CPT 98980 in 2026 | RTM Treatment Management First 20 Minutes | Orva

Remote Therapeutic Monitoring

CPT 98980 in 2026 RTM treatment management first 20 minutes

Use 98980 to report RTM treatment management when total clinician time reaches 20 to 39 minutes in a calendar month. A real-time interactive communication with the patient or caregiver must occur during that same month.

Quick facts

Updated for 2026
Use caseMonthly RTM treatment management when time totals 20 to 39 minutes
Time thresholdFirst 20 minutes. Typically used when total time is 20 to 39 minutes in a calendar month
Billing cadenceCalendar month, separate from the 30-day device supply window
Required touchpointAt least one real-time interactive communication during the month
Do not double countTime cannot be counted toward other billed services for the same work
Therapy modifiersWhen billed as therapy, use GP, GO, or GN under a therapy plan of care. CQ or CO may apply when required by payer policy for assistant involvement

Time selection rule

10 to 19 minutesChoose 98979
20 to 39 minutesChoose 98980
40+ minutesChoose 98980 plus 98981 for each additional 20 minutes

Keep month boundaries clear. Total time is counted inside a calendar month.

Always confirm payer and MAC guidance for your state, setting, billing entity, and patient plan.

What typically counts toward 98980 time

  • Reviewing RTM data trends such as adherence, symptoms, and progress signals
  • Modifying the home program, education, or plan of care based on patient response
  • Coordinating next steps such as escalations, earlier follow-ups, or targeted coaching
  • Documenting the clinical rationale and actions taken from the data review
  • The real-time interactive communication that occurs during the month

If a patient needs hands-on oversight, 98980 is the most common management code to land on. Build a consistent cadence so time accumulates naturally.

What to document for the real-time touchpoint

Payers are usually looking for a simple, auditable record that a live interaction occurred. Keep this short and specific.

Field What to capture
Date When the live interaction occurred
Participants Patient or caregiver and the clinician
Method Telephone or video, or another payer-accepted real-time method
Outcome Key decision or next step taken based on the discussion

The best documentation links the touchpoint to a concrete clinical action like a program update, progression, or escalation.

Documentation checklist

  • Calendar month and total minutes for the month, including dates and short activity labels
  • A record of the real-time interactive communication with outcome documented
  • Summary of RTM data reviewed and the clinical rationale for changes made
  • Rendering clinician and any required therapy modifiers when applicable
  • Clear statement that time was not counted toward other billed services for the same work

A payer should be able to see the month, the minutes, the live interaction, and the clinical action taken without digging.

Examples

24 minutes totalBill 98980 for the calendar month if the real-time touchpoint occurred
38 minutes totalBill 98980 for the calendar month if the real-time touchpoint occurred
44 minutes totalBill 98980 plus 98981 for one additional 20-minute unit if payer policy allows
18 minutes totalDo not bill 98980. Consider 98979 if 10 to 19 minutes and requirements are met

If time is there but the real-time touchpoint is missing, the month is usually not billable for 98980 or 98981. Build a simple process so that touchpoint occurs before month end when appropriate.

Follow payer rules on unit limits and coverage requirements for add-on time in the same month.

Compliance note

Orva has signed the APTA Digital Transparency Pledge. Coding guidance here is educational and does not guarantee coverage or payment. Confirm payer policy and MAC guidance for your state, setting, billing entity, and patient plan.

Make RTM simple for your therapists

Track time cleanly, capture the live touchpoint, and generate documentation that supports accurate billing.