It has been three months since the CMS CY 2019 reimbursement codes for remote patient monitoring (RPM) became effective – outlined in the 2019 Physician Fee Schedule. At MobileHelp, we have been asked numerous questions and I thought it might be helpful to consolidate some of the questions and answers, by way of this post.
But first, can you explain the codes?
There are three non-face-to-face codes approved for remote patient monitoring (RPM), effective January 1, 2019. Those codes are listed in the table below.
It is important to note that CMS defines these as “remote monitoring of physiologic parameter(s) (e.g., weight, blood pressure, pulse oximetry, respiratory flow rate).” In other words, the emphasis is on measuring and reviewing physiological data remotely.
||Payment amount (PFS varies by locale)
||initial; set-up and patient education on use of equipment
||$21.00, one-time fee
||Device(s) supply with daily recording(s) or programmed alert(s) transmission, each 30 days
||$55.63 – $74.25, monthly
||Remote physiologic monitoring treatment management services, 20 minutes or more of clinical staff/physician/other qualified healthcare professional time.
||$46.97 – $56.09, monthly
For CPT 99454 and 99457, the patient must be seen in-office at least once in the past 12 months and have opted in to the program with express consent.
Continue reading “Remote Patient Monitoring CPT 99454 / CPT 99457 – An Update”