

    Nebraska · 98981

    Office

    $39.25

    Facility

    $24.45

    $3.97 lower than Modesto for the office setting.

  • New Hampshire

    New Hampshire · 98981

    Office

    $42.11

    Facility

    $25.42

    $1.11 lower than Modesto for the office setting.

  • Northern Nj

    New Jersey · 98981

    Office

    $45.98

    Facility

    $27.38

    $2.76 higher than Modesto for the office setting.

  • Rest Of New Jersey

    New Jersey · 98981

    Office

    $44.17

    Facility

    $26.67

    $0.95 higher than Modesto for the office setting.

  • New Mexico

    New Mexico · 98981

    Office

    $39.96

    Facility

    $25.25

    $3.26 lower than Modesto for the office setting.

  • Nevada**

    Nevada · 98981

    Office

    $41.27

    Facility

    $25.22

    $1.95 lower than Modesto for the office setting.

  • Nyc Suburbs/Long Island

    New York · 98981

    Office

    $47.37

    Facility

    $28.30

    $4.15 higher than Modesto for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 98981

    Office

    $44.45

    Facility

    $26.89

    $1.23 higher than Modesto for the office setting.

  • Queens

    New York · 98981

    Office

    $46.81

    Facility

    $27.86

    $3.59 higher than Modesto for the office setting.

  • Rest Of New York

    New York · 98981

    Office

    $40.12

    Facility

    $24.89

    $3.10 lower than Modesto for the office setting.

  • Ohio

    Ohio · 98981

    Office

    $39.68

    Facility

    $25.04

    $3.54 lower than Modesto for the office setting.

  • Oklahoma

    Oklahoma · 98981

    Office

    $39.05

    Facility

    $24.73

    $4.17 lower than Modesto for the office setting.

  • Portland

    Oregon · 98981

    Office

    $43.71

    Facility

    $25.90

    $0.49 higher than Modesto for the office setting.

  • Rest Of Oregon

    Oregon · 98981

    Office

    $41.04

    Facility

    $25.07

    $2.18 lower than Modesto for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 98981

    Office

    $42.80

    Facility

    $26.11

    $0.42 lower than Modesto for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 98981

    Office

    $39.72

    Facility

    $25.00

    $3.50 lower than Modesto for the office setting.

  • Puerto Rico

    Puerto Rico · 98981

    Office

    $41.62

    Facility

    $25.41

    $1.60 lower than Modesto for the office setting.

  • Rhode Island

    Rhode Island · 98981

    Office

    $42.36

    Facility

    $25.80

    $0.86 lower than Modesto for the office setting.

  • South Carolina

    South Carolina · 98981

    Office

    $39.74

    Facility

    $24.93

    $3.48 lower than Modesto for the office setting.

  • South Dakota**

    South Dakota · 98981

    Office

    $40.75

    Facility

    $24.72

    $2.47 lower than Modesto for the office setting.

  • Tennessee

    Tennessee · 98981

    Office

    $39.13

    Facility

    $24.56

    $4.09 lower than Modesto for the office setting.

  • Austin

    Texas · 98981

    Office

    $42.51

    Facility

    $25.54

    $0.71 lower than Modesto for the office setting.

  • Beaumont

    Texas · 98981

    Office

    $39.54

    Facility

    $24.95

    $3.68 lower than Modesto for the office setting.

  • Brazoria

    Texas · 98981

    Office

    $41.18

    Facility

    $25.29

    $2.04 lower than Modesto for the office setting.

  • Dallas

    Texas · 98981

    Office

    $41.38

    Facility

    $25.41

    $1.84 lower than Modesto for the office setting.

  • Fort Worth

    Texas · 98981

    Office

    $41.19

    Facility

    $25.38

    $2.03 lower than Modesto for the office setting.

  • Galveston

    Texas · 98981

    Office

    $41.27

    Facility

    $25.35

    $1.95 lower than Modesto for the office setting.

  • Houston

    Texas · 98981

    Office

    $41.82

    Facility

    $25.90

    $1.40 lower than Modesto for the office setting.

  • Rest Of Texas

    Texas · 98981

    Office

    $40.30

    Facility

    $25.08

    $2.92 lower than Modesto for the office setting.

  • Utah

    Utah · 98981

    Office

    $40.11

    Facility

    $25.04

    $3.11 lower than Modesto for the office setting.

  • Virginia

    Virginia · 98981

    Office

    $40.78

    Facility

    $25.02

    $2.44 lower than Modesto for the office setting.

  • Virgin Islands

    United States Virgin Islands · 98981

    Office

    $41.62

    Facility

    $25.41

    $1.60 lower than Modesto for the office setting.

  • Vermont

    Vermont · 98981

    Office

    $40.72

    Facility

    $24.85

    $2.50 lower than Modesto for the office setting.

  • Rest Of Washington

    Washington · 98981

    Office

    $42.50

    Facility

    $25.62

    $0.72 lower than Modesto for the office setting.

  • Seattle (King Cnty)

    Washington · 98981

    Office

    $46.80

    Facility

    $27.13

    $3.58 higher than Modesto for the office setting.

  • Wisconsin

    Wisconsin · 98981

    Office

    $39.88

    Facility

    $24.52

    $3.34 lower than Modesto for the office setting.

  • West Virginia

    West Virginia · 98981

    Office

    $39.22

    Facility

    $25.29

    $4.00 lower than Modesto for the office setting.

  • Wyoming**

    Wyoming · 98981

    Office

    $41.16

    Facility

    $25.12

    $2.06 lower than Modesto for the office setting.

See how rates vary across the country

98981 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

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 all state and territory rates as a table
State / territoryRate 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

Explore 98981 on the national rate map →

Where does this rate apply?

Modesto is a Medicare payment area. Our Census mapping connects it to 33 cities and communities in California, including the examples shown here.

Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.

Browse all communities in California →

Why are the office and facility amounts different?

For 98981 in Modesto, the physician’s office rate is $43.22 and the facility-setting rate is $25.65: a difference of $17.57.

The calculation uses a different practice-expense RVU for each setting. Both amounts here are physician fee-schedule amounts. The facility figure does not include a hospital’s separate charges, so this comparison does not tell you the total cost of receiving care in each setting.

See the inputs behind this difference →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 98981 in Modesto. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$47.54

$43.22 × 110% = $47.54

A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.

Working with a whole code list?

Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.

Compare your contract offer →

How this local rate is calculated

Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 98981 in Modesto.

PPRRVU2026_Oct_nonQPP.csv

12,961

Code
98981
Physician work
0.61
Practice expense
0.60
Malpractice
0.03

GPCI2026.csv

16

Locality
Modesto
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 98981 in Modesto
ComponentRVULocality factorAdjusted
Physician work0.61× 1.0170.6204
Practice expense0.60× 1.0960.6576
Malpractice0.03× 0.5360.0161
Total RVUs1.2941
Conversion factor× 33.4009

Office / nonfacility rate, Modesto$43.22

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.

Open 98981 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.611.017
Practice expense0.61.096
Malpractice0.030.536

(0.61 × 1.017 + 0.6 × 1.096 + 0.03 × 0.536) × $33.4009 = $43.22

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work0.611.017
Practice expense0.121.096
Malpractice0.030.536

(0.61 × 1.017 + 0.12 × 1.096 + 0.03 × 0.536) × $33.4009 = $25.65

The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.

How this rate has changed

98981 · Office / nonfacility

$43.22

Effective 2026-10-01

The base rate is $2.69 higher than on 2025-10-01, moving from $40.53 to $43.22 (6.6%).

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

    $40.53changed to$43.22

    • 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
    • Work GPCI 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.560 changed to 0.536

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $40.53

    Held through RVU25B, RVU25C, RVU25D.

Explore release dates and calculate this code in an earlier period →

Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.

Inspect every release and its CMS source
Effective fromOffice / nonfacilityFacilityCMS release
2026-10-01$43.22$25.65RVU26D
2026-07-01$43.22$25.65RVU26C
2026-04-01$43.22$25.65RVU26B
2026-01-01$43.22$25.65RVU26A
2025-10-01$40.53$29.22RVU25D
2025-07-01$40.53$29.22RVU25C
2025-04-01$40.53$29.22RVU25B
2025-01-01$40.53$29.22RVU25A

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 indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.

Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.

RVUs for 98981PPRRVU2026_Oct_nonQPP.csv, line 12,961 (RVU26D)
Geographic factors for ModestoGPCI2026.csv, line 16 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet