$50.70
98980 is the primary monthly RTM management service; 98981 represents each additional 20 minutes and must be reported with a primary procedure.
On this page
CMS RVU26D · Effective 2026-10-01
98981 RTM management Medicare reimbursement rates in Tennessee
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 Tennessee.
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 Tennessee?
Tennessee has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$39.13
1 of 1 localities have a supported rate.
Payment area: Tennessee
One mapped payment locality.
Facility setting
$24.56
1 of 1 localities have a supported rate.
Payment area: Tennessee
One mapped payment locality.
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 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 Tennessee, from the same CMS release.
$24.80
98979 covers the initial shorter management-time band. Use 98981 only for additional time beyond the primary service, not instead of the primary code.
$19.49
98975 covers RTM device setup and patient education, rather than ongoing treatment-management time.
$47.24
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.
1 of 1 payment localities
Tennessee →
Office / nonfacility
$39.13
Facility
$24.56
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How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 98981 in Tennessee.
PPRRVU2026_Oct_nonQPP.csv
12,961
- Code
- 98981
- Physician work
- 0.61
- Practice expense
- 0.60
- Malpractice
- 0.03
GPCI2026.csv
95
- Locality
- Tennessee
- Physician work
- 1.000
- Practice expense
- 0.909
- Malpractice
- 0.537
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.61 | × 1.000 | 0.6100 |
| Practice expense | 0.60 | × 0.909 | 0.5454 |
| Malpractice | 0.03 | × 0.537 | 0.0161 |
| Total RVUs | 1.1715 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Tennessee$39.13
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.61 | 1 |
| Practice expense | 0.6 | 0.909 |
| Malpractice | 0.03 | 0.537 |
(0.61 × 1 + 0.6 × 0.909 + 0.03 × 0.537) × $33.4009 = $39.13
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.61 | 1 |
| Practice expense | 0.12 | 0.909 |
| Malpractice | 0.03 | 0.537 |
(0.61 × 1 + 0.12 × 0.909 + 0.03 × 0.537) × $33.4009 = $24.56
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
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.
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
12,95998979,,Rtm tx mgmt 1st 10 min,A,,0.31,0.47,,0.02,,0.01,0.79,0.34,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,96098980,,Rtm tx mgmt 1st 20 min,A,,0.62,0.97,,0.12,,0.03,1.62,0.77,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,96198981,,Rtm tx mgmt ea addl 20 min,A,,0.61,0.60,,0.12,,0.03,1.24,0.76,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,96298984,,Rtm dev sply resp sys 2-15 d,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
12,96398985,,Rtm dev sply mscsk sys 2-15d,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
12,96498986,,Rtm dev sply cbt 2-15 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
9214412,RI,01,RHODE ISLAND,1.019,1.033,0.892
9311202,SC,01,SOUTH CAROLINA,1.000,0.924,0.850
9403402,SD,02,SOUTH DAKOTA**,1.000,1.000,0.336
9510312,TN,35,TENNESSEE,1.000,0.909,0.537
9604412,TX,31,AUSTIN,1.002,1.058,0.886
9704412,TX,20,BEAUMONT,1.000,0.910,0.929
9804412,TX,09,BRAZORIA,1.008,0.991,0.780