Reimbursement Codes/98980
CPT I · RTM · Active
98980: RTM treatment management, first 20 minutes
First 20 minutes of RTM treatment management with interactive communication in a calendar month.
About this code
First 20 minutes of RTM treatment management with interactive communication in a calendar month. 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.
Remote Monitoring & Wearables
Biofourmis
Provides AI driven remote monitoring and digital therapeutics to manage patients at home.
Digital Health
Hinge Health
Delivers digital physical therapy and clinical programs for chronic musculoskeletal pain management.
Remote Monitoring & Wearables
Omada Health
Provides digital care programs combined with connected tracking devices for chronic disease management.
Related FDA AI clearances
- Biovitals Analytics Engine · Biofourmis Singapore Pte. Ltd · K183282
- RhythmAnalytics · Biofourmis Singapore Pte. Ltd. · K182344
- Code
- 98980
- Code type
- CPT I
- Category
- RTM
- Rule status
- Active
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