Table 1.
Current Procedural Terminology (CPT) Remote Physiologic and Remote Therapeutic Monitoring Codes12
| CPT Codes (RPM, RTM)* | Example Description | Reimbursement (estimated) |
|---|---|---|
| 99453 98975 |
Initial set-up and patient education on use of equipment for remote monitoring of physiologic parameter(s) using a biosensor, and/or Software as a Medical Device (e.g. weight, blood pressure, pulse oximetry, respiratory flow rate) | $17 (one time) |
| 99454 98977 (MSK) 98976 (RSP) |
Device(s) supply with daily recording(s) or programmed alerts transmission, each 30 days. | $50 (every month) |
| 99457 98980 |
Remote Physiologic Monitoring treatment management services, clinical staff/physician/other qualified health care professional time in a calendar month, requiring interactive communication with the patient/caregiver 3nth; first 20 minutes. |
$47 (every month) |
| 99458 98981 |
Each additional 20 minutes (max 60 minutes total) | $38 (up to 2/month) |
CPT = Current Procedural Terminology; RPM = Remote Physiologic Monitoring;
RTM = Remote Therapeutic Monitoring
*
Current Procedural Terminology (CPT) codes for specific types of monitoring also can be reimbursed, including CPT 96127, CPT G3002 and CPT G3003
Bold indicates new Current Procedural Terminology codes that were introduced in 2022 specific to RTM for patients with musculoskeletal (MSK) and respiratory (RSP) conditions