Reimbursement Codes/98984

CPT I · RTM · Active

98984: RTM device supply, additional therapeutic parameter family

Additional RTM device-supply code in the CY2027 PFS remote monitoring family discussed by CMS.

About this code

Additional RTM device-supply code in the CY2027 PFS remote monitoring family discussed by CMS. 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.

Confirm exact long descriptors in the CMS PFS proposed rule Addendum before billing; included because CMS lists them in the CY2027 RPM/RTM family under discussion.

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
98984
Code type
CPT I
Category
RTM
Rule status
Active

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