CPT^® 99454, Under Digitally Stored Data Services/Remote Physiologic Monitoring

The Current Procedural Terminology (CPT^®) code 99454 as maintained by American Medical Association, is a medical procedural code under the range - Digitally Stored Data Services/Remote Physiologic Monitoring.

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Summary

The provider supplies the patient with remote physiologic monitoring equipment and receives daily recordings and/or programmed alerts. Report this code for each 30 days of equipment supply and monitoring.

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Forum

Have a question about CPT Code 99454 ? Start a discussion here

Documentation requirements for billing remote patient monitoring?

Hi Per CPT manual on CPT 99454 states must use CPT 94448 if that time is used in discussion with the patient. See pg 53 in the 2022 year CPT manual. My info above is taken from the CMS website on te... [ Read More ]

Documentation requirements for billing remote patient monitoring?

[QUOTE="TThivierge, post: 513846, member: 216725"] Hi Mrsrpc,:) The documentation should start off for the day of treatment the provider verifying that this is the correct patient and getting pt.' s ... [ Read More ]

Documentation requirements for billing remote patient monitoring? billing claims submission remote patient monitoring supporting documentation

Hi all, I'm new to reimbursement regarding remote patient monitoring (CPT codes: 99453, 99454, 99457, 00458 and 99091). What documentation from the patient record are payers wanting to be included wit... [ Read More ]

Remote Patient Monitoring ; INPUT NEEDED ASAP!

CMS guidelines are specific to RPM CPT 99453,99454 (think "technical component" device supply and transmissions of16 day minimum required) DOS should correspond to the "first" upload of care, then eac... [ Read More ]

RPM denials- looking for potential modifier help

Has anyone found specific modifiers to be successful in avoiding this denial for RPM Services in a postoperative period? Codes typically being used are 99453, 99454, 99458, 99458, 99091. We wondered i... [ Read More ]

RPM denied as included if used during a global postoperative period

RPM billing

What if the services were done in the NH(99306) would we use POS 11 or 31for 99454... [ Read More ]

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Hello All, My question pertains to coding blood pressure monitoring on remote devices (non-digitally transmitting) for patients at health care events/in-home services. Since the health events are on... [ Read More ]

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Hello All, I hope everyone had a great holiday season! My question pertains to coding blood pressure monitoring on remote devices (non-digitally transmitting) for patients at health care events/in-... [ Read More ]

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Hello I have a few questions in regards to billing RPM and CCM services with patients who are enrolled in hospice; 1) Should patients in hospice be billed for this service at all? 2) If a patient has... [ Read More ]

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