Reimbursement Codes/98978

CPT I · RTM · Active

98978: RTM device supply, cognitive behavioural therapy

Device supply for remote therapeutic monitoring supporting cognitive behavioural therapy.

About this code

Device supply for remote therapeutic monitoring supporting cognitive behavioural therapy. Active under the Medicare Physician Fee Schedule when coverage rules are met. CY2027 proposals would align RTM with established-patient and employed-staff rules and require an initiating visit. This entry uses our own plain-English summary, not the copyrighted AMA CPT long descriptor. Always confirm the current CMS addendum before billing.

Medicare statusActive under the Medicare Physician Fee Schedule when coverage rules are met. CY2027 proposals would align RTM with established-patient and employed-staff rules and require an initiating visit.

PaymentLocality-specific PFS amounts only. No invented national dollars.

What changed

CMS proposes established-patient limits for RTM, an initiating visit, employed clinical staff only, and seeks comment on GRTM1 and GRTM2 consolidation codes.

Who bills under it

Physician and qualified healthcare professional practices billing RTM under Medicare Part B.

Related FDA AI clearances

Code
98978
Code type
CPT I
Category
RTM
Rule status
Active

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