Exciting Advancements in RTM for 2026 | What the CMS Updates Really Mean for Therapists and Clinics

If you’re a therapist or clinic owner, chances are you’ve either implemented, experimented with, or at least heard whispers of Remote Therapeutic Monitoring (RTM) since the shiny new CPT codes dropped back in 2022. For those who took the leap and built a thoughtful workflow—integrating patient engagement, therapist oversight, and compliant billing—RTM has proven to be more than just a passing trend. It’s a genuine clinical and financial booster shot for therapy practices across the country.

But even the best-oiled RTM machines have hit a few potholes along the way. Many of those bumps stem from the gray areas and rigid requirements baked into the current RTM CPT codes. Thankfully, CMS has taken notice and, starting January 1, 2026, is expected to roll out additional RTM codes that simplify compliance and expand flexibility.

Let’s take a closer look at what’s coming—and what it means for your RTM program.

THE BIG PICTURE: TWO KEY TAKEAWAYS

1. RTM is here to stay.

CMS recognizes RTM as a legitimate, valuable adjunct to in-person therapy—not just a “techy experiment.” The inclusion of additional codes signals that RTM has earned its seat at the table.

2. Billing became a bit more practical.

The new code definitions and thresholds make compliance far more manageable from both a therapist’s and patient’s standpoint. Translation: fewer headaches, more billable opportunities.

BREAKING DOWN THE CPT CODES: WHAT’S NEW IN 2026

***Note: the new codes will be formally numbered in the final rule for CY 2026, released later this year.

98975 – Device Supply Code

Current Requirements:

Patients must be educated on and provided with an FDA-approved device or software capable of collecting musculoskeletal data during their episode of care. “Day 1” starts when the first transmission occurs, and 16 days of monitoring are required before billing. This code is billed once per episode of care.

2026 Update:

Same definition, but the monitoring requirement drops from 16 days to just 2 days. If less than 2 days of data are captured, you can’t bill—but this is still a huge win for clinics.

Impact:

This change makes RTM more forgiving. You can’t quite “bill it at eval,” but you no longer need a half of a month of monitoring just to check the box. Perfect for those short-term plans of care that end unexpectedly.

98977 – RTM Data Transmission (Musculoskeletal System - similar codes exsist for respiratory and cognitive health therapies)

Current Requirements:

At least 16 days of useful data within a 30-day window. Can be billed every 30 days if criteria are met.

2026 Update:

CMS will add a new code (98XX5) for 2–15 days of data transmitted within a 30-day span. The existing 98977 remains for 16–30 days of data.

Impact:

Finally—clarity! This two-tiered approach acknowledges real-world patient behavior (because who hasn’t had a patient disappear for a week or two?). Now, even partial compliance can still translate into legitimate billing. Therapists win, patients win, and compliance officers breathe easier.

98980 – RTM Treatment Management (First 20 Minutes)

98981 – RTM Treatment Management (Each Additional 20 Minutes)

Current Requirements:

These codes represent time spent by a qualified healthcare professional managing data, communicating with patients, and making adjustments outside of scheduled therapy sessions. Each requires at least 20 minutes of total time, including one synchronous (real-time) interaction via phone, video, or in-person within the month.

2026 Update:

CMS introduces 98XX7, a new code for 10–19 minutes of time with the same synchronous communication requirement. 98981 remains unchanged.

Impact:

This is a game-changer for partial months or patients who graduate early. No more leaving those 12-minute efforts on the cutting room floor. Every bit of legitimate management time can now be captured and billed appropriately.

Who Can Perform and Bill for RTM?

RTM services can be performed and billed by:

- Licensed physical, occupational, speech, respiratory, or cognitive behavioral therapists (and their assistants)

- Physicians

That’s an inclusive list—one that reinforces CMS’s acknowledgment that RTM belongs squarely within the therapy world.

What This Means for Your Clinic

With the new RTM codes, therapists can confidently build sustainable, compliant RTM programs that reflect the realities of day-to-day clinical care.

Here’s your short checklist moving into 2026 (with accompanying blog links):

- Audit your current RTM workflows

- Revisit your RTM platform or device

- Train your team

- Don’t wait to experiment

Final Thoughts

The 2026 CMS updates aren’t just administrative tweaks—they’re a clear signal that Remote Therapeutic Monitoring has matured from a pilot program to a permanent fixture in modern therapy.

So whether you’re a seasoned RTM pro or still wondering if “remote monitoring” means binoculars, now’s the time to lean in. Because in 2026, RTM isn’t just staying—it’s getting easier, smarter, and more profitable for those who are ready.

Questions?

Drop me a line at matt.ospreyrtm@gmail.com - or better yet, schedule a free consult HERE!