Current Procedural Terminology (CPT®) code set
New 2022 Remote Therapeutic Monitoring (RTM) CPT codes Can Be Effectively Used By Doctors
Dr. Cheng Ruan Feb 25, 2022 How physician practices can take advantage of the New 2022 Remote Therapeutic Monitoring (RTM) CPT codes. NOTE: this is different from Remote Patient Monitoring which I cover later in this blog. Remote therapeutic monitoring is a brand new service description that doctors in private practices (especially those in integrative medicine practices) […]
What Are the Rules for Billing Remote Therapeutic Monitoring Codes?
Remote monitoring of patients is a way for healthcare providers to access information about patients who are not in the provider’s presence. Healthcare providers gather data from their patients without requiring the patient to visit a doctor’s office and submit it to on-site testing. Remote patient monitoring (RPM) is an established part of medical practice […]
Remote Patient Monitoring (RPM) and Remote Therapeutic Monitoring (RTM) CPT Reimbursement Codes for 2022 – CPT Codes 99453, 99454, 99457, 99458, 99091, 98975, 98976, 98977, 98980, and 98981
CPT codes for the provision of Remote Patient Monitoring (RPM) include: CPT Code 99453:Remote monitoring of physiologic parameter(s) (e.g., weight, blood pressure, pulse oximetry, respiratory flow rate), plus initial set-up and patient education on use of equipment. (Initial set-up and patient education of monitoring equipment included; do not report 99453 for monitoring of less than […]
Remote Therapeutic Monitoring (RTM): What your rehab team should know about the final rule
One positive outcome published in the Centers for Medicare & Medicaid Services’ Final Rule on the 2022 Medicare Physician Payment Schedule was clarification around the use of RTM codes. In an era of aiming to promote aging in place, supporting effective transitions across care environments and most importantly the evolution of alternative options to traditional care models, […]
CMS Physician Payment Rule Promotes Greater Access to Telehealth Services, Diabetes Prevention Programs
Final Rule Advances Health Equity, Person-Centered Care On November 2, CMS is announcing actions that will advance its strategic commitment to drive innovation to support health equity and high quality, person-centered care. CMS’ Calendar Year (CY) 2022 Physician Fee Schedule (PFS) final rule will promote greater use of telehealth and other telecommunications technologies for providing behavioral health care […]
CMS Releases Final Rule for CY 2022 Medicare Physician Fee Schedule
The CY 2022 Medicare Physician Fee Schedule final rule promotes greater telehealth utilization and boosts payment rates for vaccine administration. November 02, 2021 – CMS has finalized the calendar year (CY) 2022 Medicare Physician Fee Schedule to promote greater telehealth utilization, boost reimbursement rates for vaccine administration, and improve health equity, among other initiatives, the federal agency […]
CMS Revises 2021 Remote Patient Monitoring Rules, Issues Correction
CMS just issued a correction to its guidance on 2021 Medicare rules for remote physiologic monitoring (RPM) services. The correction is effective January 1, 2021 and revises the preamble commentary in the Medicare Physician Fee Schedule Final Rule, previously published on December 1, 2020. It adds language that was inadvertently deleted from the Final Rule, summarizing and responding some […]
Final Policy, Payment, and Quality Provisions Changes to the Medicare Physician Fee Schedule for Calendar Year 2021
On December 1, 2020, the Centers for Medicare & Medicaid Services (CMS) issued a final rule that includes updates on policy changes for Medicare payments under the Physician Fee Schedule (PFS), and other Medicare Part B issues, on or after January 1, 2021. Background on the Physician Fee Schedule Since 1992, Medicare has paid for […]
CMS Finalizes Telehealth, RPM Coverage in 2021 Physician Fee Schedule
The agency has released its long-awaited final document on Medicare coverage for telehealth and remote patient monitoring services in the coming year, building upon trends seen during this year’s coronavirus pandemic. By Eric Wicklund December 02, 2020 – Telehealth and remote patient monitoring will see significant improvements in Medicare coverage in 2021. The long-awaited 2021 Physician Fee Schedule, unveiled […]
Medicare Extends COVID-19 Telehealth Coverage in Diabetes Prevention Programs
As part of the 2021 Physician Fee Schedule, Medicare will continue to reimburse Diabetes Prevention Program providers who use certain telehealth services – but only for the duration of the public health emergency. By Eric Wicklund December 02, 2020 – Healthcare providers who use telehealth in their Diabetes Prevention Programs will continue to be reimbursed through Medicare during […]