98979 represents the first 10 minutes of monthly RTM management; 98980 represents the first 20-minute level.
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CMS RVU26D · Effective 2026-10-01
98980 RTM management Medicare reimbursement rates in Massachusetts
Report 98980 for the first 20 minutes of monthly remote therapeutic monitoring management, including at least one interactive communication with the patient or caregiver. Compare 98980 office and facility rates across CMS payment localities in Massachusetts.
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 98980 in Massachusetts?
Massachusetts 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
$55.95–$61.13
2 of 2 localities have a supported rate.
Facility setting
$26.06–$27.24
2 of 2 localities have a 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.
Remote therapeutic monitoring
About 98980: Remote therapeutic monitoring treatment management
Report 98980 for the first 20 minutes of monthly remote therapeutic monitoring management, including at least one interactive communication with the patient or caregiver.
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.
Where the value comes from
- Work RVU0.62 · 38%
- Practice expense (office) RVU0.97 · 60%
- Malpractice RVU0.03 · 2%
124.5K
Medicare services in 2024 · #503 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.
98980 compared with similar codes
Office rates for Massachusetts, from the same CMS release.
98981 is an add-on for each additional 20 minutes after the initial RTM management time represented by 98980.
98975 covers initial RTM setup and patient education, not ongoing monthly review and management time.
98976 describes respiratory-system RTM device supply; 98980 captures clinician management time.
Compare 98980 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
Metropolitan Boston →
Office / nonfacility
$61.13
Facility
$27.24
Rest Of Massachusetts →
Office / nonfacility
$55.95
Facility
$26.06
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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 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.
