CPT 98975: Remote Therapeutic Monitoring Equipment Setup and Education

Medicare pays $23 on average nationally for this procedure.

CPT code 98975 describes the provider-performed initial setup of remote therapeutic monitoring equipment and patient education on device use, a remote therapeutic monitoring setup service typically delivered in an outpatient or ambulatory care setting (clinic, office, or via telehealth-enabled home setup) and categorized as a device setup and patient training encounter for ongoing remote therapeutic monitoring programs.

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CPT 98975: Remote Therapeutic Monitoring Equipment Setup and Education

Medicare pays $23 on average nationally for this procedure.

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Get alerted when payer policies referencing 98975 are released or updated.

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Clinical & Coding Specifications

Clinical Context

A 58-year-old patient with chronic low back pain and radiculopathy is prescribed a remote therapeutic monitoring (RTM) program to track activity, pain scores, and therapy adherence. During an office visit or a dedicated device setup encounter, the clinician or qualified health professional performs the initial setup of the RTM equipment, configures the device/app, pairs sensors, enrolls the patient in the monitoring platform, and provides patient education on device use, data transmission, troubleshooting, and expectations for follow-up. The setup visit typically occurs in an outpatient clinic, physical therapy department, or hospital-affiliated outpatient setting. The workflow includes device inventory check, software account creation, demonstration of sensor placement and operation, verification of successful data transmission, documentation of equipment serial numbers and patient consent, and scheduling of remote monitoring follow-up sessions or care management based on incoming data.

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`98975`	The provider performs initial setup of equipment for remote therapeutic monitoring. The provider also educates the patient on use of the equipment.	This is the primary code describing the initial RTM device setup and patient education encounter.
`98976`	Remote therapeutic monitoring of respiratory system status, initial period; supply of device(s) and/or equipment for respiratory monitoring.	Used when the RTM program includes remote respiratory monitoring and devices are provided; may be billed for ongoing device supply distinct from setup.
`98977`	Remote therapeutic monitoring of respiratory system status, subsequent; set-up and patient education not separately billable when billed with `98975` during the initial encounter.	Billed for subsequent monitoring or device data transmission services after initial setup.
`98980`	Remote therapeutic monitoring treatment management services, physician or other qualified health care professional; first 20 minutes.	Used for time-based clinical management of RTM data following initial setup and education.
`99457`	Remote physiologic monitoring treatment management services, first 20 minutes of clinical staff/physician/other qualified healthcare professional time in a calendar month requiring interactive communication with the patient/caregiver.	May be billed for clinical management that includes interactive communication in addition to RTM data review; complements `98975` when active management is required.
`99091`	Collection and interpretation of physiologic data digitally stored and/or transmitted by the patient to the physician or other qualified health care professional, requiring a minimum of 30 minutes of time.	Used when substantial clinician time is spent collecting and interpreting RTM data; may be billed in appropriate workflows after setup.

Related Modifiers

5 rows

Modifier	Description	When to Use
26	Modifier 26 (Professional Component) identifies and bills only the professional portion of a split service — the physician’s interpretation, report, and medical judgment — when the technical…	- Use CPT Modifier -26 when you are billing only the professional component (PC) of a split‑bill eligible service—i.e., you performed the physician interpretation, medical judgment and prepared a…
59	Modifier 59 indicates a distinct procedural service when two procedures that are not normally billed together are clinically and procedurally separate. The CPT definition (as reiterated by CMS)…	- Use modifier -59 to report a distinct procedural service when documentation supports that the procedure reported is not normally billed together with another service on the same day because of a…
95	Modifier 95 indicates that a service was provided via synchronous, real‑time audio‑video telehealth rather than in‑person. Per CMS, AAPC and professional associations, append modifier 95 to claim…	- Use modifier 95 to indicate a service was furnished via synchronous, real‑time audiovisual telehealth (a live audio‑video conference between patient and provider) rather than in‑person. - Pair…
56	Modifier ‑56 indicates the reporting provider furnished only the preoperative management for a surgical procedure and did not perform the intraoperative or postoperative care. It is used in…	- Use Modifier -56 when a provider performs only the preoperative management in a split‑care situation (one physician manages preop care while a different physician performs the intraoperative…
54	Modifier ‑54 (“Surgical care only”) is appended to a CPT surgical procedure when the reporting surgeon performs the intraoperative (surgical) component but does not furnish the preoperative and/or…	- Use modifier -54 when the reporting surgeon provided only the intraoperative (surgical) component of a procedure and preoperative and/or postoperative management has been or will be provided by…

Related Provider Taxonomies

8 rows

Taxonomy Code	Specialty	Notes
207L00000X	Anesthesiology Physician	An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an opera…
207R00000X	Internal Medicine Physician	A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults…
207LA0401X	Addiction Medicine (Anesthesiology) Physician	An anesthesiologist who specializes in the diagnosis and treatment of addictions.
2865X1600X	Operational (Transportable) Military General Acute Care Hospital	A Department of Defense (DoD) health care organization furnishing inpatient care 24 hours per day in "non-fixed" or deployed facilities. Entity is not…
202C00000X	Independent Medical Examiner Physician	A special evaluator not involved with the medical care of the individual examinee that impartially evaluates the care being provided by other practiti…
273Y00000X	Rehabilitation Hospital Unit	In general, a distinct unit of a general acute care hospital that provides care encompassing a comprehensive array of restoration services for the dis…
2279G1100X	General Care Registered Respiratory Therapist	This level of care includes diagnostics testing, therapeutics, monitoring, rehabilitation of patients with disorders of the cardiopulmonary system, as…
2279E1000X	Educational Registered Respiratory Therapist	The focus of patient and family education activities is to promote knowledge of disease process, medical therapy, and self help. Respiratory therapis…

Related ICD-10-CM Codes

25 rows

ICD-10-CM Code	Description
E11.65	Type 2 diabetes mellitus with hyperglycemia
E11.9	Type 2 diabetes mellitus without complications
F45.41	Pain disorder exclusively related to psychological factors
G43.909	Migraine, unspecified, not intractable, without status migrainosus
G89.29	Other chronic pain
I10	Essential (primary) hypertension
I25.10	Atherosclerotic heart disease of native coronary artery without angina pectoris
M16.11	Unilateral primary osteoarthritis, right hip
M16.12	Unilateral primary osteoarthritis, left hip
M17.11	Unilateral primary osteoarthritis, right knee

Showing 1–10 of 25

CPT 98976: Remote Therapeutic Monitoring, Respiratory (16–30 days)

CPT-98977-RTM-MUSCULOSKELETAL-DEVICE-SUPPLY-16-30-DAYS

CPT 98977: RTM Device Supply for Musculoskeletal Monitoring (16–30 days)

CPT-98978-RTM-COGNITIVE-BEHAVIORAL-THERAPY-DEVICE-SUPPLY-16-30-DAYS

CPT 98978: Remote Therapeutic Monitoring Device Supply for CBT (16–30 days)

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

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Clinical & Coding Specifications

Clinical Context

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`98975`	The provider performs initial setup of equipment for remote therapeutic monitoring. The provider also educates the patient on use of the equipment.	This is the primary code describing the initial RTM device setup and patient education encounter.
`98976`	Remote therapeutic monitoring of respiratory system status, initial period; supply of device(s) and/or equipment for respiratory monitoring.	Used when the RTM program includes remote respiratory monitoring and devices are provided; may be billed for ongoing device supply distinct from setup.
`98977`	Remote therapeutic monitoring of respiratory system status, subsequent; set-up and patient education not separately billable when billed with `98975` during the initial encounter.	Billed for subsequent monitoring or device data transmission services after initial setup.
`98980`	Remote therapeutic monitoring treatment management services, physician or other qualified health care professional; first 20 minutes.	Used for time-based clinical management of RTM data following initial setup and education.
`99457`	Remote physiologic monitoring treatment management services, first 20 minutes of clinical staff/physician/other qualified healthcare professional time in a calendar month requiring interactive communication with the patient/caregiver.	May be billed for clinical management that includes interactive communication in addition to RTM data review; complements `98975` when active management is required.
`99091`	Collection and interpretation of physiologic data digitally stored and/or transmitted by the patient to the physician or other qualified health care professional, requiring a minimum of 30 minutes of time.	Used when substantial clinician time is spent collecting and interpreting RTM data; may be billed in appropriate workflows after setup.

Related Modifiers

5 rows

Modifier	Description	When to Use
26	Modifier 26 (Professional Component) identifies and bills only the professional portion of a split service — the physician’s interpretation, report, and medical judgment — when the technical…	- Use CPT Modifier -26 when you are billing only the professional component (PC) of a split‑bill eligible service—i.e., you performed the physician interpretation, medical judgment and prepared a…
59	Modifier 59 indicates a distinct procedural service when two procedures that are not normally billed together are clinically and procedurally separate. The CPT definition (as reiterated by CMS)…	- Use modifier -59 to report a distinct procedural service when documentation supports that the procedure reported is not normally billed together with another service on the same day because of a…
95	Modifier 95 indicates that a service was provided via synchronous, real‑time audio‑video telehealth rather than in‑person. Per CMS, AAPC and professional associations, append modifier 95 to claim…	- Use modifier 95 to indicate a service was furnished via synchronous, real‑time audiovisual telehealth (a live audio‑video conference between patient and provider) rather than in‑person. - Pair…
56	Modifier ‑56 indicates the reporting provider furnished only the preoperative management for a surgical procedure and did not perform the intraoperative or postoperative care. It is used in…	- Use Modifier -56 when a provider performs only the preoperative management in a split‑care situation (one physician manages preop care while a different physician performs the intraoperative…
54	Modifier ‑54 (“Surgical care only”) is appended to a CPT surgical procedure when the reporting surgeon performs the intraoperative (surgical) component but does not furnish the preoperative and/or…	- Use modifier -54 when the reporting surgeon provided only the intraoperative (surgical) component of a procedure and preoperative and/or postoperative management has been or will be provided by…

Related Provider Taxonomies

8 rows

Taxonomy Code	Specialty	Notes
207L00000X	Anesthesiology Physician	An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an opera…
207R00000X	Internal Medicine Physician	A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults…
207LA0401X	Addiction Medicine (Anesthesiology) Physician	An anesthesiologist who specializes in the diagnosis and treatment of addictions.
2865X1600X	Operational (Transportable) Military General Acute Care Hospital	A Department of Defense (DoD) health care organization furnishing inpatient care 24 hours per day in "non-fixed" or deployed facilities. Entity is not…
202C00000X	Independent Medical Examiner Physician	A special evaluator not involved with the medical care of the individual examinee that impartially evaluates the care being provided by other practiti…
273Y00000X	Rehabilitation Hospital Unit	In general, a distinct unit of a general acute care hospital that provides care encompassing a comprehensive array of restoration services for the dis…
2279G1100X	General Care Registered Respiratory Therapist	This level of care includes diagnostics testing, therapeutics, monitoring, rehabilitation of patients with disorders of the cardiopulmonary system, as…
2279E1000X	Educational Registered Respiratory Therapist	The focus of patient and family education activities is to promote knowledge of disease process, medical therapy, and self help. Respiratory therapis…

Related ICD-10-CM Codes

25 rows

ICD-10-CM Code	Description
E11.65	Type 2 diabetes mellitus with hyperglycemia
E11.9	Type 2 diabetes mellitus without complications
F45.41	Pain disorder exclusively related to psychological factors
G43.909	Migraine, unspecified, not intractable, without status migrainosus
G89.29	Other chronic pain
I10	Essential (primary) hypertension
I25.10	Atherosclerotic heart disease of native coronary artery without angina pectoris
M16.11	Unilateral primary osteoarthritis, right hip
M16.12	Unilateral primary osteoarthritis, left hip
M17.11	Unilateral primary osteoarthritis, right knee

Showing 1–10 of 25

CPT 98976: Remote Therapeutic Monitoring, Respiratory (16–30 days)

CPT-98977-RTM-MUSCULOSKELETAL-DEVICE-SUPPLY-16-30-DAYS

CPT 98977: RTM Device Supply for Musculoskeletal Monitoring (16–30 days)

CPT-98978-RTM-COGNITIVE-BEHAVIORAL-THERAPY-DEVICE-SUPPLY-16-30-DAYS

CPT 98978: Remote Therapeutic Monitoring Device Supply for CBT (16–30 days)

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

Published by

Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

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CPT 98975: Remote Therapeutic Monitoring Equipment Setup and Education

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CPT 98975: Remote Therapeutic Monitoring Equipment Setup and Education

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Clinical & Coding Specifications

Clinical Context

Related CPT Codes

Related Modifiers

Related Provider Taxonomies

Related ICD-10-CM Codes

Related Codes

References

Clinical & Coding Specifications

Clinical Context

Related CPT Codes

Related Modifiers

Related Provider Taxonomies

Related ICD-10-CM Codes

Related Codes

References

CPT 98975: Remote Therapeutic Monitoring Equipment Setup and Education

Sign up for cpt 98975 policy alerts

CPT 98975: Remote Therapeutic Monitoring Equipment Setup and Education

Sign up for cpt 98975 policy alerts

Clinical & Coding Specifications

Clinical Context

Related CPT Codes

Related Modifiers

Related Provider Taxonomies

Related ICD-10-CM Codes

Related Codes

What service does CPT 98975 cover and where is it typically performed?

Which modifiers are commonly used with 98975 and when should they be applied?

How does CPT 98975 relate to other monitoring and management codes like 98976, 98980, 99457, or 99091?

Which clinician specialties commonly perform the services described by 98975?

What diagnoses or clinical scenarios commonly justify use of CPT 98975?

References

Clinical & Coding Specifications

Clinical Context

Related CPT Codes

Related Modifiers

Related Provider Taxonomies

Related ICD-10-CM Codes

Related Codes

What service does CPT 98975 cover and where is it typically performed?

Which modifiers are commonly used with 98975 and when should they be applied?

How does CPT 98975 relate to other monitoring and management codes like 98976, 98980, 99457, or 99091?

Which clinician specialties commonly perform the services described by 98975?

What diagnoses or clinical scenarios commonly justify use of CPT 98975?

References