CMS introduces CPT Codes 99453, 99454, and 99457 to reimburse for Chronic Care Remote Patient Monitoring

The 2019 Medicare Physician Fee Schedule demonstrates that CMS is listening to feedback from stakeholders. Restricting monitoring and analysis of patient data to physicians and QHCPs was impractical, so practitioners pushed to allow clinical staff to do a preliminary review of data and escalate problems to physicians for evaluation. The newly released CPT Codes 99453, 99454, and 99457 reflect this push.

CPT Code 99453:

Remote monitoring of physiologic parameter(s) (eg, weight, blood pressure, pulse oximetry, respiratory flow rate), initial; set-up and patient education on use of equipment
Set-up and patient education (Initial) $21.00

CPT Code 99454:

Remote monitoring of physiologic parameter(s) (eg, weight, blood pressure, pulse oximetry, respiratory flow rate), initial; device(s) supply with daily recording(s) or programmed alert(s) transmission, each 30 days
Devices with the Technology (Initial + Each 30 days) $68.00

CPT Code 99457:

Remote physiologic monitoring treatment management services, 20 minutes or more of clinical staff/physician/other qualified healthcare professional time in a calendar month requiring interactive communication with the patient/caregiver during the month
Monitoring data and interacting with patients or caregivers (Each 30 days) $59.00

Patient Engagement

Proven methods for CPT 99457

Web Portal

Smart Health 1on1s user friendly Web Portal Dashboard provides seamless features to increase productivity while providing better healthcare.

Messaging

Smart Healths 1on1 Real Time Messaging allows consistent communication via the Smart Health 1on1 Mobile App

Video Consultation

Smart Health 1on1 platform communication methods also provides Video for real time patient consultation.

Connected Devices

New CPT Codes provide additional reimbursement opportunities for remote monitoring of patient health data

Blood Pressure Blue Tooth

Weight Scale Cellular

Pulse Ox Blue Tooth

Weight Scale Blue Tooth

Body Thermometer Blue Tooth

Glucometer Blue Tooth

ECG Monitor Blue Tooth

Activity Watch Blue Tooth

Medication Tracker Blue Tooth

Blood Pressure Cuff Cellular

Weight Scale Wifi

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