98978Remote therapeutic monitoring — CBT device supply, 16–30 days
Monthly device supply for cognitive behavioral therapy monitoring.
2026 national amount
$47.00
Billing cadence
Each 30 days
Code family
RTM
- Device supplied for cognitive behavioral therapy monitoring
- Data on at least 16 days
- For 2–15 days of data, use 98986 instead
Who can bill it
Same as 98975, including behavioral-health providers under a plan of care.
Other RTM codes.
- 98975One-time setup and education when a patient starts on therapeutic monitoring
- 98977Monthly device supply for musculoskeletal-system therapeutic monitoring
- 98986The 2026 short-duration supply code for cognitive behavioral therapy monitoring
- 98980The first 20 minutes of therapeutic-monitoring management time in a calendar month
- 98981The add-on for each further 20 minutes of RTM management time
- 98979The 2026 short-duration RTM management code, for months with 10–19 minutes
- 98976Monthly device supply for respiratory-system therapeutic monitoring
- 98984The 2026 short-duration supply code for respiratory therapeutic monitoring
- 98985The 2026 short-duration supply code for musculoskeletal therapeutic monitoring
A code is a claim. Documentation is the proof.
Most denied monitoring claims fail on documented time, consent, or the interactive communication — not on choosing the wrong code. We build the workflow so the record is made as the care happens.
CPT 98978, in plain terms.
What is CPT 98978?
Remote therapeutic monitoring — CBT device supply, 16–30 days. Monthly device supply for cognitive behavioral therapy monitoring.
What does CPT 98978 require?
Device supplied for cognitive behavioral therapy monitoring. Data on at least 16 days.
Who can bill CPT 98978?
Same as 98975, including behavioral-health providers under a plan of care.
- 99445 (2–15 days) and 99454 (16–30 days) cannot be billed in the same 30-day period
- 98984/98976 and 98985/98977 follow the same rule
- 99470 (10 min) and 99457 (20 min) cannot be billed in the same month
- 98979 (10 min) and 98980 (20 min) follow the same rule
- Add-on codes (99458/98981) only pair with the 20-minute base codes
- RPM and RTM cannot be billed for the same patient in the same month
- All treatment management codes require at least one live interactive communication per month
- 99454 requires automatic data transmission from the device
- Minimum 2 days of data transmission for all device supply codes
Amounts shown are 2026 national figures and are an estimate, not a quote — actual payment varies by locality, payer, and documented time. This reference is a summary for planning, not billing advice or a substitute for the current fee schedule and payer policy.
Billing 98978 correctly is the whole job.
We run the RTM program and the revenue cycle behind it — documented time, consent, and claims handled as part of the care rather than after it.