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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.

Download this chart comparing RPM and RTM

Code Description
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
99454     device(s) supply with daily recording(s) or programmed alert(s) transmission, each 30 days
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
# 99457 Remote physiologic monitoring treatment management services, 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
#+99458      each additional 20 minutes (List separately in addition to code for primary procedure)

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Last revised April 28, 2022 - Betsy Nicoletti
Tags: remote physiologic monitoring

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Our mission is to provide accurate, comprehensive, up-to-date coding information, allowing medical practices to increase revenue, decrease coding denials and reduce compliance risk. That's what coding knowledge can do.

In 1988, CodingIntel.com founder Betsy Nicoletti started a Medical Services Organization for a rural hospital, supporting physician practice. She has been a self-employed consultant since 1998. She estimates that in the last 20 years her audience members number over 28,400 at in person events and webinars. She has had 2,500 meetings with clinical providers and reviewed over 43,000 medical notes. She knows what questions need answers and developed this resource to answer those questions. For more about Betsy visit www.betsynicoletti.com.

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