CPT-98976

Remote therapeutic monitoring (eg, respiratory system status, musculoskeletal system status, therapy adherence, therapy response); device(s) supply with scheduled (eg, daily) recording(s) and/or programmed alert(s) transmission to monitor respiratory system, each 30 days

CATEGORY

Remote Therapeutic Monitoring

CODE TYPE

Untimed Code

ADD-ON CODE

No Add-on Code

CPT CODE 98976 INTRODUCTION

CPT 98976 is reported for delivery of device with scheduled recording and transmission for remote respiratory monitoring every 30 days.

CODING CRITERIA

The code 98976 is typically used for patients with asthma or chronic obstructive pulmonary disease, using a Bluetooth-enabled digital therapy device to monitor inhaler dosage and patient symptoms and provide dosage recommendations. The device data is available in the portal, allowing treating physicians to monitor patient progress and adherence to treatment.

CODING CRITERIA

CPT 98976 is used for respiratory system monitoring. CPT Code 98976 is intended to report a 30-day supply of equipment with scheduled recording or programmed alarm transmission. This code is not reported if the monitoring period is less than 16 days.

BILLING CRITERIA

All RTM services should be provided as part of the treatment plan. CPT Code 98976 is billed once per 30 days after the monitoring period of at least 16 days.

REIMBURSEMENT CRITERIA

On average CPT code 98976 permits for a reimbursement of $55.72

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CPT-98976