Billing code 98980: RTM managementMedicare rate & RVUs in Illinois
Report 98980 for the first 20 minutes of monthly remote therapeutic monitoring management, including at least one interactive communication with the patient or caregiver.
Medicare pays $51.85–$55.90 for 98980 in the office in Illinois, from Rest Of Illinois to Suburban Chicago. Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 98980 covers
This code covers monthly clinician time spent managing remote therapeutic monitoring, such as reviewing therapy-related data, assessing the patient’s response or adherence, and communicating about treatment. It is used in settings such as outpatient rehabilitation, physician practices, and behavioral health care when a physician or other qualified health care professional manages remote monitoring for a patient. Examples include monitoring a patient’s respiratory status or progress with a musculoskeletal treatment plan.
Report 98980 for the first 20 minutes of management time in the calendar month, with at least one interactive communication with the patient or caregiver during that month. Documentation should identify the monitoring data reviewed, management actions, cumulative time, and the interactive communication. This code represents management time rather than device setup or device supply; codes 98975–98978 describe related RTM services, when appropriate. Report 98981 for each additional 20 minutes of management time.
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 98980 pays more and less in Illinois
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
4 payment localities
$51.85 to $55.90
| Payment locality | Office | Facility |
|---|---|---|
| Chicago | $55.71 | $27.18 |
| East St. Louis | $52.53 | $26.41 |
| Rest Of Illinois | $51.85 | $25.93 |
| Suburban Chicago | $55.90 | $26.75 |
How the 98980 rate is calculated
Each of 98980’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 · 98980
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 0.62Practice expense 0.97Malpractice 0.03
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 98980
98980 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 · 98980
Which rate does Medicare pay?
The POS code on the claim line (CMS-1500 box 24B).
Non-facility (office) rate · national
$54.11
The facility rate would be $25.72 (+$28.39). In a facility, the facility bills its own costs separately.
98980 compared with similar codes
Compare codes
98980 vs 98979 vs 98981 vs 98975 vs 98976: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 98979RTM management
- 98979 represents the first 10 minutes of monthly RTM management; 98980 represents the first 20-minute level.
- 98981RTM management
- 98981 is an add-on for each additional 20 minutes after the initial RTM management time represented by 98980.
- 98975RTM setup
- 98975 covers initial RTM setup and patient education, not ongoing monthly review and management time.
- 98976RTM device supply
- 98976 describes respiratory-system RTM device supply; 98980 captures clinician management time.
98980 billing questions
When should 98980 be chosen instead of 98979?
Use 98980 when monthly RTM management time reaches the first 20-minute threshold. Code 98979 covers the first 10 minutes when that is the applicable time level.
Does 98980 include the monitoring device or setup?
No. It represents management time. Code 98975 describes initial setup and patient education, while 98976–98978 describe device supply for specified monitoring types.
Is an interactive communication required?
Yes. The month must include at least one interactive communication with the patient or caregiver, supported by documentation.
What time should the record support?
Document the clinician’s cumulative RTM management time during the calendar month, along with the monitoring data reviewed and actions taken.
When is 98981 reported with 98980?
Report 98981 for each additional 20 minutes of RTM management time beyond the initial time represented by 98980.
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
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