decisionhealth Newsletters, Coder Pink Sheets - 2022 Issue 12 (December)
New coding guidance: CMS nixes G codes for RTM services, will allow general supervision
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Article Overview
This article explains a CMS final-rule change affecting remote therapeutic monitoring (RTM) services in the 2023 physician fee schedule. It is relevant to physicians, therapists, and coding professionals who need to understand how CMS handled proposed HCPCS G codes, how general supervision fits into the policy, and how the 2023 RTM CPT codes are discussed in the rulemaking context.
Why This Topic Matters
The policy affects how RTM services may be furnished and supervised, which can influence practice operations, compliance planning, and access to RTM services. It also helps readers track CMS’s direction on RTM code policy versus existing CPT-based billing pathways.
Article Sections
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CMS final policy on RTM supervision
Summarizes the agency’s final position on supervision for RTM services and its relationship to Medicare rules discussed in the article.
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Impact on therapists
Discusses how the policy may affect physical therapists and therapy assistants, including concerns raised by professional associations.
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CMS reverses course
Covers the proposed HCPCS G code approach, stakeholder feedback, and the article’s discussion of the RTM coding framework for 2023.
What You Will Learn
- How CMS addressed supervision for RTM services in the final physician fee schedule
- What role proposed HCPCS G codes were intended to play in RTM policy
- Why therapists and physician practices were concerned about the proposal
- How the article situates the 2023 CPT RTM treatment management codes within the policy change
Who Should Read This
- Medical coders
- Billing staff
- Physicians
- Physical therapists
- Practice administrators
- Compliance professionals
Codes Discussed
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