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Part of Remote Therapeutic Monitoring

CPT 98981: RTM treatment management, each additional 20 minutes

Add-on code for each additional 20 minutes of RTM treatment management time beyond the 98980 threshold.

Time threshold & code combinations

Each additional 20 minutes of treatment management time, beyond 98980, per calendar month.

  • Cannot be billed without 98980 in the same calendar month

Who can bill

  • Physicians and non-physician practitioners who can bill E/M services
  • Physical therapists, occupational therapists, and speech-language pathologists furnishing RTM under a therapy plan of care

Eligibility & billing requirements

  • Same eligibility as 98980
  • 98980 must be billed first for the same month
  • Only reported after the first 20-minute threshold (98980) has been met

When to use it

Complex rehab case requiring extra review

After the initial 20-minute review, the practitioner spends another 20 minutes coordinating with a physical therapist about a plateau in progress.

Billing: 98980 + 98981

Documentation checklist

  • Time log showing the additional 20-minute increment

Common billing mistakes

  • Billing 98981 without a qualifying 98980 in the same month