About Remote Patient Monitoring

The CMS has identified Chronic Care Management (CCM) and Remote Patient Monitoring (RPM) as crucial components of primary care for patients. This page provides CPT codes and descriptions for billing chronic care management (CCM), remote patient monitoring (RPM) and transitional care management (TCM) services under CPT codes 99487, 99489, 99490 and 99491.

REMOTE PATIENT MONITORING (RPM) CPT BILLING CODE

CPT 99457 – $54 (new 2019)

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

CPT 99458 – $42 (new 2020)

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 during the month; additional 20 minutes

CPT 99453 – $21 (new 2019)

Remote monitoring of physiologic parameters (e.g., weight, blood pressure, pulse oximetry, etc) initial; setup and patient education on use of equipment.

CPT 99454 – $69 (new 2019)

Remote monitoring of physiologic parameter(s) (e.g., weight, blood pressure, pulse oximetry, respiratory flow rate), initial; device(s) supply with daily recording(s)or programmed alert(s) transmission, each 30 days.

CPT 99091 – $59 (superseded by new 2019 RPM codes)

Collection and interpretation of physiologic data (e.g., ECG, blood pressure, glucose monitoring) digitally stored and/or transmitted by the patient and/or caregiver to the physician or other qualified health care professional, qualified by education, training, licensure/regulation (when applicable) requiring a minimum of 30 minutes of time.

COMMUNICATION TECHNOLOGY-BASED SERVICES (VIRTUAL CHECK-IN) CPT BILLING CODE

HCPCS G2012 – $10 (new 2019)

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 (E/M) services, provided to an established patient, not originating from a related E/M service provided within the previous 7 days nor leading to an E/M service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion)

HCPCS Code G2010 – $13 (new 2019)

Remote evaluation of recorded video and/or images submitted by an established patient (e.g., store and forward), including interpretation with follow-up with the patient within 24 business hours, not originating from a related E/M service provided within the previous 7 days nor leading to an E/M service or procedure within the next 24 hours or soonest available appointment)