Approved 2026 RTM Codes

With the 2026 CMS Final Rule, RTM reimbursement is expanding — bringing shorter monitoring periods, lower time thresholds, and new revenue growth opportunities for clinics.

Here's a overview of the new Approved codes: (Effective January 1, 2026)

New Remote Therapeutic Monitoring CPT Codes for 2026


CMS is introducing two new CPT codes:

  • CPT Code 98985 provides reimbursement for patients with 2 to 15 days of data transmission through RTM MSK devices.
  • CPT Code 98979 provides reimbursement for patients with 10 to 19 minutes of monthly treatment management services.

For the patient usage-based codes: (98985 & 98977)  

Key point: each 30-day period, for a given device type, you bill either the 2–15 day code or the 16–30 day code – not both

For the provider usage-based codes: (98980, 98981 & 98979)

Key point:  98979 (10 min) and 98980 (20–39 min) are not additive base codes.
CMS have clarified that you would need to choose the one that best matches total time that month:
  • If the total RTM time is ~10–19 minutes → then bill 98979
  • If the total RTM Tile is 20–39 minutes → then bill 98980, plus 98981 if you go 40+ minutes  


Back to the top ↑


New RTM CPT Codes Reimbursements Amounts


Remote Therapeutic Monitoring (RTM) CPT Codes — 2025 vs. 2026 Payments

CPT Code

Description

2025 Avg Payment 2026 Avg Payment (Non-APM) 2026 Avg Payment (APM)
98975 Initial set-up & patient education on use of equipment; one time at initial enrollment (2+ days of monitoring in a 30-day period per CPT codebook) $19.73 $21.71 $21.82
98985 RTM device to monitor MSK system status, 2–15 days of data in a 30-day period NEW $40.08 $40.28
98977 RTM device to monitor MSK system status, 16–30 days of data in a 30-day period $43.02 $40.08 $40.28
98979 10–19 minutes of RTM treatment management services in a month NEW $26.39 $26.52
98980 20–39 minutes of RTM treatment management services in a month $50.14 $54.11 $54.38
98981 Each additional 20 minutes of RTM treatment management services in a month over 98980 $39.14 $41.42 $41.63

Back to the top ↑


💡 Why The 2026 RTM Code Changes Matter


  • 💡 More flexibility – New codes allow billing for shorter monitoring periods and time blocks.
  • 💰 Higher revenue potential – Increased payment rates and more billable activities.
  • 🧍 Better patient engagement – Easier to include patients who can’t complete a full 30-day cycle.
  • ⚙️ Encourages adoption – CMS signals long-term support for RTM in therapy workflows.
  • ❤️ Supports value-based care – Promotes better continuity, outcomes, and patient follow-up.

Did this answer your question? Thanks for the feedback There was a problem submitting your feedback. Please try again later.