Remote Therapeutic Monitoring (RTM) has become a powerful tool for extending vestibular rehabilitation beyond the clinic. With the introduction and continued use of 2025 CPT codes, providers can track patient progress at home through digital devices and apps, deliver more consistent care between visits, and receive appropriate reimbursement for these remote services.
For vestibular rehab, most RTM billing uses codes associated with musculoskeletal disorders. Below, we break down the key CPT codes, billing requirements, and what they mean for your practice in 2025.
Unlike Remote Physiological Monitoring (RPM), which collects physiological data from connected medical devices, Remote Therapeutic Monitoring (RTM) tracks patient adherence, progress, and therapeutic response — making it well-suited for rehabilitation and functional recovery.
RTM 2025 CPT Codes for Vestibular Rehabilitation
The most relevant RTM 2025 CPT Codes for vestibular rehab programs include 98975, 98977, 98980, and 98981.
| 2025 CPT Codes | 2025 National Avg. Reimbursement | Brief Description | Billing Frequency |
| 98975 | $19.73 | Initial RTM device setup and patient education | Once per episode of care (min. 16 days of data in episode) |
| 98977 | $43.02 | Device supply for therapeutic monitoring, used in vestibular and other rehab settings to track adherence and progress. | Clinician review required once every 30 days (min. 16 days of data). |
| 98980 | $50.14 | First 20 min. RTM treatment management (must include interactive patient communication) | Once per calendar month (≥20 minutes documented) |
| 98981 | $39.14 | Each additional 20 min. RTM treatment management | As needed, per additional 20 minutes in month |
*Codes for respiratory (98976) and cognitive behavioral therapy (98978) also exist, but are not typically used in vestibular rehab unless integrated into specific cases.
Key Requirements for RTM Billing
To successfully bill RTM 2025 CPT Codes, providers must meet several requirements:
- Device: Must be an FDA-defined medical device capable of collecting non-physiological data (e.g., exercise adherence, pain scores, movement, symptoms).
- Data Days: Each billable period (30 days for 98977, or an episode of care for 98975) requires at least 16 days of monitored data.
- Treatment Management (98980/98981):
- Providers must track/document time spent managing therapy.
- Requires interactive communication (via phone or video call) with the patient at least once per month when billing for 98980/98981.
- Documentation: Must include:
- Reason for monitoring
- Interventions/recommendations based on data
- Evidence of interactive patient contact
Who Can Bill RTM Codes?
According to CMS (Centers for Medicare & Medicaid Services), the following providers are eligible to bill for RTM:
- Physical Therapists (PT)
- Occupational Therapists (OT)
- Speech-Language Pathologists (SLP)
- Physicians
- Mid-level providers
- Other qualified healthcare professionals (QHPs)
Key Difference: Unlike Remote Physiological Monitoring (RPM), RTM can be billed directly by rehab therapists (PT, OT, SLP) without physician supervision.
Special Billing Notes
- Not a Visit: RTM codes are not considered in-office therapy visits, but under Medicare Part B they are still subject to standard cost-sharing (typically 20% coinsurance) unless exempt by the patient’s supplemental plan.
- Concurrent Billing: RTM can be billed alongside chronic care or behavioral health integration programs, but not with RPM during the same time period.
- Software/Platforms: Most clinics rely on RTM software to track compliance, generate documentation and facilitate communication with patients. RTM codes can be billed in addition to in-person therapy codes (e.g., CPT 97161–97164 for evaluation, CPT 97110 for therapeutic exercise, CPT 97112/97116 for training), as long as all billing and documentation requirements are met.
RTM in Vestibular Rehabilitation
For vestibular rehab specifically, RTM codes is useful for tracking:
- Home exercise program adherence
- Symptom diaries (dizziness, vertigo episodes, falls)
- Balance/mobility data via wearables or apps
- Patient-reported outcomes and exercise completion
This allows therapists to monitor real-world progress, adjust treatment plans, and engage patients more consistently – while receiving reimbursement for the time and tools invested.
Final Thoughts
RTM is creating new opportunities for vestibular rehab providers to expand care beyond the clinic, support patients at home, and get reimbursed for it. By understanding the RTM CPT codes, billing requirements, and documentation standards, providers can confidently integrate RTM into their practice while improving patient outcomes.
Want to learn more about implementing RTM for vestibular rehab? Explore the Vertigenius™ resources and provider directory.