Once every 6 months.

RTM may be furnished by a physician, respiratory specialist or other qualified healthcare professional (pharmacists, nurse practitioners, physician assistants, or licensed therapists such as physical therapists, occupational therapists, and speech-language pathologists) provided they are qualified by education, training, and licensure to provide such services within their scope of practice.

The RTM CPT codes are as follows:

CPT Code 98975

This code covers initial setup and patient education on the use of equipment. It can be billed once by one practitioner only when at least 16 days of data have been collected on at least one medical device. The average national payment rate for CPT 98975 is $19.73.

Respiratory CPT Code 98976

Billing CPT code 98976 pays for respiratory devices supplied with daily scheduled recordings and programmed alerts and transmission for monitoring the respiratory system. The code can be used every 30 days by one practitioner only when at least 16 days of data have been collected on at least one medical device. The average national payment rate for CPT code 98976 is $43.02.

CPT Code 98980

RTM CPT code 98980 bills for the initial 20 minutes of treatment time per calendar month. Time must include at least one interactive communication via phone or video with the patient during the month. New in 2023, CPT 98980 can be billed “incident to” or under general supervision. CPT 99457 is billed every 30 days. The average national payment rate for CPT 98980 is $50.14.

CPT Code 98981

In 2024, CPT 98981 covers each additional 20 minutes of treatment time per calendar month. It requires at least one interactive communication during the calendar month. This code has the exact requirements as CPT 98980.  The average national payment rate for CPT 98981 is $39.14.

If billing for RPM, you may bill RPM using the CPT codes listed below. The national rates are shown for reference.

1. 99453 Device Set-up
   $19.73 once per episode of care
   This code may be submitted for initial set-up and patient education on use of equipment
2. 99454 Remote Monitoring
   $43.03 per month
   This code may be submitted each month for supplying a patient with an FDA cleared RPM device. The patient must use the device for more than 16 days per calendar month.
3. 99457 Treatment Management
   $47.88 per month
   This code may be submitted for treatment management services, 20 minutes or more of clinical staff, physician, or other qualified healthcare professional time in a calendar month.
4. 99458 Treatment Management
   $38.50 per month
   Each additional 20 minutes of RPM services, with maximum of 60 minutes per calendar month.
5. 99091 Interpretation Management
   This code cover a minimum of 30 minutes in a calendar month for time it takes to gather, interpret and process data transmitted by patient. Additionally covers one communication where advising or medical management occurs.

For assistance, download the Tenovi PFM quick start guide.