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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 16 days.) ($18.48)*
  • CPT Code 99454:Device(s) supply with daily recording(s) or programmed alert(s) transmission, each 30 days. (Initial collection, transmission, and report/summary services to the clinician managing the patient.) ($54.10)*
  • CPT Code 99457:Remote physiologic monitoring treatment management services, clinical staff/physician/other qualified healthcare professional time in a calendar month, requiring interactive communication with the patient/caregiver during the month; first 20 minutes. ($48.72)*
  • CPT Code 99458:Each additional 20 minutes (List separately in addition to code for primary procedure.) ($39.65)*
  • CPT Code 99091:Collection and interpretation of physiologic data (e.g., ECG, blood pressure, glucose monitoring), digitally stored and/or transmitted by the patient and/or caregiver to the physician or other qualified healthcare professional, qualified by education, training, licensure/ regulation (when applicable) requiring a minimum of 30 minutes of time, each 30 days. ($54.77)*

 

What is Remote Therapeutic Monitoring (RTM)?

Remote Therapeutic Monitoring (RTM) is a family of five codes created by the CPT Editorial Panel in October 2020 and valued by the RUC at its January 2021 meeting — Remote Therapeutic Monitoring/Treatment Management CPT codes 98975, 98976, 98977, 98980 and 98981.

The RTM family includes three PE-only codes and two codes that include professional work — 98980 and 98981:

  • CPT code 98980: Remote therapeutic monitoring treatment management services, physician/other qualified healthcare professional time in a calendar month requiring at least one interactive communication with the patient/caregiver during the calendar month; first 20 minutes — base code. ($48.72)*
  • CPT code 98981: Remote therapeutic monitoring treatment management services, physician/other qualified healthcare professional time in a calendar month requiring at least one interactive communication with the patient/caregiver during the calendar month;each additional add on code 20 minutes (list separately in addition to code for primary procedure). ($30.57)*
  • CPT code 98975: Remote therapeutic monitoring (e.g., respiratory system status, musculoskeletal system status, therapy adherence, therapy response); initial set-up and patient education on use of equipment. ($18.82)*
  • CPT code 98976: Remote therapeutic monitoring (e.g., respiratory system status, musculoskeletal system status, therapy adherence, therapy response); device(s) supply with scheduled (e.g., daily) recording(s) and/or programmed alert(s) transmission to monitor respiratory system, each 30 days. (54.10)*
  • CPT code 98977: Remote therapeutic monitoring (e.g., respiratory system status, musculoskeletal system status, therapy adherence, therapy response); device(s) supply with scheduled (e.g., daily) recording(s) and/or programmed alert(s) transmission to monitor musculoskeletal system, each 30 days. (Specific to ARIA Physical Therapy device.) ($54.10)*

* CPT Code Reimbursement Rates Subject to Change