Remote Patient Monitoring for Dependable, Recurring Revenue
Covered RPM procedures include: setup and training for monitoring devices. Providers can also expect monthly recurring reimbursements for equipment transmissions and monitoring.
How Does This Process Work?
The patient will receive a remote physiological monitoring (RPM) device from the provider.
As the RPM device generates patient data, the information will automatically be uploaded electronically to the portal. This greatly simplifies the data review and follow-up process.
CMS issues reimbursements for:
- A one-time payment (per patient) for initial equipment setup and training
- Monthly recurring payments for device transmission
- Monthly recurring payments for patient monitoring
CMS Issues Reimbursements for:
A one-time payment (per patient) for initial equipment
setup and trainingMonthly recurring payments for device transmission
Monthly recurring payments for patient monitoring
RPM Revenue Generator
2019 Remote Patient Monitoring CPT Codes
RPM/ONE-TIME
CPT Code 99453
Patient Set-up and Education
$21
Remote monitoring of physiologic parameters: initial set-up and patient education on use of equipment
RPM/MONTHLY
CPT Code 99454
Device and Data Transmission
$69
Remote monitoring of physiologic parameters: initial device(s) supply with daily recording(s) or programmed alert(s) transmission, each 30 days
RPM/MONTHLY
CPT Code 99457
Data Interpretation
$54
Remote physiologic monitoring treatment management services, 20+ minutes per calendar month of clinical staff with the patient/caregiver
Additional Established Reimbursement Codes
CCM/MONTHLY
CPT Code 99490
Chronic Condition Care
$42
Clinical staff time of 20+ minutes for patients with two or more chronic conditions
CCM/MONTHLY
CPT Code 99487
Chronic Condition Care
$93
Complex CCM services for high-need patients for the first 60 minutes of treatment
CCM/MONTHLY
CPT Code 99489
Chronic Condition Care
$47
Supplemental code to 99487: each additional 30 minutes of complex CCM services per calendar month
CCM/MONTHLY
HCPCS Code G0506
Assessment and Planning
$64
Initial assessment of chronic condition and development of care plan
CCM/ONE-TIME
CPT Code 99495
TCM Services
$166
Modern medical decision complexity TCM services involving 30 days of remote services and an office visit within 14 days post-discharge
CCM/ONE-TIME
CPT Code 99496
TCM Services
$235
High medical decision complexity TCM services involving 30 days of remote services and an offline visit within 7 days post-discharge