RTM BILLING · EDUCATION

The new CPT codes for remote movement care.

How Medicare's Remote Therapeutic Monitoring (RTM) codes let clinics get reimbursed for the between-visit care they already provide — and how Allheartz makes it billable.

THE CODE SET

The RTM codes at a glance

Remote Therapeutic Monitoring (RTM) is a Medicare code family that reimburses clinicians for using a qualifying digital tool to monitor a patient's musculoskeletal status and adherence between visits. Allheartz is the qualifying device and platform.

CODE
WHAT IT COVERS
CADENCE & REQUIREMENTS
TYPICAL MEDICARE*
98975
Initial set-up & patient education on using the device.
One-time per episode; requires 16 days of data.
~$19 one-time
98977
Device supply for musculoskeletal system monitoring.
Each 30 days; requires 16 days of data.
~$50 per month
98980
Treatment management — first 20 minutes of clinician time.
Per calendar month; ≥ 1 interactive contact.
~$48 per month
98981
Treatment management — each additional 20 minutes.
Add-on to 98980, per extra 20 min.
~$38 per month
*Illustrative national Medicare averages (2024–2026); actual payment varies by region, MAC jurisdiction, and payer contract. Not billing or legal advice.
A WORKED EXAMPLE

What a billed month looks like

A simplified example for one post-surgical patient. Only patients with active, qualifying use are billed.

Month 1 — new episode
98975Setup & education$19
98977MSK monitoring (16+ days)$50
98980Management (first 20 min)$48
Estimated total~$117
Ongoing months
98977MSK monitoring (16+ days)$50
98980Management (first 20 min)$48
98981Extended management (optional)+$38
Estimated total~$98–$136
How Allheartz fits

Allheartz is the qualifying device and platform — it captures the 16 days of data, powers the interactive contact through CareHub, and produces the audit-ready record. You bill RTM for the between-visit care you already provide; Allheartz takes only a small fraction, and only when the platform is actively used.

Qualifying device16-day capture handledAudit-ready recordsBilled only on active use
ADDING IT UP OVER A YEAR

An annual view — one post-op knee patient

Illustrative, for a surgeon monitoring their own total-knee patient across the first year. During the 90-day surgical global period, related post-op care is bundled into the global payment — so RTM isn't separately billable by the operating surgeon then. (A rehab clinic or PT not billing the surgery, or RTM for an unrelated condition, could bill during that window.)

Months 1–3 — 90-day surgical global period$0 bundled to surgeon
Months 4–12 — 9 billable months (98975 setup once + 98977 + 98980)~$900
Estimated year-1 total, per patient~$900

Across a caseload this compounds — e.g., ~40 monitored patients ≈ $36k/year. Illustrative national Medicare averages; actual amounts and global-period rules vary by payer, region, and who bills the surgery.

Good to know
Surgical global period
A practitioner paid under a global surgical package generally can't separately bill RTM for related post-op care during that period. A PT/OT or clinic that didn't bill the surgery — or RTM for an unrelated condition — may bill during that window.
New short-duration codes in 2026
Current codes require ≥16 days of data and 20 minutes of management. CMS's CY2026 fee schedule adds codes for 2–15 days of data and a 10-minute management option (effective Jan 1, 2026), lowering the threshold to qualify.
Everything here is educational and suggested — it reflects what CMS describes a billed month can look like, not billing, coding, or legal advice. Verify codes, coverage, global-period rules, and amounts with your payers and compliance team.

Questions about RTM billing?

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Disclaimer
This page is educational and is not billing, coding, or legal advice. RTM reimbursement (CPT 98975–98981) varies by payer, plan, region, and MAC jurisdiction; figures are illustrative national Medicare averages. Verify coverage and requirements with your payers and compliance team.
Allheartz is a movement-measurement tool (FDA Class I, exempt) and is not a diagnostic or predictive device.