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    v1.0.30
    OpenPayerBilling CodesRemote Therapeutic Monitoring ServicesCPT cpt-98975-remote-therapeutic-monitoring-equipment-setup-education
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    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.

    For related coverage guidance, see recent payer policy updates: Automated Ambulatory Blood Pressure Monitoring for Diagnosis of Hypertension in Patients with Elevated Office Blood Pressure, Cardiology - Ivabradine, Cardiac Computed Tomography (CCT)/Coronary Computed Tomographic Angiography (CCTA).

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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 CodeDescriptionRelationship to This Procedure
    98975The 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.
    98976Remote 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.
    98977Remote 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.
    98980Remote 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.
    99457Remote 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.
    99091Collection 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

    ModifierDescriptionWhen to Use
    26Modifier 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…
    59Modifier 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…
    95Modifier 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…
    56Modifier ‑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…
    54Modifier ‑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
    207L00000X
    207R00000X
    207LA0401X
    2865X1600X
    202C00000X
    273Y00000X
    2279G1100X
    2279E1000X

    Related ICD-10-CM Codes

    25 rows

    ICD-10-CM CodeDescription
    E11.65Type 2 diabetes mellitus with hyperglycemia
    E11.9Type 2 diabetes mellitus without complications
    F45.41Pain disorder exclusively related to psychological factors
    G43.909Migraine, unspecified, not intractable, without status migrainosus
    G89.29Other chronic pain
    I10Essential (primary) hypertension
    I25.10Atherosclerotic heart disease of native coronary artery without angina pectoris
    M16.11Unilateral primary osteoarthritis, right hip
    M16.12Unilateral primary osteoarthritis, left hip
    M17.11Unilateral primary osteoarthritis, right knee

    Showing 1–10 of 25

    Related Payer Policy Updates

    Specialty: Cardiology1 / 4

    10 rows

    PolicyPayerEffective Date
    Automated Ambulatory Blood Pressure Monitoring for Diagnosis of Hypertension in Patients with Elevated Office Blood PressureBluecross Idaho2026-11-01
    Cardiology - IvabradineCigna2026-10-15
    Cardiac Computed Tomography (CCT)/Coronary Computed Tomographic Angiography (CCTA)univerahealthcare2026-10-15
    Percutaneous Ventricular Assist DeviceUnitedHealthcare2026-10-01
    Cardiovascular Disease Risk AssessmentOscar Health2026-10-01
    Biomarkers for Myocardial Infarction and Chronic Heart FailureOscar Health2026-10-01
    Multiple Procedure Payment Reduction for Diagnostic Cardiovascular ProceduresBlue Cross Blue Shield - Maine2026-10-01
    Left Atrial Appendage Closure Devicesexcellus_health_plan_inc2026-09-17
    Left Atrial Appendage Closure Devicesuniverahealthcare2026-09-17
    Cardiac Omnibus CodesCigna2026-09-15

    Related Codes

    CPT-98976-REMOTE-THERAPEUTIC-MONITORING-RESPIRATORY-DEVICE-SUPPLY-16-30-DAYS

    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. 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. 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. 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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