CPT code 98975: RTM setup2026 Medicare rate & RVUs in Oregon
Reports initial setup of remote therapeutic monitoring equipment and instruction for a patient beginning home monitoring of therapy status or response.
Medicare pays $21.43–$23.88 for 98975 in the office in Oregon, from Rest Of Oregon to Portland. 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 98975 covers
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.
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 98975 pays more and less in Oregon
| Payment locality | Office | Facility |
|---|---|---|
| Portland | $23.88 | Unavailable |
| Rest Of Oregon | $21.43 | Unavailable |
How the 98975 rate is calculated
Each of 98975’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 · 98975
RVUs × geographic indexes × conversion factor
Work0.00
0.00 RVUs× 1.000 GPCI
Practice expense0.63
0.63 RVUs× 1.000 GPCI
Malpractice0.02
0.02 RVUs× 1.000 GPCI
Adjusted RVUs
0.6500
Conversion factor
$33.4009
Medicare rate
$21.71
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 98975
98975 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 · 98975
Which rate does Medicare pay?
The POS code on the claim line (CMS-1500 box 24B).
POS 11 · non-facility rate · national
$21.71
Higher because the practice carries its own overhead.
98975 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 98976RTM device supply
- Use 98975 for initial RTM equipment setup and patient instruction. Use 98976 for respiratory-system RTM device supply when its service criteria are met.
- 98977Remote monitoring
- 98975 captures setup and instruction; 98977 represents musculoskeletal RTM device supply, not the initial teaching service.
- 98980RTM management
- 98975 reports equipment setup and patient education. 98980 reports RTM treatment-management work measured by clinician time.
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 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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