SCCM Resource Library-Remote Patient Monitoring

Pdf Summary

The document from "Critical Connections" Spring 2022 edition provides comprehensive guidance on coding and billing for Remote Patient Monitoring (RPM). Authored by Deborah Grider, a senior consultant with expertise in coding and practice management, the piece explains the nuances of RPM—a technology allowing healthcare professionals to remotely monitor patients using FDA-approved devices, thereby increasing access to medical care and reducing costs.

RPM involves collecting physiologic data, such as weight, blood pressure, and heart rate, which are transmitted via telehealth systems to healthcare providers. The article details coding practices, providing specific Current Procedural Terminology (CPT) codes that healthcare providers can use to report RPM services:

1. <strong>CPT Code 99453</strong>: For the setup and patient education.
2. <strong>CPT Code 99454</strong>: Covers device supply with daily recording or alert transmission.
3. <strong>CPT Code 99457</strong>: For treatment management including interactive communication.
4. <strong>CPT Code 99458</strong>: Used for additional communication management time.
5. <strong>CPT Code 99091</strong>: For collection and interpretation of physiologic data.

Essential guidelines stipulate that monitoring must be done for at least 16 days for these codes to apply, except during public health emergencies when a minimum of two days might suffice, particularly for COVID-19 cases.

The document also touches on Self-Measured Blood Pressure (SMBP) monitoring, offering related CPT codes 99473 and 99474, outlining their use in lowering blood pressure and ensuring adherence to treatment by tracking home-monitored blood pressure readings.

Overall, the document serves as a critical resource for coding professionals and healthcare providers involved in RPM, emphasizing the importance of proper documentation, adherence to guidelines, and utilization of FDA-approved medical devices.

Asset Subtitle

Professional Development and Education, 2022, 0:09:58

Asset Caption

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This article was first published in the Spring 2022 issue of Critical Connections.

Many critical care practitioners are monitoring patients remotely from their clinics and offices. Practitioners use clinical data to provide ongoing management of patient care. Remote patient monitoring (RPM) is a technology used for the transmission of physiologic data via a device that has been approved by the U.S. Food and Drug Administration (FDA).

Critical Connections, the critical care industry's only newsmagazine, provides information on cutting-edge topics in critical care useful to the entire multiprofessional team.

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Meta Tag

Content Type Article

Knowledge Area Professional Development and Education

Knowledge Level Foundational

Knowledge Level Intermediate

Knowledge Level Advanced

Membership Level Associate

Membership Level Professional

Membership Level Select

Tag Innovation

Year 2022

Keywords

Remote Patient Monitoring

RPM

CPT codes

Deborah Grider

telehealth

physiologic data

SMBP

FDA-approved devices

coding guidelines

healthcare cost reduction

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