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See a sample rate comparisonCPT 98975 Fee Schedule
Last Verified: September 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Remote Therapeutic Monitoring, Remote Therapeutic Monitoring (Eg Respiratory System Status Musculoskeletal System Status Therapyadherence Therapy Response) Initial Set-Up And Patient Education On Use Of Equipment
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Non-Face-to-Face Nonphysician Services |
| Common Place of Service | 11 - Office 10 - Telehealth in Patient's Home |
| Common Modifiers | None GP - Services delivered under an outpatient physical therapy plan of care KX - Requirements specified in the medical policy have been met |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 98975 |
| Medicaid Fee Schedule | View Medicaid rates for 98975 |
National average reimbursement for CPT 98975 by major payers:
$23.79
$24.74
$23.33
$43.13
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CPT 98975
5 of 25 sample ratesHigher to lower in this preview
Prisma Health-Upstate
Prisma Health - Upstate
$588.20Published rateProfessional Radiology Inc.
Professional Radiology, Inc.
$36.13Published rateEast Texas Medical Center Athens
Etx Successor Athens
$33.59Published rateEl Paso County Hospital District, University Medical Center Of El Paso
El Paso County Hospital District
$23.82Published rateChca Bayshore Lp, Bayshore Medical Center
$15.11Published rate
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See a sample payer proposalCPT 98975 vs. Other Non-Face-to-Face Nonphysician Services Codes
The CPT 98975 code is part of the Medicine Services and Procedures services used for Non-Face-to-Face Nonphysician Services. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 98975 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 98970-CPT | Low | Qualified Nonphysician Health, Qualified Nonphysician Health Care Professional Online Digital Evaluation And Management Service For An Established Patient For Up To 7 Days Cumulative Time During The 7 Days 5-10 Minutes |
| 98971-CPT | Low | Qualified Nonphysician Health, Qualified Nonphysician Health Care Professional Online Digital Evaluation And Management Service For An Established Patient For Up To 7 Days Cumulative Time During The 7 Days 11-20 Minutes |
| 98972-CPT | Low | Qualified Nonphysician Health, Qualified Nonphysician Health Care Professional Online Digital Evaluation And Management Service For An Established Patient For Up To 7 Days Cumulative Time During The 7 Days 21 Or More Minutes |
| 98975-CPT | Low | Remote Therapeutic Monitoring, Remote Therapeutic Monitoring (Eg Respiratory System Status Musculoskeletal System Status Therapyadherence Therapy Response) Initial Set-Up And Patient Education On Use Of Equipment |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 98975. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 98975 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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