2026 CMS Updates: Now Billing 2-15 Days (98985) + 16+ Days (98977)

Remote Therapeutic
Monitoring Reimagined

The first RTM platform built specifically for interventional pain practices. Capture revenue from day 2 with new 98985 billing—plus maximize 98977-98981 reimbursement.

2 Days
Minimum Engagement (98985)
$40.08/reimbursement
$200+
Monthly Revenue Per Patient
Combined codes potential
100%
CPT Compliance Built-In
Automated code selection

The Chronic Pain Care Gap

Current care models leave patients unsupported between visits and providers without visibility into therapy adherence.

Limited Visibility

No longitudinal data between visits to track patient progress or deterioration.

Poor Adherence

Therapy and medication compliance drops significantly without monitoring.

Engagement Gaps

Inconsistent patient interaction leads to worse outcomes and satisfaction.

Missed Revenue

Reimbursable RTM codes go unutilized due to lack of infrastructure.

The Somra Platform

Continuous Care,
Continuous Revenue

Somra creates a structured bridge between procedural care and behavioral interventions, enabling scalable remote monitoring while maximizing RTM reimbursement—including new 2026 codes 98985 and 98979.

Patient Mobile Application

Structured check-ins, pain tracking, and secure messaging

Provider Web Dashboard

Real-time monitoring, billing eligibility tracking, and analytics

Smart CPT-Aware Engine

Automatic code selection: 98985 (2-15 days) vs 98977 (16+ days)

Patient View
Day 5 of Monitoring
98985 Eligible
Pain Level (0-10)
5 days logged
3
Therapy Adherence
Completed exercises (5/5 days)
Billing Status

Patient has transmitted data for 5 days. Code 98985 ($40.08) eligible for billing.

Core Capabilities

Everything needed to launch and scale your RTM program

Patient Application

Flexible Check-ins

2-day minimum for 98985, 16+ days for 98977

Numeric Pain Tracking

Visual trend analysis and reporting

Therapy & Medication Logs

Adherence monitoring with smart reminders

Secure Messaging

HIPAA-compliant provider communication

Structured Prompts

"What improved your pain?" analytics

Mood & Sleep Tracking

Optional behavioral health indicators

Provider Portal

  • Real-time patient roster
  • Automatic code selection (98985/98977)
  • Billing eligibility tracking
  • Trend visualization
  • Automated report generation

Compliance

  • HIPAA-compliant storage
  • Audit trail functionality
  • Role-based access control
  • Time tracking logs

Future Roadmap

Phase 2-5 Enhancements

Coming Soon

Digital CBT Modules

Integrated cognitive behavioral therapy

AI Summarization

Automated symptom analysis

Risk Stratification

Predictive deterioration flags

RTM Reimbursement Engine

2026 CMS-approved rates with automated compliance

2026 CMS Updates Now Live

New codes 98985 (2-15 days, ~$40.08) and 98979 (10-19 min, ~$26.39) enable earlier billing capture. Somra automatically selects optimal codes based on patient engagement.

Device Supply Codes

98985NEW 2026

Short-Period MSK Monitoring

$40.08
Non-APM National Avg

Device supply for 2-15 days of musculoskeletal data transmission in 30-day period.

Minimum 2 days engagement required
98977

Standard MSK Monitoring

$40.08
2026 National Avg

Device supply for 16-30 days of musculoskeletal data transmission in 30-day period.

16+ days engagement required
98975

Initial Setup & Education

$21.71
2026 National Avg

One-time setup and patient education on equipment use. Billed once per episode of care.

Requires 2+ days data to bill

Treatment Management Codes

98979NEW 2026

Short Management (10-19 min)

$26.39
National Avg

First 10-19 minutes of RTM treatment management requiring interactive communication.

Requires real-time interactive communication
98980

Standard Management (20-39 min)

$54.11
2026 National Avg

First 20-39 minutes of RTM treatment management per calendar month.

Requires interactive communication
98981

Additional Management (+20 min)

$41.42
Per 20 min unit

Each additional 20 minutes beyond initial 98980. Can be billed multiple times per month.

Add-on code only (requires 98980 base)
$40.08
Per Patient (2-15 days)
Code 98985
$146+
Monthly Max Per Patient
98977 + 98980 + 98981
100%
Automated Billing
Smart code selection
Investment Opportunity

Margin Expansion &
Valuation Multiple Enhancement

Somra is not just a monitoring app. It is a margin expansion and valuation multiple expansion tool designed for physician ownership and PE-platform scalability.

Margin Expansion

RTM creates high-margin recurring revenue streams with minimal incremental cost. Each enrolled patient generates $100-200+ monthly with automated monitoring.

85%+ Gross Margins|Software Economics

Valuation Multiple Expansion

Transform a procedural practice (3-5x EBITDA) into a data-driven platform (8-12x EBITDA). Recurring revenue and technology infrastructure command premium valuations.

2-3x Multiple Lift|SaaS-Enhanced Valuation

Defensible Moat

Proprietary data assets, patient engagement networks, and integrated workflows create high switching costs and competitive barriers.

Data Network Effects|Workflow Integration

Financial Impact Model

Traditional Practice Valuation4.0x EBITDA
RTM-Enhanced Valuation8.0x EBITDA
EBITDA Increase (100 patients)+$180K/year
Valuation Uplift$1.44M

Additional enterprise value created from 100-patient RTM cohort at enhanced multiple

Strategic Positioning

Somra positions the practice as a data-driven outcomes platform—an essential infrastructure asset for private equity roll-ups and regional platform strategies.

Procedural Excellence Center

Maintain clinical focus while adding digital capabilities

Data-Driven Outcomes

Longitudinal data assets for value-based contracting

Scalable Infrastructure

PE-platform ready with multi-site deployment capability

Designed for Interventional Pain Practices

Whether you're an independent practice or a multi-site enterprise, Somra scales with your growth trajectory.

Primary Market

Chronic spine pain, post-procedural, neuromodulation, regenerative therapy patients

Secondary Market

Working-age radicular pain, post-operative orthopedic, behavioral pain adjunct

Enterprise Ready

Built for PE-platform scalability and multi-site deployment

Chronic Pain

Neuromodulation

Post-Surgical

Regenerative

Strategic Roadmap

From RTM infrastructure to unified chronic pain ecosystem

Current

Phase 1: RTM Infrastructure

Core platform with 2026 CPT codes (98985, 98979), patient app, provider dashboard, and automated billing engine

Q2 2026

Phase 2: CBT Integration

Digital cognitive behavioral therapy modules and guided meditation

Q4 2026

Phase 3: AI Assistance

Automated documentation, symptom summarization, and predictive analytics

2027

Phase 4: Value-Based Care

Outcomes-based contracting and risk-sharing arrangements

Future

Phase 5: Enterprise Scale

Multi-site deployment, EHR integration, and national expansion

Ready to Transform Your Practice?

Join the next generation of pain management. Generate recurring revenue while delivering continuous, data-driven care.

HIPAA Compliant • No Upfront Costs • 2026 CPT Codes Ready