decisionhealth Newsletters, Coder Pink Sheets - 2021 Issue 12 (December)
Remote therapeutic monitoring: Here’s what we know about the new codes and how to use them
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Article Overview
This article reviews the new remote therapeutic monitoring (RTM) codes introduced in CPT and discusses Medicare’s position on coverage in the 2022 physician fee schedule. It is aimed at orthopedic, therapy, and other outpatient practices that may be evaluating RTM services, documentation, and reporting considerations. The article also contrasts RTM with remote physiological monitoring and discusses the general structure of the RTM code family, therapy-related policy context, and a device-based example referenced by CMS.
Why This Topic Matters
The article helps readers understand a new category of monitoring services that may affect practice workflows, patient communication, and coding compliance in therapy-oriented settings. It is relevant because it ties together CPT guidance, Medicare coverage policy, and operational considerations for practices considering RTM services.
Article Sections
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RTM overview and Medicare coverage context
Introduces the new remote therapeutic monitoring code family and summarizes the CMS coverage discussion in the 2022 physician fee schedule. It also positions the topic for orthopedic and therapy-related practices.
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RTM data and comparison with remote physiological monitoring
Describes the general data types associated with RTM and contrasts RTM with remote physiological monitoring. This section also notes the broad professional settings and provider types discussed by CMS.
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How the RTM codes are structured
Outlines the general organization of the RTM code family and the kinds of services represented by the group. It includes the code-family structure and payment-related overview at a high level.
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Consider this code scenario
Presents a device-based example discussed by CMS to illustrate possible RTM use in a therapy setting. The example is used to show how the service concept may fit into a practice workflow.
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Points to consider when offering RTM services
Summarizes policy and operational considerations described in the article, including device requirements, therapy-plan context, and documentation issues. It also touches on Medicare billing limitations and related compliance topics.
What You Will Learn
- How the RTM code family is positioned within the 2022 CPT and Medicare policy environment
- How RTM is distinguished from remote physiological monitoring at a broad level
- What general types of services the RTM code family is organized to represent
- How a device-centered therapy scenario is used to illustrate possible RTM workflow
- What broad policy and documentation considerations are highlighted for practices considering RTM services
Who Should Read This
- Orthopedic practices
- Physical therapy practices
- Occupational therapy practices
- Physiatrists
- Nurse practitioners
- Healthcare coding and billing professionals
Codes Discussed
Code Ranges Discussed
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