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 premium coding update reviews CMS’s final 2023 physician fee schedule changes affecting remote therapeutic monitoring (RTM). It is relevant to physicians, therapists, and coding professionals who bill RTM-related services because it covers CMS supervision policy, the status of proposed HCPCS G codes, and the continued use of the 2023 RTM CPT services. The article also summarizes stakeholder reactions and broader questions about RTM billing and device coding.

Why This Topic Matters

RTM billing and supervision policies affect how practices structure services, bill Medicare, and plan for compliance. Understanding CMS’s final stance helps coders and providers follow current RTM payment guidance and anticipate operational impact.

Article Sections

  1. Coding

    Introduces CMS’s final 2023 physician fee schedule update affecting RTM payment policy and supervision. Summarizes the broad coding context and the change from the agency’s earlier proposal.

  2. Impact on therapists unclear

    Discusses how the policy change may affect therapists and therapy assistants, with attention to supervision considerations and Medicare practice settings. Includes perspectives from therapy stakeholders on operational impact.

  3. CMS reverses course

    Reviews CMS’s shift away from the proposed HCPCS G codes and the continued role of the 2023 RTM CPT services. Also covers stakeholder comments and CMS’s response to broader RTM coding ideas.

What You Will Learn

  • How CMS changed its RTM supervision policy in the 2023 physician fee schedule
  • Which RTM-related code sets are discussed in the update
  • Why therapists and therapy practices are watching the policy change closely
  • What stakeholder reactions and implementation concerns were raised
  • How CMS approached the idea of broader RTM device coding

Who Should Read This

  • Medical coders
  • Billing staff
  • Physicians
  • Physical therapists
  • Therapy practice administrators
  • Compliance professionals

Codes Discussed


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