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RTM CPT Code 98975: Initial Set-up and Patient Education

CPT code 98975 covers RTM set-up and patient education. As of 2026 it requires 2 days of monitoring, down from 16. See who can bill and what to document.
September 11, 2026

Key takeaways

  • CPT code 98975 covers two things: initial set-up of the RTM device and patient education on how to use it.
  • It is billed once per episode of care. An episode begins when the RTM service starts and ends when established treatment goals are met.
  • The monitoring threshold dropped to 2 days for 2026. Do not report 98975 for cumulative monitoring of less than 2 days. The prior threshold was 16 days.
  • 2026 national average reimbursement is $21.71, or $21.82 for practices participating in an Advanced APM.
  • Documentation must capture consent, device type, and education, including what data the patient enters, how, and how often.
  • What Is CPT Code 98975?

    CPT code 98975 is the Remote Therapeutic Monitoring service code for enrolling a patient: obtaining consent, setting up the medical device, and teaching the patient how to use it. It is reported one time per episode of care, at the start of the RTM service.

    Official Code Descriptor

    Remote therapeutic monitoring (eg, respiratory system status, musculoskeletal system status, therapy adherence, therapy response); initial set-up and patient education on use of equipment.

    Type of code: Service code

    What the Code Requires

    • An episode of care begins when the RTM service starts and ends when established treatment goals are met.
    • The provider obtains patient consent, sets up and educates the patient on use of the platform, and creates the patient's home exercise program.
    • The patient has been active on the RTM platform for at least 2 days of the 30-day rolling period. Depending on the RTM platform, this may be calculated automatically or manually by the provider.
    • The device must meet the FDA definition of a medical device. It does not need to be an FDA-approved device.

    What Changed for CPT Code 98975 in 2026?

    The 2026 CMS Final Rule lowered the monitoring threshold for 98975 from 16 days to 2 days. Under the prior rule, a patient who did not reach 16 days of data within a 30-day period left the set-up code unbillable, even though the clinical work of consent, set-up, and education had already been done.

    CPT code 98975 requirements, before and after Jan. 1, 2026
    Requirement Before 2026 As of Jan. 1, 2026
    Minimum days of monitoring 16 days in a 30-day period 2 days in a 30-day period
    Billing frequency Once per episode of care Once per episode of care
    National average payment $19.73 (2025) $21.71 ($21.82 Advanced APM)
    Therapy designation Sometimes therapy Sometimes therapy, GP/GO/GN modifier required
    De minimis (10%) standard Applies Applies, CQ/CO modifier required

    The 2-day threshold reflects how patients actually ramp into a home program, and it gives practices room to start RTM earlier in the plan of care. For the full picture of what the rule changed across the code set, read our breakdown of the 2026 CMS Final Rule and RTM.

    Who Can Bill CPT Code 98975?

    According to the Centers for Medicare & Medicaid Services (CMS), the CPT codes for RTM can be billed by "physicians and other eligible qualified healthcare professionals." That includes:

    • Physicians
    • Physical therapists
    • Physical therapist assistants
    • Occupational therapists
    • Occupational therapy assistants
    • Speech-language pathologists

    RTM codes can be billed in the private practice setting, where the practice is considered a supplier under Medicare. They can also be billed in facility settings such as hospital outpatient therapy departments, rehabilitation agencies, home health agencies delivering Part B in the home, and comprehensive outpatient rehabilitation facilities, where the entity is considered a provider under Medicare.

    General Supervision for PTAs and OTAs

    The 2024 CMS Final Rule clarified the rules of general supervision. Physical therapists and occupational therapists in private practice may provide general supervision for RTM services furnished by their PTAs and OTAs, respectively. This allows RTM management services to be performed outside the clinic, which is what makes comprehensive at-home support practical to deliver.

    State Licensure and Practice Act Limits

    Therapists and therapist assistants must be licensed in the state where the patient is physically located. As of Jan. 1, 2026, 35 states are actively issuing and accepting PT Compact privileges, which can help practices serving patients across state lines.

    Because of on-site supervision requirements in their state practice acts, PTAs may not furnish RTM services in Pennsylvania, Florida, Alabama, West Virginia, New York, Arizona, or Wisconsin. In those states, a PT must furnish the service.

    In all cases, providers must practice in accordance with applicable state and scope of practice laws.

    How Often Can You Bill CPT Code 98975?

    CPT code 98975 may be billed once per episode of care. Do not report 98975 for cumulative monitoring of less than 2 days.

    In practice, the code is earned at enrollment and reported once the patient has transmitted data on at least 2 days of the 30-day period. If treatment goals are met and the patient later returns for a new episode of care, a new set-up and education encounter supports a new 98975.

    What Does CPT Code 98975 Pay in 2026?

    The 2026 national average reimbursement for 98975 is $21.71. Practices participating in an Advanced Alternative Payment Model receive a national average of $21.82. The 2025 national average was $19.73.

    Payment varies by locality. Check your MAC's fee schedule for rates specific to your region.

    How Does 98975 Fit With the Other RTM CPT Codes?

    As of Jan. 1, 2026, there are ten CPT codes for Remote Therapeutic Monitoring. Six apply to musculoskeletal (MSK) conditions, and two of those six are new this year. The RTM CPT codes break down into service codes and treatment management codes.

    The six Remote Therapeutic Monitoring CPT codes for musculoskeletal conditions, 2026
    CPT Code Description Billing Frequency 2026 National Average
    98975 Initial set-up and patient education Once per episode of care $21.71
    98985New for 2026 Device supply, MSK, 2 to 15 days of data Once per 30 days $40.08
    98977 Device supply, MSK, 16 to 30 days of data Once per 30 days $40.08
    98979New for 2026 Treatment management, 10 to 19 minutes Once per calendar month $26.39
    98980 Treatment management, first 20 minutes Once per calendar month $54.11
    98981 Treatment management, each additional 20 minutes Per additional increment $41.42

    98975 is the entry point. It is reported once, at the front of the episode. The device supply and treatment management codes then recur as long as the patient stays engaged and the practice keeps furnishing the service.

    Clinical Example: Enrolling a Patient in RTM

    A physical therapist evaluates a patient and establishes a plan of care that includes a home exercise program. Based on that plan, the PT determines the patient is a good candidate for remote therapeutic monitoring and enrolls her.

    The PT obtains and documents the patient's consent for RTM, sets her up on the platform, reviews the HEP, and educates her on how to use the app: which data to enter, how to enter it, how often to enter it, and how often to perform her exercises.

    Over the first 30-day period, the patient is engaged on the Limber platform on 22 days. She completes her exercises on 16 of those days, logs a daily pain rating on 22, and responds to an outcomes assessment.

    The patient cleared the 2-day minimum well before the end of the period, so the practice reports 98975 once for this episode of care. Because she also reached 16 days of data within the 30-day period, the practice reports 98977 for device supply rather than 98985.

    What Documentation Does CPT Code 98975 Require?

    • Document the patient's consent for RTM
    • Document the type of device used to monitor the musculoskeletal or respiratory system
    • Document the education and training the therapist or assistant provided to the patient or caregiver on set-up and use of the medical device
    • Document the education and training provided on what data to input, how to input the data, how often to input the data, and how often to perform the exercises

    Get the Full RTM Billing & Coding Guide

    Created alongside clinicians and experts in billing and compliance, Limber Health's RTM Billing & Coding Guide covers all of the Remote Therapeutic Monitoring CPT codes, best practices for billing and documentation, and answers to the questions practices ask most. Click below to download your free copy.

    For a broader look at how RTM works in a rehab therapy practice, start with our complete guide to Remote Therapeutic Monitoring.

    Last updated: September 2026. Reflects the CY2026 Medicare Physician Fee Schedule Final Rule.

    The information provided here about the Remote Therapeutic Monitoring CPT codes is for informational purposes only and does not constitute billing or legal advice.

    Frequently asked questions

    Does CPT code 98975 still require 16 days of monitoring?

    No. As of Jan. 1, 2026, 98975 requires at least 2 days of cumulative monitoring in a 30-day period. The 16-day threshold now applies only to 98977, the device supply code for 16 to 30 days of data.

    Can you bill 98975 more than once for the same patient?

    Once per episode of care. An episode begins when the RTM service starts and ends when established treatment goals are met. A subsequent, separate episode of care supports a new 98975.

    Can a PTA or OTA perform the RTM set-up and education?

    In most states, yes, under general supervision by the supervising PT or OT. Append the CQ or CO modifier and apply the de minimis reduction. PTAs may not furnish RTM services in Pennsylvania, Florida, Alabama, West Virginia, New York, Arizona, or Wisconsin.

    Does the RTM device have to be FDA-approved?

    The device must meet the FDA definition of a medical device. It does not need to be an FDA-approved device.

    Can two providers bill RTM for the same patient in the same period?

    No. Per the 2024 CMS Final Rule, only one practitioner may bill the RTM codes for a given patient in a 30-day period, even if the patient has been given medical devices by more than one practitioner.

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