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RTM Billing

RTM for Non-Operative MSK Care: Billable From Day One

No surgery means no global period. For conservative MSK care, RTM can start at the beginning of the episode.

RTMNon-OperativeConservative CareEpisode
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On this pageBillable from day oneWhat conditions fitThe gates still applyAnchoring the episode

Key takeaways

  • Non-operative patients have no surgical global period — RTM can be billed from the start of the episode.
  • Conservative MSK care — osteoarthritis, tendinopathy, instability, post-injection management — fits RTM well.
  • “From day one” still means once the other gates are met: consent, enrollment, data-days, review time, the call.
  • A clean episode start date anchors everything downstream.
As of the CY2026 Medicare Physician Fee Schedule (final rule CMS-1832-F, effective January 1, 2026). General educational information, not billing or legal advice. Coverage, codes, and payment vary by payer and locality — confirm specifics with your biller.

RTM gets discussed almost entirely in post-surgical terms, which hides one of its best use cases: the patient who never has surgery at all. For conservative, non-operative musculoskeletal care, there's no global period in the way — monitoring can begin and be billed at the start of the episode.

Billable from day one

The 90-day global period is a feature of surgery. No procedure, no global period. So for a non-operative patient, there's no post-surgical window during which billing is bundled — RTM can be billed from the start of the episode, as soon as the standard gates are satisfied.

What non-operative conditions fit

Plenty of musculoskeletal care is conservative by design:

If you're managing a recovery or a condition over weeks with data you can track, RTM probably fits — surgery optional.

The gates still apply

“From day one” doesn't mean automatic. The same readiness gates govern: consent on file, the patient enrolled, enough data-days logged for device supply, documented review time, and — for the management codes — the interactive call. (Walk them in the gate checklist.) What's removed for non-op patients is only the global-period delay.

Anchoring the episode

Without a surgery date to anchor to, the episode start — typically enrollment or the diagnosis date — becomes the reference point for the monitoring window and the device-supply period. Getting that anchor right keeps the data-day counts and billing periods clean from the first month forward. BoneArc resolves the episode anchor for non-operative patients automatically, so the windows line up without manual bookkeeping.

RTM left on the table is usually a bookkeeping problem, not a coding one.

BoneArc tracks data-days, review time, and the attested call — so the billable work is documented as it happens.

See it on your panel →
Sources & verification. Reflects the 2026 CPT code set and CMS CY2026 Physician Fee Schedule final rule (CMS-1832-F), effective January 1, 2026. Code identities, descriptors, and day/minute thresholds are stated as published; the one national dollar figure given is 98975 = $21.71 (non-facility) — all other amounts vary by MAC, locality (GPCI), and contract and are described as ranges. Educational information, not billing or legal advice — verify against current CMS guidance and your fee schedule.