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See a sample rate comparisonHealthcare 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.
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Non-Face-to-Face Nonphysician Services |
| Complexity Level | Low |
| Medicare Fee Schedule | $26.39 national non-facility rate (2026) · View Medicare rates for 98979 |
| Medicaid Fee Schedule | $20.835 median of the 8 states in the free preview · View Medicaid rates for 98979 |
National average reimbursement for CPT 98979 by major payers:

$29.33

$34.66

$27.10

$30.52
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Rate Benchmarking
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See a sample payer proposalCPT 98979 vs. Other Non-Face-to-Face Nonphysician Services Codes
The CPT 98979 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 98979 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 |
|---|---|---|
| 98979-CPT | Low | Rtm Tx Mgmt 1st 10 Min, Remote Therapeutic Monitoring Treatment Management Services Physician Or Other Qualified Health Care Professional Time In A Calendar Month Requiring At Least 1 Real-Time Interactive Communication With The Patient Or Caregiver During The Calendar Month; First 10 Minutes |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 98979. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 98979 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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