98981 Code: Additional 20-min RTM Services Overview

98981 - Additional 20-min RTM services

"The amount of remote therapeutic monitoring, treatment management, physician (or other qualified health care professional) time spent in a calendar month, necessitating at least one interactive communication with the patient or caregiver throughout the calendar month; each additional 20 minutes."

The requirements for the 98981 billing code are automatically tracked by the RTM Timer.

Requirements:

• 20 minutes of RTM treatment management services

• 98981 now requires an additional live interaction. That means: that in order to bill the first 98981 code, providers would have to log 2 live interactions.

  Summary:

  a.) First 98981 → requires 2 total live interactions

  b.) Second 98981 → requires 3 total live interactions

• Code 98981 needs to billed together with code 98980 to get reimbursed, if billed separately code 98981 will be denied.

Frequency:

• Multiple times per calendar month

• Provider Sets up Patient in the system
• Provider renders 21+ minutes of RTM treatment management services + one interactive communication in a calendar month

Billing decision:  

• If you hit RTM Code 98981 requirement, you'll have to do an addendum to add it to the same visit that you billed 98980.
• Otherwise you can wait to bill RTM code 98980 if you think you'll hit 98981 later in the month.