As we discussed in our previous post about CPT codes, current procedural terminology (CPT) codes are a set of codes used to categorize medical services and procedures, and are frequently used for billing purposes. CPT codes have been in effect since 2018, and the American Medical Association (AMA) recently made some changes to them in 2022. The CPT codes most commonly used in remote patient monitoring (RPM) are CPT 99091, CPT 99453, CPT 99353, CPT 99457, and CPT 99458.
The Medicare Physician Fee Schedule has been released for 2023, and below we’ll go through the average reimbursement rates for each of the five major RPM billing codes. When reading, it’s important to note that these are averages, and may vary by region.
|Code||What It Covers||2023 Rate|
|99091||Collection and interpretation of remotely collected data||$54|
|99453||Initial set-up time, including onboarding||$19|
|99454||Supply and use of the remote patient monitoring devices||$50|
|99457||Time spent by physicians monitoring and interpreting patient data||$48|
|99458||Additional time spent by the physician monitoring and interpreting data||$39|
Covers: Collection and interpretation of remotely collected data
Reimbursement rate (2023): $54
Covers: Initial set-up time, including onboarding
Reimbursement rate (2023): $19
Covers: Supply and use of the remote patient monitoring devices
Reimbursement rate (2023): $50
Covers: Time spent by physicians monitoring and interpreting patient data
Reimbursement rate (2023): $48
Covers: Additional time spent by the physician monitoring and interpreting data
Reimbursement rate (2023): $39
Remember, these numbers are averages that vary by region, and if you already provide RPM services, check out our resources on patient monitoring reimbursement. Remote patient monitoring is an effective and worthwhile investment, with a slew of important benefits. If you’re interested in bringing RPM to your practice, eDevice’s innovative RPM solutions might be for you.