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CMS RVU26D · Effective 2026-10-01

98981 RTM management Medicare reimbursement rates in Maine

Report 98981 for each additional 20 minutes of remote therapeutic monitoring treatment-management work after the primary monthly management service. Compare 98981 office and facility rates across CMS payment localities in Maine.

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 98981 in Maine?

Maine has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.

Office / nonfacility

$39.44–$40.87

2 of 2 localities have a supported rate.

Lowest: Rest Of Maine

Highest: Southern Maine

A spread of $1.43 per service.

Facility setting

$24.69–$24.98

2 of 2 localities have a supported rate.

Lowest: Rest Of Maine

Highest: Southern Maine

A spread of $0.29 per service.

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.

Find 98981 in your payment locality →

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 Maine, from the same CMS release.

98980

RTM management

First 20 minutes monthly

$51.14–$53.45

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

$25.00–$26.12

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

$19.77–$21.27

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

98976

RTM device supply

Respiratory system, 16–30 days

$47.84–$51.52

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

Compare 98981 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.

2 of 2 payment localities

Office and facility base rates · shared scale starting at $0

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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)