Tackle remote therapeutic monitoring coding and CPT changes for 2023

Why This Topic Matters

RTM is an expanding area of virtual care, and the 2023 changes affect how practices report these services and align them with current CPT and Medicare guidance. Understanding the update helps organizations stay current with evolving reporting pathways for digital therapeutic services.

Article Sections

1. Defining RTM

   Introduces remote therapeutic monitoring and the types of therapeutic data it is associated with. Also summarizes the general clinical and technology context for these services.

2. Benefits of RTM

   Describes the general care coordination and monitoring advantages of RTM across different specialties and conditions. Also touches on the broader role of virtual monitoring in patient management.

3. Ordering RTM services

   Covers who may order and bill RTM services and discusses Medicare-related supervision changes for 2023. Summarizes the shift in CMS guidance and its impact on furnishing these services.

4. CPT codes for RTM services (98975-98978)

   Explains the RTM code family, its placement within CPT, and the general structure of the reporting categories. Includes the 2023 changes affecting code descriptors and the addition of a permanent code.

5. Guidelines for reporting RTM codes

   Summarizes the general reporting framework for RTM service codes, including timing, ordering, and device-related requirements. Also notes relationships to other monitoring services and coding hierarchy concepts.

6. RTM treatment management services (98980, 98981)

   Describes the separate RTM treatment management code family and where it is located in CPT. Covers the general purpose of these professional service codes.

7. Guidelines for reporting RTM treatment management services

   Reviews the general reporting expectations for RTM treatment management time and interactive communication. Also addresses how these services are tied to ongoing patient management.