CMS nixes G codes for RTM services, will allow general supervision

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Note:  The following article synopsis was NOT provided by HCPro. It was created by Find-A-Code/innoviHealth.

Article Overview

This article reviews CMS’s final 2023 physician fee schedule action on remote therapeutic monitoring (RTM) treatment management services, including the agency’s decision not to adopt proposed HCPCS G codes and its move to permit RTM services under general supervision. It also discusses the implications for physicians, therapists, and practices, along with commentary on supervision, incident-to billing, and possible access and administrative impacts. The article is relevant to coders, billing staff, therapists, and compliance professionals tracking RTM policy updates and Medicare payment guidance.

Why This Topic Matters

The policy change affects how RTM treatment management services are supervised and billed under Medicare, which can influence practice workflow, billing compliance, and access to RTM services. It also signals CMS’s direction for RTM code implementation and how therapists may be affected by supervision rules.

Article Sections

  1. CMS final policy on RTM supervision and G codes

    Summarizes the agency’s final decision on remote therapeutic monitoring treatment management services and the broader supervision framework under the 2023 physician fee schedule.

  2. Impact on therapists

    Discusses how the policy may affect therapists and therapy assistants, including the article’s focus on supervision considerations and practice implications.

  3. CMS reverses course

    Reviews the proposed RTM-related HCPCS G codes, the shift to CPT-based RTM coding in 2023, and comments submitted to CMS about administrative and payment concerns.

What You Will Learn

  • How CMS addressed RTM treatment management services in the 2023 physician fee schedule
  • What the article says about general supervision and incident-to billing
  • How the policy change may affect physicians, therapists, and practices
  • What categories of feedback commenters raised about proposed RTM-related code changes

Who Should Read This

  • Medical coders
  • Billing and reimbursement staff
  • Therapists and therapy practices
  • Compliance professionals
  • Physician office administrators

Codes Discussed


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