CPT 98975: RTM device setup
The one-time RTM code for setting up the monitoring tool and teaching the patient how to use it for therapy, respiratory or pain tracking.
CPT 98975 at a glance
- Time threshold
- Setup and education, no monthly minute threshold
- Who performs it
- The billing practitioner or therapist, or staff under general supervision where incident-to billing applies
- How often
- Typically once per episode of care; confirm with your MAC
- Approx. 2026 national rate
- ~$22
What the record needs to show
- An order or plan from the billing practitioner for remote therapeutic monitoring
- Documented patient consent
- A device or software that meets the FDA definition of a medical device
- For therapist-billed RTM, a therapy plan of care and the GP, GO or GN modifier
- A record that setup was done and the patient was taught to use the tool
Common billing mistakes
- Billing setup again for a patient already inside an episode of care
- Using an app that does not meet the device definition
- No documented order or consent
Where Zenith fits
Your practice stays the billing provider for CPT 98975. Zenith supplies trained clinical staff who do the work inside your EHR and invoice your practice for the labor. Zenith does not bill Medicare. See Remote Therapeutic Monitoring for how the program runs.
Educational summary, not billing or legal advice. Rates are 2026 Medicare national averages and vary by locality and payer. Confirm current rules in the CMS Physician Fee Schedule and with your Medicare Administrative Contractor.