
CPT Code 98977 Remote Therapeutic Monitoring for Musculoskeletal System

CPT Code 98977 is a critical component of Remote Therapeutic Monitoring (RTM), facilitating patient care through device-based monitoring of the musculoskeletal system. This code applies specifically to the supply of devices with scheduled recordings and/or programmed alerts for a 30-day monitoring period.
Key Information about CPT 98977
Category
- Remote Therapeutic Monitoring (RTM)
- Service Code
Description
- Covers the delivery of RTM devices to track treatment compliance and response for the musculoskeletal system.
- Often used by Physical Therapists and Occupational Therapists.
Billing and Reimbursement Guidelines
- Frequency: CPT 98977 can be billed once per 30 days, provided the patient uses the device for at least 16 to 30 days.
- Reimbursement: The average reimbursement is $55.72 per billing period.
- Eligibility: Physicians, therapists, and other qualified healthcare providers can be billed under CMS guidelines.
Documentation Requirements
To ensure compliance, document the following:
- Details about the medical device provided (or whether the patient used their own).
- Data on recordings and/or alert transmissions during the 30-day period.
- Insights are gathered from the transmitted data, such as therapy adherence or patient progress.
Who Can Bill CPT 98977?
This code applies to professionals such as:
- Physicians
- Physical Therapists
- Occupational Therapists
- Speech-Language Pathologists
Supervision Rules
Under CMS’s 2025 Final Rule, general supervision allows RTM services to be managed by PTAs and OTAs under therapists’ guidance, enabling at-home patient support.
Clinical Example
A patient enrolled in RTM is provided with a device or app for monitoring musculoskeletal exercises. Over the next 30 days, they log activity and pain levels for 20 days, meeting the 16-day threshold—the provider bills CPT Code 98977, ensuring proper reimbursement for the service.
By following these billing, documentation, and eligibility guidelines, providers can seamlessly integrate CPT 98977 into their practice, ensuring effective remote therapeutic care and compliance with reimbursement policies.
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