CPT 98981 in 2026 | RTM Treatment Management Add-On 20 Minutes | Orva

Remote Therapeutic Monitoring

CPT 98981 in 2026 RTM treatment management add-on 20 minutes

Use 98981 to report additional RTM treatment management time after 98980 in the same calendar month. Think of 98980 as the first block and 98981 as each additional 20-minute block beyond that.

Quick facts

Updated for 2026
Use caseAdd-on RTM treatment management time after 98980 in the same calendar month
Time thresholdEach additional 20 minutes beyond the first 20 minutes captured by 98980
PrerequisiteYou must bill 98980 for that month before adding 98981
Billing cadenceCalendar month
Real-time touchpointA real-time interactive communication must occur during the month for the management family
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
Unit limitsFollow payer policy for how many 98981 units may be reported in one month

Time selection rule

20 to 39 minutesBill 98980
40 to 59 minutesBill 98980 plus 1 unit of 98981
60 to 79 minutesBill 98980 plus 2 units of 98981
80+ minutesBill 98980 plus additional 98981 units as allowed by payer policy

Practical tip: Most clinics miss 98981 not because the work is not happening, but because time is not logged consistently.

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

What typically counts toward additional 98981 time

  • Additional review of RTM trends, risks, and adherence signals after the first 20 minutes are already met
  • More program updates, progressions, regressions, or education tied to the plan of care
  • Follow-up outreach that results in actionable clinical decisions and documented outcomes
  • Documenting decisions, goal updates, and any escalations made during the month

98981 should read like deeper clinical oversight, not repeated notes. More time is justified when the patient needs more active management.

How to keep 98981 audit-ready

Add-on time is easiest to defend when your documentation shows a clear sequence.

Step What an auditor expects to see
1 98980 met and billed for the month
2 Additional time entries beyond the first 20 minutes, date-stamped and attributed
3 Clear clinical actions tied to RTM findings
4 A record of the real-time interactive communication that occurred during the month

If your notes show the time but not the actions, payers often treat the month as weakly supported.

Documentation checklist

  • Calendar month and total minutes for the month
  • Confirmation that 98980 was met and billed for the month
  • Time entries that support each additional 20-minute block billed with 98981
  • Summary of RTM data reviewed and the clinical actions taken in response
  • Rendering clinician and any required therapy modifiers when applicable
  • Statement that time was not counted toward other billed services for the same work

If you want to keep this lean, document one monthly summary that clearly supports time and actions.

Examples

42 minutes totalBill 98980 plus 1 unit of 98981 if a real-time touchpoint occurred during the month
58 minutes totalBill 98980 plus 1 unit of 98981
63 minutes totalBill 98980 plus 2 units of 98981 if payer policy allows
29 minutes totalBill 98980 only. Do not add 98981

Many payers cap add-on units. If time is above the cap, document it anyway for clinical continuity, but bill only what the payer allows.

Total time is counted in a calendar month. Keep the month boundary and the time math obvious.

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.