Resources for care teams
By MySeema · Published November 10, 2026
A plain guide to RTM for physician practices, ACOs, and health systems: what it is, who qualifies, the codes, and what must be in place before you start.
Remote Therapeutic Monitoring (RTM) is a Medicare service that uses a qualifying medical device to follow a patient’s therapy adherence and response between visits.
The RTM codes are 98975, 98984 / 98976, 98985 / 98977, 98986 / 98978, 98979, 98980 and 98981.
| Code | Covers | 2026 national office benchmark |
|---|---|---|
| 98975 | Device support: Initial setup and instruction | $21.71 / initial setup |
| 98984 / 98976 | Device support: Respiratory: 2–15 / 16–30 data days | $52.11 / 30-day period |
| 98985 / 98977 | Device support: Musculoskeletal: 2–15 / 16–30 data days | $51.44 / 30-day period |
| 98986 / 98978 | Device support: Cognitive behavioral: contractor-priced | Contractor-priced No national rate |
| 98979 | Therapy management: 10–19 minutes | $26.39 / patient month |
| 98980 | Therapy management: First 20 minutes | $54.11 / patient month |
| 98981 | Therapy management: Each additional 20 minutes | $41.42 / additional 20 min |
Use the appropriate qualifying therapy/device pathway. Setup, device supply and treatment management have separate requirements. Cognitive-behavioral device codes are contractor-priced and have no national default here.
2026 Medicare allowed amounts, national office/nonfacility benchmark, non-QP conversion factor. Includes applicable patient cost sharing; before practice costs and MySeema fees. Actual collections vary with location, setting, clinician, coverage, and claim adjustments. See the rate source and estimate your practice.
Patient cost sharing and protections depend on coverage and the service. Explain them before consent. RHC/FQHC payment rules and Medicare Advantage contracts differ from the national benchmark.
Your clinicians keep clinical decisions and oversight, and your organization bills eligible services.
CMS finalized its 2027 remote-monitoring changes on November 4, 2026. From January 1, 2027, RTM is limited to established patients and a separately reportable initiating visit is required at the start of the service. From January 1, 2029, Medicare will pay for RTM only when the clinical staff performing it are employed by the billing practice. Read what the 2027 fee schedule changes.
RPM centers on physiologic readings such as blood pressure or weight that are automatically transmitted by a connected medical device. RTM centers on nonphysiologic information about a prescribed therapy, such as adherence or response, under its own device and provider rules.
The qualified treating provider owns therapy selection and clinical changes. MySeema can support the surrounding engagement, coordination, documentation, and escalation defined in the partner model.
This guide summarizes Medicare requirements for planning. It is not a billing manual or a promise of reimbursement. Confirm requirements with your billing and compliance teams.
Discuss the population and workflow you want to support, the responsibilities your team would retain, and the next steps for a proposed scope.