Remote Patient Monitoring CPT Codes: What are the Latest Updates for 2024?

Due to the pandemic outbreak, most people prefer remote healthcare. This shift has led to an increased popularity of Remote Patient Monitoring (RPM) Technology, a subcategory of Telehealth.

RPM technology has gained popularity because of its ability to deliver healthcare conveniently, especially for patients whose in-person visits are limited.

For providers, Understanding the RPM CPT Codes and services you offer is key to getting reimbursement and maximizing profitability. This blog post will walk you through:

• What is Remote Patient Monitoring
• What are CPT Codes and the Importance of CPT Coding for RPM services
• Remote Patient Monitoring CPT Codes for 2024
• Explanation of CPT Codes for Remote Patient Monitoring
• Best Practices for Implementing RPM CPT Codes

Understanding Remote Patient Monitoring

Remote Patient Monitoring is a healthcare technology that enables patients to check for vital health signs. Common health vitals like blood pressure, weight, pulse, temperature, sugar levels in the blood, and glucose levels can be monitored using RPM Devices.

The collected patient’s health vitals will be transmitted via Bluetooth, cellular networks, or Wi-Fi to the provider’s facility.

This technology especially benefits patients with chronic diseases such as diabetes, kidney disease, heart disease, cancer, and others. The core capability of RPM is that it tracks patient health vitals by 24/7. 

It will send automated triggers to providers if any abnormalities arise for timely intervention. RPM benefits in many ways:

• RPM technology encourages patients to be actively involved in their healthcare journey.
• Providers and Patients can have access to real-time data lively.
• It significantly reduces healthcare costs associated with in-person practice visits.
• Remote patient monitoring increases the practice’s net revenue.
• RPM improves patient experience and satisfaction leads to patient loyalty.

Related: The Role of Remote Therapeutic Monitoring in Making Patients’ Life Comfortable

What is CPT Codes and The Importances of CPT Coding for RPM Services

CPT (Current Procedural Terminology) codes are a set of codes used to describe each healthcare service. A few examples are surgical, medical consultations, radiology, evaluation, and more provided by healthcare professionals. These codes are developed and maintained by the American Medical Association (AMA) and are widely used for medical billing.

Healthcare providers can bill clients for offered RPM services using the RPM’s current procedural terminology code. These codes allow providers to be reimbursed for time and resources spent on remotely monitoring a patient’s health conditions. 

Common RPM services include tracking health vitals, reviewing data from medical devices, and providing necessary interventions or adjustments to treatment plans.

CPT Codes are important for healthcare professionals to be properly reimbursed. Without CPT Codes, it can be difficult to track accurately which may lead to medical billing issues.

CPT Codes for Remote Patient Monitoring in 2024

2024 Remote Patient Monitoring Updated CPT Codes:

CPT Codes	Description	Reimbursement
CPT 99453	For initial RPM setup and patient education (one-time fee)	$19.45
CPT 99454	Medical device supply, data gathering, transferring, and reporting/services summary for the practitioner.	$46.83
CPT 99457	First 20 minutes cumulative of RPM services provided by the healthcare professionals over 30 days	$48.14
CPT 99458	First 20 minutes cumulative of RPM services provided by healthcare professionals over 30 days	$38.64
CPT 99091	Data collection and interpretation by healthcare professionals (30 Minutes)	$52.71

1. CPT 99453

This current procedural terminology is generated for the initial remote patient monitoring program setup and patient education on using the RPM program. 

Reimbursement: $19.45 (one-time fee)

2. CPT 99454

CPT 99454 CPT code generated for supplying medical devices to patients, gathering health vitals like blood pressure, weight, pulse, sugar level in blood, and other health vitals, daily recording for 30 days.

Reimbursement: $46.83

3. CPT 99457

For the first 20 cumulative minutes of RPM Services provided by the physicians, clinical staff, or other healthcare professionals, a CPT 99457 code will be generated. This involves active communication and interaction between patients and providers via remote physiology monitoring for the first 20 minutes of 30 days.

Reimbursement: $48.14 

4. CPT 99458

For an additional 20 minutes of RPM services provided by the physicians, clinical staff, or other healthcare professionals, a CPT 99458 code will be generated. This involves active communication and interaction between patients and providers via remote physiology monitoring for an additional 20 minutes of 30 days.

Reimbursement: $38.64

5. CPT 99091

The CPT 99091 code will be generated for the collection of patient health data such as blood pressure, weight, sugar level in blood, and glucose level monitoring and interpretation by the clinical staff, physicians, and other healthcare professionals minimum of 30 minutes for 30 days.

Reimbursement: $52.71

Related: Monitoring Patients Remotely? You’ll Need These Top 6 Devices

Best Practices for Implementing RPM CPT Codes

Healthcare providers need to follow best practices for implementing RPM CPT Codes for accuracy in documentation and billing.

Go Through the CPT Codes Thoroughly

Healthcare professionals need to be more familiar with the RPM CPT Codes. Take your time and go through the Remote Patient Monitoring CPT code completely. Understand all RPM CPT codes and descriptions carefully, and also the Reimbursements.

This way, you will get more familiar with CPT codes, and it becomes easier to implement CPT codes for remote patient monitoring services.

Stay up-to-date with the changes

The American Medical Association (AMA) will update the Remote Patient Monitoring CPT code every year. You are required to stay up-to-date with the changes in CPT codes, reimbursement rates, and regulatory guidelines.

Regularly go through your trusted sources of information such as the official American Medical Association website to ensure compliance with the latest medical coding updates

Document the Interactions

Remote patient monitoring involves active communication between patients and healthcare providers remotely. For appropriate CPT Code selection, providers are required to document every communication and interaction that occurs with patients during the monitoring period. 

This may influence the quality of service provided and, as a result, the choice of proper CPT codes for medical billing.

Vozo Remote Patient Monitoring Program

Implementing CPT codes can be challenging for healthcare professionals. By leveraging the Vozo Remote patient monitoring program, providers can automate RPM Medical Coding.

Our initiative RPM Software will generate accurate CPT codes while you provide quality care to patients remotely. Furthermore, the Vozo RPM platform enables healthcare providers to monitor and analyze patient health data and vital signs. 

It is beneficial to communicate with patients digitally to adjust treatment plans and educate them about their health conditions. Our RPM program will help you improve patient health outcomes and reduce readmissions. 

Empower Vozo Remote Patient Monitoring Program to provide healthcare conveniently.