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CPT 98976 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.

Rem Ther Mntr Dev Sply Resp, Remote Therapeutic Monitoring (Eg Respiratory System Status Musculoskeletal System Status Therapy Adherence Therapy Response); Device(S) Supply With Scheduled (Eg Daily) Recording(S) And/Or Programmed Alert(S) Transmission To Monitor Respiratory System Each 30 Days
Key FactDetail
Service Type

Medicine Services and Procedures

Non-Face-to-Face Nonphysician Services

Common Place of Service

11 - Office

None

Common Modifiers

None

GW - Condition not related to the patient's terminal condition

PO - Services, procedures and/or surgeries furnished at off-campus provider-based outpatient departments

Complexity LevelLow
Medicare Fee ScheduleView Medicare rates for 98976
Medicaid Fee ScheduleView Medicaid rates for 98976

National average reimbursement for CPT 98976 by major payers:

bcbs

$64.29

uhc

$70.70

aetna

$62.66

cigna

$95.37

Compare published rates across providers.

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CPT 98976
5 of 25 sample ratesHigher to lower in this preview
  1. Peacehealth, St. John Medical Center

    WAGeneral Acute Care HospitalNPI 1073510277Tax ID 91-0564987

    $294.25Published rate
  2. Summa Health System

    OHGeneral Acute Care HospitalNPI 1396765681Tax ID 34-0714755

    $126.70Published rate
  3. Coast Plaza Doctors Hospital, Coast Plaza Hospital

    Avanti Hospitals, LLC

    CAGeneral Acute Care HospitalNPI 1669429221Tax ID 45-1738512

    $60.22Published rate
  4. Loudoun Imaging Center/Ashburn, LLC

    VARadiology Clinic/CenterNPI 1568615094Tax ID 26-3615091

    $57.09Published rate
  5. The Health Care Authority Of The City Of Anniston, Northeast Alabama Regional Medical Center

    The Health Care Authority Of The City Of Anniston

    ALGeneral Acute Care HospitalNPI 1003996000Tax ID 63-6000090

    $42.24Published rate

National sample. Rates vary by location, specialty, and contract.

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CPT 98976 vs. Other Non-Face-to-Face Nonphysician Services Codes

The CPT 98976 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 98976 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.

CodeComplexityDescription
98970-CPTLowQualified 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-CPTLowQualified 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-CPTLowQualified 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
98976-CPTLowRem Ther Mntr Dev Sply Resp, Remote Therapeutic Monitoring (Eg Respiratory System Status Musculoskeletal System Status Therapy Adherence Therapy Response); Device(S) Supply With Scheduled (Eg Daily) Recording(S) And/Or Programmed Alert(S) Transmission To Monitor Respiratory System Each 30 Days

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 98976. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 98976 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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