$56.92–$74.83
Use 98975 for initial RTM equipment setup and patient instruction. Use 98976 for respiratory-system RTM device supply when its service criteria are met.
On this page
CMS RVU26D · Effective 2026-10-01
98975 RTM setup Medicare reimbursement rates in California
Reports initial setup of remote therapeutic monitoring equipment and instruction for a patient beginning home monitoring of therapy status or response. Compare 98975 office and facility rates across CMS payment localities in California.
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.
What does Medicare pay for 98975 in California?
California has 29 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 29 payment areas shown below, using the same CMS release.
Office / nonfacility
$23.42–$30.70
29 of 29 localities have a supported rate.
Lowest: Chico
Highest: San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
A spread of $7.28 per service.
Facility setting
No supported rate
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Where 98975 pays more and less in California
29 payment localities
$23.42 to $30.70
Remote therapeutic monitoring
About 98975: Remote monitoring equipment setup and education
Reports initial setup of remote therapeutic monitoring equipment and instruction for a patient beginning home monitoring of therapy status or response.
This service covers configuring remote therapeutic monitoring equipment and teaching the patient how to use it. For example, a physical therapist may help a patient start using an app-connected device to track home musculoskeletal therapy. The setup and instruction may be performed in an office or another care setting by the clinician responsible for the monitoring program; the work is distinct from later review of transmitted information or ongoing device supply.
Report 98975 when the record supports that setup and patient education were furnished, identifying the equipment and the instruction provided. It is not the code for recurring device-supply days or clinician treatment-management time; those services have separate RTM codes when furnished and documented. CMS assigns this service practice-expense and malpractice RVUs, with no work RVU. The supplied CMS rules list no additional payment rule for this code.
Where the value comes from
- Work RVU0.00 · 0%
- Practice expense (office) RVU0.63 · 97%
- Malpractice RVU0.02 · 3%
57.4K
Medicare services in 2024 · #731 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.
98975 compared with similar codes
Office rates for California, from the same CMS release.
$56.19–$73.87
98975 captures setup and instruction; 98977 represents musculoskeletal RTM device supply, not the initial teaching service.
$57.11–$70.24
98975 reports equipment setup and patient education. 98980 reports RTM treatment-management work measured by clinician time.
Compare 98975 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
29 of 29 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Bakersfield | Office $23.47 | Facility Unavailable |
| Chico | Office $23.42 | Facility Unavailable |
| El Centro | Office $23.42 | Facility Unavailable |
| Fresno | Office $23.42 | Facility Unavailable |
| Hanford-Corcoran | Office $23.42 | Facility Unavailable |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | Office $25.34 | Facility Unavailable |
| Madera | Office $23.42 | Facility Unavailable |
| Merced | Office $23.42 | Facility Unavailable |
| Modesto | Office $23.42 | Facility Unavailable |
| Napa | Office $28.07 | Facility Unavailable |
| Oxnard-Thousand Oaks-Ventura | Office $25.29 | Facility Unavailable |
| Redding | Office $23.42 | Facility Unavailable |
| Rest Of California | Office $23.42 | Facility Unavailable |
| Riverside-San Bernardino-Ontario | Office $23.63 | Facility Unavailable |
| Sacramento-Roseville-Folsom | Office $24.83 | Facility Unavailable |
| Salinas | Office $24.75 | Facility Unavailable |
| San Diego-Chula Vista-Carlsbad | Office $25.53 | Facility Unavailable |
| San Francisco-Oakland-Berkeley (Marin Cnty) | Office $29.98 | Facility Unavailable |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | Office $29.95 | Facility Unavailable |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | Office $30.70 | Facility Unavailable |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | Office $30.61 | Facility Unavailable |
| San Luis Obispo-Paso Robles | Office $24.33 | Facility Unavailable |
| Santa Cruz-Watsonville | Office $25.92 | Facility Unavailable |
| Santa Maria-Santa Barbara | Office $24.89 | Facility Unavailable |
| Santa Rosa-Petaluma | Office $26.20 | Facility Unavailable |
| Stockton | Office $23.42 | Facility Unavailable |
| Vallejo | Office $28.04 | Facility Unavailable |
| Visalia | Office $23.42 | Facility Unavailable |
| Yuba City | Office $23.42 | Facility Unavailable |
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98975 billing questions
How is 98975 different from the RTM device-supply codes?
98975 represents initial equipment setup and patient instruction. Codes such as 98976 and 98977 represent device supply for specified monitoring categories and day counts.
Does 98975 report the clinician's review of transmitted data?
No. Review and management time belongs to RTM treatment-management services, such as 98980, when those services are furnished and documented.
What documentation supports 98975?
Document the equipment configured and the patient education provided, such as instruction on operating the monitoring device or related software.
Can patient self-management education be reported as 98975?
Not solely for general self-management teaching. 98975 is for setup of remote therapeutic monitoring equipment and instruction in its use.
Is 98975 based on the number of days the device transmits data?
No. It describes setup and education; RTM device-supply codes address qualifying monitoring days.
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.
12,95298970,,Nqhp ol dig assmt&mgmt 5-10,A,,0.25,0.11,,0.05,,0.01,0.37,0.31,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,95398971,,Nqhp ol dig assmt&mgmt 11-20,A,,0.44,0.23,,0.11,,0.02,0.69,0.57,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,95498972,,Nqhp ol dig assmt&mgmt 21+,A,,0.69,0.31,,0.15,,0.03,1.03,0.87,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,95598975,,Rtm 1st set-up&pt educaj eqp,A,,0.00,0.63,,0.63,NA,0.02,0.65,0.65,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,95698976,,Rtm dev sply resp sys 16-30d,A,,0.00,1.55,,1.55,NA,0.01,1.56,1.56,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,95798977,,Rtm dev sply mscskl 16-30 d,A,,0.00,1.53,,1.53,NA,0.01,1.54,1.54,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,95898978,,Rtm dev sply cbt 16-30 d,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00