One change of note affects Remote Patient Monitoring (RPM). This change has been in the works since January of 2018 when it was determined that CPT 99091 did not adequately describe how RPM services are being delivered in today’s world. Released in January, there are now three codes that better reflect technology driven patient monitoring. They are:
  • 99453 Remote monitoring of physiologic parameter(s), (for example, weight, blood pressure, pulse oximetry, respiratory flow rate) initial; setup and patient education on equipment use.
  • 99454 Device(s) supply with daily recording(s) or programmed alert(s) transmission, each 30 days.
  • 99457 Remote physiologic monitoring treatment management services, 20 minutes or more of clinical staff/physician/other qualified health care professional time in a calendar month requiring interactive communication with the patient/caregiver during the month.
Additionally, codes for interprofessional internet consultations between physicians were added. They are:
  • 99451 Interprofessional telephone/internet/electronic health record assessment and management service provided by a consultative physician, including a written report to the patient’s treating/requesting physician or other qualified health care professional, 5 minutes or more of medical consultative time.
  • 99452 Interprofessional telephone/internet/electronic health record referral service(s) provided by a treating/requesting physician or other qualified health care professional, 30 minutes.
These practice enhancements to the CPT world underscore how Remote Patient Monitoring (RPM) may be the next big thing in medical care.
In all, there are 335 new codes, code changes or code additions for doctors to know about for use throughout 2019.
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