If you are a medical professional interested in leveraging remote technology to optimize patient health, this guide outlines remote therapeutic monitoring codes for 2024 and how to bill using RTM CPT codes. Remote therapeutic monitoring (RTM) is similar to remote patient monitoring. However, RTM is used to acquire non-physiological patient data for the respiratory and musculoskeletal systems.
This data can monitor exercise and medication adherence, functional status, response to therapy, and musculoskeletal and respiratory activity. Patients use RTM devices to collect health data for musculoskeletal and respiratory system status, therapy, and medication response and adherence. For example, a Parkinson’s disease monitoring device can be used by a patient to monitor symptoms and medication adherence. Unlike in remote patient monitoring CPT Codes, the RTM patient data is self-reported and communicated to their physician.
Remote Therapeutic Monitoring Codes
Healthcare providers can improve patient outcomes while establishing additional revenue streams with an established and efficient remote therapeutic monitoring service model. However, it is essential to note that regulations exist regarding which remote therapeutic monitoring codes can be billed together with remote patient monitoring. Providers are not allowed to double bill for RTM and RPM.
In 2022, The Center for Medicaid and Medicare (CMS) established remote therapeutic monitoring codes to help make billing for physical, occupational, and speech-language pathologists more accessible. Before 2022, these qualified healthcare professionals were not reimbursed for collecting data and educating patients using remote health devices. These new RTM CPT codes allow healthcare systems to increase revenue while improving patient outcomes and recovery programs.
RTM CPT codes are general management codes that qualified healthcare professionals, like physical and occupational therapists, can use to bill for their services, unlike RPM codes. The most commonly used RTM devices are a scale and spirometer. The 2024 RTM CPT codes, descriptions, payment rates, and billing frequency are listed below.
2024 Remote Therapeutic Monitoring Codes
In this section, you will find a quick overview of remote therapeutic monitoring codes for 2024. All remote therapeutic monitoring services can be provided under general supervision. Physical therapists (PTs), occupational therapists (OTs), and speech-language pathologists (SLPs) can provide RTM services. RTM CPT codes can be used for “sometimes therapy,” allowing physicians, nurse practitioners, physician assistants, and clinical nurse specialists to perform RTM.
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 $19.65.
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 $46.83.
Musculoskeletal CPT Code 98977
Code 98977 reimburses musculoskeletal devices supplied with daily scheduled recordings and programmed alerts and transmission for monitoring the musculoskeletal system. This can be billed once 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 98977 is $55.72.
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 $49.78.
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 $39.30.
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