CPT 98975
🔹What is CPT Code 98975?
CPT 98975 is used to report the initial setup and patient education for Remote Therapeutic Monitoring (RTM). This includes preparing FDA-defined medical devices for use and educating the patient on how to use them. RTM devices are used to monitor therapy adherence and response, including for conditions related to the respiratory system, musculoskeletal system, or behavioral health.
⚙️ This code is reported once per episode of care and cannot be used for less than 16 days of monitoring.
🔹Requirements to Bill 98975
To compliantly bill 98975, the following criteria must be met:
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The device must meet the FDA definition of a medical device.
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The patient is being monitored for therapy adherence, response, or functional status.
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Includes both:
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Device setup
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Education on proper device use
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Can only be billed once per episode of care (from RTM initiation through completion).
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A minimum of 16 days of monitoring must be completed.
💡 Tips for Effective Use
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Report only once per RTM episode, not monthly.
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Device may collect objective data (e.g., activity, inhaler use) or subjective input (e.g., symptoms via app).
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Common use cases include:
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Digital tools for tracking medication compliance
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Wearables monitoring musculoskeletal rehab
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Apps supporting behavioral therapy progress
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For ongoing treatment management after setup, use CPT 98980 and +98981.
✅ When to Use 98975 (Examples)
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A physical therapist sets up an RTM device and trains a patient recovering from knee surgery: 98975
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A provider initiates a CBT-based app and educates the patient on tracking therapy progress: 98975
🚫 Common Billing Errors to Avoid
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❌ Reporting more than once per care episode
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❌ Billing if fewer than 16 monitoring days are completed
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❌ Using for non-FDA-approved devices
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❌ Failing to include documentation of setup and education
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❌ Reporting with 98980/98981 before completing setup