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Understanding CPT Code 98979 for Remote Therapeutic Monitoring in 2026

By Lauren Mitchell3 min read2 views
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Understanding CPT Code 98979 for Remote Therapeutic Monitoring in 2026

CPT Code 98979 introduces a new time-based billing option for remote therapeutic monitoring in 2026. Learn more about its key details and reimbursement rates.

Remote therapeutic monitoring (RTM) continues to evolve as a vital tool in modern healthcare, allowing medical professionals to provide ongoing care to patients while reducing the need for in-person visits. In 2026, a notable update to RTM coding was introduced with the release of CPT Code 98979. This new billing code aims to simplify and standardize reimbursement for RTM treatment management. Here’s what healthcare providers need to know.

What is CPT Code 98979?

CPT Code 98979 is a time-based billing code specifically designed for remote therapeutic monitoring treatment management services. It covers treatment provided by a physician or a qualified healthcare professional for at least 10 minutes within a calendar month. The service must include at least one interactive communication with the patient or their caregiver to qualify.

Key Features of CPT Code 98979

The introduction of CPT Code 98979 highlights the importance of time-based billing in RTM programs. Here are its key features:

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  • Minimum Time Requirement: The code applies to services lasting at least 10 minutes within one calendar month.
  • Interactive Communication: Healthcare providers must include at least one interactive communication session with the patient or their caregiver. This ensures engagement and monitoring compliance.
  • Reimbursement Rate: The current national average reimbursement for services billed under CPT Code 98979 is $26. This provides an opportunity for providers to be compensated for their time spent on remote treatment management.

Why Does This Matter for Healthcare Providers?

The inclusion of CPT Code 98979 in the 2026 updates to RTM codes reflects a growing emphasis on remote care solutions. This code allows healthcare professionals to appropriately bill for the time they dedicate to remotely managing treatment plans. With patient engagement being a vital element of care, this ensures accountability while also recognizing the work involved in providing such services.

How to Utilize CPT Code 98979

To effectively incorporate CPT Code 98979 into your practice, follow these guidelines:

  1. Document Time: Accurately log the total time spent on RTM treatment management services each month, ensuring it meets or exceeds the 10-minute requirement.
  2. Record Communication: Keep details on the interactive communication sessions conducted, whether via phone calls, video meetings, or other telehealth platforms.
  3. Stay Updated: Familiarize yourself with any local reimbursement variations or additional payer-specific requirements associated with this code.

Where to Find More Information

For a comprehensive understanding of billing RTM services, download reference guides provided by healthcare regulatory bodies or consult your practice’s coding specialist. Proper documentation and adherence to coding requirements can significantly streamline the billing process and ensure reimbursement without delays.

Conclusion

CPT Code 98979 is an important addition to the evolving landscape of telehealth and remote therapeutic monitoring. By enabling healthcare professionals to bill for time-based RTM treatment management, it incentivizes patient engagement and proper treatment oversight. The $26 average reimbursement rate ensures fair compensation for the time invested in remote care. It is essential for providers to stay informed about these updates to maintain compliance and optimize their practice’s financial health.

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Lauren Mitchell

Staff Writer

Lauren covers medical research, public health policy, and wellness trends.

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