AMA CPT® Assistant - 2018 Issue 3 (March)

Coding and Coverage Overview: Remote Patient Monitoring (99091) (March 2018)

March 2018 pages 5-6 Coding and Coverage Overview: Remote Patient Monitoring (99091) In the Calendar Year (CY) 2018 Medicare Physician Fee Schedule (MPFS) final rule, the Centers for Medicare & Medicaid Services (CMS) finalized separate payment for remote patient-monitoring services reported with CPT® code 99091. It should be noted that CPT coding guidelines may differ from CMS coding guidelines as it relates to reimbursement for services. Eligibility for payment, as well as coverage policy, is determined by each individual insurer or third-party payer. This article provides a historical background, CMS coverage information, and CPT guidelines for reporting 99091. Miscellaneous...

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CPT® Assistant content is the official source for CPT® coding guidance. It is an instrumental tool when appealing insurance denials and validating coding to auditors. Monthly issues and an extensive archive provide comprehensive guidance on proper CPT® coding for past, present and upcoming code set releases. Archives date back to 1990 for historical use of codes, changes, rationales, coding tips and trends in the industry.

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