CPT-98980

Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time in a calendar month requiring at least one interactive communication with the patient or caregiver during the calendar month; first 20 minutes

CATEGORY

Remote Therapeutic Monitoring Services

CODE TYPE

  • Timed code
  • First 20 mins

ADD-ON CODE

98981

REMOTE THERAPEUTIC MONITORING

RTM uses medical equipment to collect non-physiological data in order to manage patients. Data on indicators includes therapy/medication adherence, therapy/medication response, and pain level. On the other hand, RPM codes can only be used in conjunction with monitoring physiologic data (e.g., heart rate, blood pressure, and blood sugar levels).

RTM codes may be used by clinical social workers, physician assistants, occupational therapists, speech-language pathologists, physical therapists, and occupational therapists.

The patient may self-report RTM data or may upload it digitally using the gadget. RTM codes still call for the use of equipment that satisfies the FDA’s definition of a medical device, but according to CMS, self-reported RTM data submitted through a smartphone app or online platform that falls under the category of Software as a Medical Device may be eligible for reimbursement.

MEDICINAL PROPERTIES OF WATER:

  • Increase in muscle strength and endurance
  • Improve cardiovascular endurance
  • Decreased joint effusion
  • Improve ROM and flexibility
  • Relaxes mind

CODE DESCRIPTION

CPT Code 98980 requires a minimum of 20 minutes per month for remote patient therapy monitoring and treatment. During the month, this period must also include at least one interactive communication (e.g. phone call or video) with the patient/caregiver.

CODING CRITERIA

  • Do not report these codes for services that take less than 20 minutes.
  • Basic Code 98980 and Add-on Code 98981 are reported together on the invoice based on the total hours after the end of the calendar month.
  • These codes cannot be reported on the same day as E/M service by the same doctor or other qualified medical professional.
  • Remote treatment monitoring may be reported in the same month as care management (99439, 99487, 99489-99491), transitional care management (99495-99496), primary care management (99424-99427), or behavioral health integration (99484, 99492-99494) but not at the same time.

CODING CRITERIA

  • Do not report these codes for services that take less than 20 minutes.
  • Basic Code 98980 and Add-on Code 98981 are reported together on the invoice based on the total hours after the end of the calendar month.
  • These codes cannot be reported on the same day as E/M service by the same doctor or other qualified medical professional.
  • Remote treatment monitoring may be reported in the same month as care management (99439, 99487, 99489-99491), transitional care management (99495-99496), primary care management (99424-99427), or behavioral health integration (99484, 99492-99494) but not at the same time.

BILLING CRITERIA

  • All RTM services should be provided as part of the treatment plan.
  • CPT 98980 is reported once regardless of the number of monitoring modalities performed.
  • At least 20 minutes of total time must be completed for billing CPT 98980.
  • Time spent for this service doesn’t include clinical staff time required for data collection.
  • At least one two-way communication with the patient or caregiver is required during the calendar month.

DOCUMENTATION CRITERIA

  • At least one interactive communication with the patient or caregiver should be documented.
  • Time spent can be viewed as part of the accumulated documented time for the month.
  • A patient’s specific treatment plan should be documented.
  • Devices used must be tabulated and meet the FDA definition of a medical device

REIMBURSEMENT CRITERIA

CPT code 98980 permits for a one-time reimbursement of $50.18.

Get Started

Start Connecting your Practice with Us

Get demo

Get product info, login help, and live support.

Schedule a Demo

Live Chat Support

Need help? Connect with our experts for quick support.

Start Chat

Give us a call

1-877-342-7517

Contact us today
Solutions
Practices
Specialties
Company
Contacts

CPT-98980