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RTM · 2026 Medicare final

CPT 98980: RTM treatment management, first 20 minutes

CPT 98980 is the Medicare RTM code for treatment management, first 20 minutes. The CY2026 national non-facility rate is $54.11. A 98980 claim must pass 1 check under the CY2026 Medicare final rule; each is below with its source.

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CPT 98980 documentation checklist

Why 98980 claims get stopped

  • No live contactRepair
  • 14 minutesRepair

  1. 01 · RTM-MGMT-01 · in force from 2026-01-01

    20 or more minutes of treatment management in the month, with a live communication

    Minutes
    ≥ 20 in the calendar month
    “…time in a calendar month requiring at least one interactive communication with the patient/caregiver during the calendar month; first 20 minutes.”
    CMS PFS CY2024 final, 88 FR 78882

    Examples

    • 22 minutes with a callReady
    • No live contactRepair
    • 14 minutesRepair

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.