If any patient is willing to enrol and gives consent for the RTM program, the following are the reimbursement programs from which healthcare providers can claim reimbursements.
- CPT Code 98975
- Similar to the RPM CPT code 99453, it covers the initial set-up of pillbox equipment and patient education regarding the use of the monitoring equipment. The code permits healthcare providers to bill for at least one episode of care. The delivery of care begins with the activation of the Remote Therapeutic Monitoring services and culminates when the specific treatment goals have been accomplished.
- Reimbursement amount- $19 (One time)
- CPT Code 98976
- Remote Therapeutic Monitoring devices, particularly required for respiratory medications system status, require the CPT code to be supplied with scheduled (for example, daily) recordings and/or programmed alerts for transmissions for the monitoring of respiratory medication by appropriate providers, every 30 days.
- CPT Code 98977
- RTM devices, particularly required for the musculoskeletal system status, require the CPT code to be supplied with scheduled (for example, daily) recordings and/or programmed alerts for transmissions for musculoskeletal medications monitoring by appropriate providers, every 30 days. The CPT codes 98976 and 98977 are both billable once every 30 days for Remote Therapeutic Monitoring.
- $54 /month for gathering medication adherence data via Smart PillBox
- CPT Code 98980 and 98981
- Remote Therapeutic Monitoring treatment providers or physicians who are well-qualified in healthcare delivery require at least one interactive communication (through phone call or video) in a calendar month with the patient or their caregiver. CPT code 98980 requires at least the first 20 minutes dedicated per month to the patient’s Remote Therapeutic Monitoring and management. Each additional 20 minutes is billable under CPT code # 98981.
- $49/month for the 1st 20 minutes of communication with the patient
- $40/month for each additional 20 minutes of communication with the patient