CMS Codes for
CPT Code 99453
Set up $19
Provides a one-time reimbursement averaging $19 for the initial setup and patient education on the RPM device(s)/technology.
CPT Code 99458
Additional 20 min. $42
For reimburse for subsequent 20-minute intervals of RPM services provided by clinical staff, physician, or QHCP spent above and beyond the initial 20 minutes in a calendar month indicated for CPT Code 99457.
CPT Code 99454
For the supply of the device or devices to be used in monitoring the patient and is reimbursable at an average of $63 on a monthly recurring basis for as long as monitoring is in effect.
CPT Code 99457
Requires that a physician, QHCP, and/or clinical staff spend an aggregate of 20 minutes of time during a calendar month monitoring and analyzing patient data, interacting live with the patient, and making treatment changes as necessary. Average reimbursement is $51