Remote Physiologic Monitoring Treatment Management Services

2019 brought us three new CPT^® codes and a revised existing code for remote monitoring and treatment. Here are the four active codes. Two of them have no physician wRVUs.

Medical practices can use these devices to monitor a patient’s health metrics, assess chronic conditions and make treatment changes. However, starting these services will require time and money, and equipment.

 

Code	Description	2021 wRVU	Total National non-facility RVUs	Total National facility RVUs
99453	Remote monitoring of physiologic parameter(s) (eg, weight, blood pressure, pulse oximetry, respiratory flow rate), initial; set-up and patient education on use of equipment	0.00	0.55	NA
99454	device(s) supply with daily recording(s) or programmed alert(s) transmission, each 30 days	0.00	1.81	NA
99091	Collection and interpretation of physiologic data (eg, ECG, blood pressure, glucose monitoring) digitally stored and/or transmitted by the patient and/or caregiver to the physician or other qualified health care professional, qualified by education, training, licensure/regulation (when applicable) requiring a minimum of 30 minutes of time, each 30 days	1.10	1.63	1.63
99457	Remote physiologic monitoring treatment management services, 20 minutes or more of clinical staff/physician/ other qualified health care professional time in a calendar month requiring interactive communication with the patient/caregiver during the month, first 20 minutes	0.61	1.46	0.91
99458	Remote physiologic monitoring each additional 20 minutes	0.61	1.18	0.91
99473	Self-measured blood pressure using a device validated for clinical accuracy; patient education/training and device calibration	0.00	0.33	NA
99474	separate self-measurements of two readings one minute apart, twice daily over a 30-day period (minimum of 12 readings), collection of data reported by the patient and/or caregiver to the physician or other qualified health care professional, with report of average systolic and diastolic pressures and subsequent communication of a treatment plan to the patient	0.18	0.43	0.24

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