RTM · 2026 Medicare final

CPT 98977: RTM device supply, musculoskeletal, 16 to 30 days

CPT 98977 is the Medicare RTM code for device supply, musculoskeletal, 16 to 30 days. The CY2026 national non-facility rate is $51.44. A 98977 claim must pass 2 checks under the CY2026 Medicare final rule; each is below with its source.

CPT 98977 documentation checklist

Why 98977 claims get stopped

  • Two practices bill 99454 in one periodHold
  • RPM and RTM device codes in one periodHold
  • Same minutes counted for CCM and RPMHold
  • 12 daysRepair
  • 1 dayHold
  1. 01 · RPM-OVL-01 · in force from 2024-01-01

    One practitioner bills device codes per 30-day period; never RPM and RTM together

    “Only one practitioner can bill CPT codes 99453 and 99454, or CPT codes 98976, 98977, 98980, and 98981, during a 30-day period… RPM and RTM may not be billed together.”
    CMS PFS CY2024 final, 88 FR 78883

    Examples

    • Two practices bill 99454 in one periodHold
    • RPM and RTM device codes in one periodHold
    • Same minutes counted for CCM and RPMHold
    • One practice, RPM only, own minutesReady
  2. 02 · RTM-DEV-01 · in force from 2026-01-01

    16 or more days of therapy data in the 30-day period

    Days with data
    16–30 of 30
    CMS PFS CY2026 final, 90 FR 49397

    Examples

    • 20 session daysReady
    • 12 daysRepair
    • 1 dayHold

Related RTM codes

This page explains Medicare rules; it is not legal or billing advice. Rates are CY2026 national non-facility amounts; your MAC's locality rates differ.