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From the beginning of 2019, the Centres for Medicare and Medicaid Services, CMS, will reimburse care providers for Remote Patient Monitoring (RPM) services under these new codes (in addition to CPT® 99091):
CPT® 99453: Remote monitoring of physiologic parameter(s) (e.g., weight, blood pressure, pulse oximetry, respiratory flow rate), initial; set-up and patient education on use of equipment.
CPT® 99454: Remote monitoring of physiologic parameter(s) (e.g., weight, blood pressure, pulse oximetry, respiratory flow rate), initial; device(s) supply with daily recording(s) or programmed alert(s) transmission, each 30 days.
CPT® 99457: Remote physiologic monitoring treatment management services, 20 minutes or more of clinical staff/physician/other qualified healthcare professional time in a calendar month requiring interactive communication with the patient/caregiver during the month.
These codes are available for billing as of January 1, 2019. The CMS will issue further guidance and clarification on the technological requirements for the RPM.
In addition to the support of Connected Care Programs, the CMS now also pays for Virtual Check-Ins under HCPCS G2012 and HCPCS G2010 and Interprofessional Internet Consultations under CPT® 99451, CPT® 99452, CPT® 99446, CPT® 99447, CPT® 99448
Datos works with leading reimbursement experts to ensure our clients are maximizing payment for excellent care. Contact us to learn more at firstname.lastname@example.org