Evaluate new CPT codes for remote therapeutic monitoring

February 8th, 2022

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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 the new CPT remote therapeutic monitoring code set and the Medicare guidance associated with its introduction. It is aimed at coders, therapists, and other billing professionals who need a broad understanding of the code family, the related CMS final-rule discussion, and the high-level operational considerations for reporting these services. The article compares the RTM code family with remote physiological monitoring and summarizes the main categories of guidance discussed in the 2022 CPT Manual and the 2022 Medicare Physician Fee Schedule final rule.

Why This Topic Matters

RTM is a new Medicare-recognized service area with distinct CPT reporting structure, so accurate awareness of the code family and CMS guidance is important for compliant billing and coverage review.

Article Sections

  1. RTM codes and Medicare context

    Introduces the new remote therapeutic monitoring code family and the Medicare policy discussion surrounding its release. Summarizes the general scope of the service category and why it drew attention from CMS.

  2. RTM tracks data, patient responses

    Explains the overall purpose of remote therapeutic monitoring and describes the types of information the service category is intended to address. Also notes the relationship to related remote monitoring concepts.

  3. Code structure

    Describes how the RTM code family is organized and the broad functional roles of the codes in the set. Covers the general division between setup, supply, and management components.

  4. Consider a scenario

    Provides a narrative example of how the service category may appear in practice. The example is used to illustrate the workflow discussed in the article.

  5. Six additional tips

    Summarizes additional Medicare and operational considerations related to reporting the RTM code family. Focuses on general compliance and documentation themes.

What You Will Learn

  • How the new remote therapeutic monitoring code family is organized
  • What Medicare and CPT guidance is discussed for the RTM service category
  • How RTM is positioned relative to related remote monitoring services
  • What broad operational factors affect reporting and coverage review

Who Should Read This

  • Medical coders
  • Therapists
  • Billing staff
  • Revenue cycle professionals
  • Compliance staff
  • Physicians and other qualified healthcare professionals

Codes Discussed

  • CPT: 98975
  • CPT: 98976
  • CPT: 98977
  • CPT: 98980
  • CPT: 98981
  • CPT: 99453
  • CPT: 99454
  • CPT: 99457
  • CPT: 99458

Code Ranges Discussed

  • CPT: 98975-98981
  • CPT: 99453-99454
  • CPT: 99457-99458

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