New codes from the AMA could mean more RPM reimbursement by 2025
Healthcare IT News April 22, 2024
If the American Medical Association approves new changes and Medicare and private payers follow suit, providers that expand their remote patient monitoring programs to fit the new codes will gain the most benefits for their patients and clinics.
Today, most remote patient monitoring services are billed under four Current Procedural Terminology codes. These codes can be split into two categories to help understand their uses. There are two RPM device monitoring codes – 99453 and 99454 – and two timed RPM management service codes – 99457 and 99458.
CPT 99453 covers the time it takes to enroll patients in RPM and get them set up on their devices. It can only be billed once per patient enrollment. CPT 99454 is...