Table 8.
List of reasons why specific RPM codes were denied by payers.
| Payer | Code | Reason |
|---|---|---|
| Aetna Medicare Managed Care | 99457 | Non-Covered |
| 99458 | Non-Covered | |
| Medicare | 99457 | Non-Covered |
| 99458 | Non-Covered | |
| Cigna | 99454 | No Reason Given (one count of 99457 was reimbursed and one was not) |
| Blue Cross | 99453 | Contract for PT maxes at USD 317 per day |
| 99454 | Contract for PT maxes at USD 317 per day | |
| 99457 | Contract for PT maxes at USD 317 per day | |
| Blue Shield | 99457 | Non-Covered |
| 99458 | Non-Covered | |
| United Healthcare Medicare Managed Care | 99457 | Non-Covered (one count of 99457 was reimbursed and one was not) |