Remote Therapeutic Monitoring (RTM) is a service for monitoring and collecting non-physiological data from patients using an approved and connected medical device. As stated in the 2022 final rule, this data tracks a variety of health indicators, including musculoskeletal system status, respiratory system status, medication adherence, and therapy response.
RTM is meant for the monitoring and treatment of patients who use medical devices that collect non-physiological information in both digitally uploaded and self-reported formats. Just like Remote Patient Monitoring (RPM), RTM can be used to treat a number of chronic health conditions, including cancer and pulmonary diseases. Centers for Medicare & Medicaid Services (CMS) has positioned RTM as a separate model that supplements and supports RPM.
CMS introduced five new RTM CPT codes, also called general medicine codes in the 2022 final rule, including:
The national reimbursement amount for this code is $19.65*. CPT Code 98975 is a one-time billable code that covers initial equipment setup and patient instruction.
Supply of RTM device(s) with scheduled recording and/or programmed alert transmission to monitor the respiratory system for every 30 days. The national reimbursement for this code is $46.83*. CPT Code 98976 is billable once every 30 days and requires 16 unique days of data collection or measures on respiratory system status.
Supply of RTM device(s) with scheduled recording and/or programmed alert transmission to monitor the musculoskeletal system for each 30-day period. The national reimbursement for this code is $46.83*. CPT Code 98977 is billable once every 30 days and requires 16 unique days of self-reported data on musculoskeletal system status which can be self-reported.
CPT Code 98980 is a time-based code that can be billed once every 30 days. It covers the first 20 minutes of care management and interactive communication by clinical staff, MD, or QHCP. This code demands at least one interactive communication per calendar month. The national reimbursement for this code is $49.78*.
CPT Code 98981 is a time-based code that covers every additional 20 minutes of care management and interactive communication provided by clinical staff, an MD, or a qualified health care provider. This code demands at least one interactive communication per calendar month. The national reimbursement amount for this code is $39.30*.
(*reimbursement rates vary across different locations)
Remote Therapeutic Monitoring (RTM) helps in managing patients’ health and treatment progress virtually, using SaMD. It focuses on obtaining and sending health information from patients in one place to healthcare professionals in another location via remote monitoring devices, allowing for a quick and personalized response to a patient’s health status.
Both physical therapists and patients can benefit from remote therapy monitoring solutions in many ways including:
HealthArc’s monitoring software is designed to scale your healthcare results and make patient monitoring and management easy.
Please request a free demo to learn about how we can help your organization achieve its patient monitoring goals. Also, feel free to talk to our team at +201 885 5571 for any queries about the RTM CPT codes and reimbursement changes.