CPT-99091

Collection and interpretation of physiologic data (blood pressure, glucose levels, etc.) digitally stored and/or transmitted by the patient and/or caregiver to the physician or other qualified health professional qualified by education, training or licensure.” Limited to “physicians and qualified health professionals.” 30 minutes of professional time dedicated to the patient per 30-day period.

CPT-99453

Described as “remote monitoring of physiological parameters (weight, bp, pulse oximetry), with focus on initial set-up and patient education on use of equipment”. The work associated with initial set up and education of equipment is reimbursed and patient must be monitored for 30 days. The average national Medicare payment for these services is $19.19 on a one-time basis.

CPT-99454

This CPT code offers reimbursement for providing the patient with an FDA defined medical device for a 30-day period. 99454 can be billed every 30 days. The average national Medicare payment for these services is $64.15 on a monthly basis. 2020 is proposed $62.07

CPT-99457

This CPT code offers reimbursement for clinical staff time that contributes toward monitoring and interactive communication which includes phone, text, and email. 2 providers may bill for the same patient in the same month.

CPT-99458

Remote physiological monitoring treatment management services with additional 20 minutes of clinical staff/physician/other qualified healthcare professional time in a calendar month requiring interactive communication with the patient/caregiver during the month.

CPT-G2012

Described as “brief communication - technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient.

CPT-99473

Equipment, Training, Education, Calibration of BP device.

CPT-99474

2 Consecutive readings in the morning and 2 consecutive readings in the evening. Minimum is 12 readings over a 30 day period. (6 Days of readings).

CPT-99490

This CPT code offers reimbursement for clinical staff time outlined above. Only two or more practitioners within a practice provide CCM for the same patient, only one may bill for the code in any given month. 2020: may be replaced with a G Code (HCPCS) as this will be for the FIRST 20 minutes.

CPT-99439

Was G2058 in 2020. Described as “remote monitoring for Medicare patients with 2 or more chronic conditions and the RPM method is non face to face. Documentation of clinical engagement and services after the first 20 minutes of clinical staff (P.A., N.P., CNM, CNS) professional time in a calendar month.

Required CPT-99490!

CPT-99487

This CPT code offers additional reimbursement for clinical staff time outlined above and the average additional expected reimbursement stands at about $94/month. chronic conditions and the RPM method is non face to face. Documentation of clinical engagement and services for an additional 60 minutes or more of clinical staff (P.A., N.P., CNM, CNS) professional time in a calendar month.

CPT-99489

Documentation of clinical engagement and services for an additional 30 minutes or more of clinical staff time as directed by a physician in a calendar month. This CPT code offers additional reimbursement for clinical staff time outlined above and the average additional expected reimbursement stands at about $47/month.

Required CPT-99487!

CPT-G2064

Comprehensive care management for a single high-risk disease services, e.g. Principal Care Management, at least 30 minutes of provider time (physician), per calendar month.

CPT-G2065

Comprehensive care management for a single high-risk disease services, e.g. Principal Care Management, at least 30 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month.