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	2020 wRVU	National non-facility payment	National facility payment
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	$18.77	$18.77
99454	device(s) supply with daily recording(s) or programmed alert(s) transmission, each 30 days	0.00	$62.44	$62.44
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	$59.19	$59.19
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	0.61	$51.61	$32.84
99458	Remote physiologic monitoring each additional 20 minutes	0.61	$42.22	$32.84

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