The new RTM billing codes can be categorized into two distinct groups:

  • Setup, Supply, and Data Receiving Codes (98975, 98977)

  • Patient Monitoring Codes (98980, 98981)

These two different groups have distinct characteristics that are important to understand when completing services for RTM. In this article, we will discuss the second group of codes, how they are important, and how to bill for them using PatchRx.

CPT® code 98980 ($48)

Definition: Remote therapeutic monitoring treatment management services, physician/ other qualified health care professional time in a calendar month requiring at least one interactive communication with the patient/caregiver during the calendar month; first 20 minutes.

This code is specific to the remote interactions that need to be had with a patient over the course of remote monitoring. These are billed on a calendar month basis, unlike codes 98976-77 which are billed on a 30-day basis. A practitioner can only complete this code one time per month. This code requires at least one of these monitoring sessions to be a patient interaction.

In the PatchRx Web Portal, you can track your patient monitoring sessions under the Billing-To-Do section. By clicking the button titled "Take Action" you will be able to choose between logging a monitoring session or starting a live monitoring session. With logged monitoring sessions, you will be able to log notes from an interaction that you had with the patient or add notes that you have taken while reviewing the patient's compliance data during a compliance monitoring session, and you will be able to add the time that you spent doing so. With a live monitoring session, you will be able to start a timer to track the time spent speaking with a patient or monitoring their data, as well as tracking which type of monitoring session it was and taking notes. We will automatically track your monitoring sessions to ensure that you complete both the patient interaction and the 20 minutes worth of patient monitoring in order to bill for code 98980.

When a calendar month rolls over to the following month, code 98980 will be reset to 0 minutes of interaction and 0 patient interactions, as you are unable to roll over time from incomplete codes spent working with a patient to the following month.

CPT® code 98981 ($39)

Definition: Remote therapeutic monitoring treatment management services, physician/other qualified health care professional time in a calendar month requiring at least one interactive communication with the patient/caregiver during the calendar month; each additional 20 minutes

This code is very similar to 98980 but is only accessible after code 98980 has been completed. There is one key difference with code 98981, in that you are able to bill for this code two times per calendar month, for a total of $78 in reimbursement revenue. This code still requires 20 minutes of total monitoring and one patient interaction to be billed.

In the PatchRx Web Portal, when you complete the first 20 minutes of monitoring in a calendar month (associated with code 98980), PatchRx will begin tracking future interactions with code 98981. Once you complete your second 20 minutes of monitoring and patient interaction, minutes will begin rolling over to the second billable cycle of 98981.

Between 98980 and 98981, you are able to bill for 3 separate 20-minute cycles of monitoring and interactions with the patient for a total of $126 per patient per calendar month.

When a calendar month rolls over to the following month, similar to 98980, code 98981 will be reset down to 0 minutes of interaction and 0 patient interactions, as you are unable to roll over time from incomplete codes spent working with a patient to the following month.


If you have additional questions on how RTM billing codes work or how to bill for them on PatchRx, please contact us at (918) 727-2962, at support@patchrx.io, or on our website or app chat.

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