Adding RTM Codes to Procedural Code List
Providers are required to provide a list of all the potential codes they may bill during the patients plan of care (procedural codes)
Be sure to add the relevant RTM codes to your evaluations: 98975, the monitoring codes for your body system (98977 or 98976/98978) plus their 2026 low-engagement siblings (98985 or 98984/98986), and the treatment-management codes 98979 (new for 2026), 98980, and 98981
We recommend adding them to your evaluation template
What each code is and when it bills: RTM CPT codes & billing thresholds (2026)
Adding RTM Goals
Creating patient specific goals as they relate to RTM strengthens your justification for using it as part of the patients plan of care
Here are a few examples:
“Patient will respond to >75% of daily messages over the next 30 days to provide necessary information to adjust their POC if a trend is reported."
“Patient will respond to >75% of daily messages to improve compliance with agreed upon HEP.”
A response-rate goal of >50% is an acceptable floor — you don't need to commit every patient to 75%
Include a Medical-Necessity Statement
Add a brief statement of why RTM is medically necessary for this patient — for example, that remote monitoring between visits is needed to track adherence and symptom trends so the plan of care can be adjusted in a timely manner
Any section of the evaluation is acceptable for the RTM justification content — use whichever fits your documentation style