Who can bill for RPM services?
Under Medicare CPT codes 99457 and 99458 a physician or other qualified healthcare professional, or clinical staff under the general supervision of the physician can facilitate RPM services.
The CPT Codebook defines a clinical staff member is as “a person who works under the supervision of a physician or other qualified healthcare professional and who is allowed by law, regulation, and facility policy to perform or assist in the performance of a specified professional service but does not individually report that professional service.”
How is patient consent obtained for Remote Patient Monitoring (RPM)
Consent for RPM services should be obtained by individuals under contract with the billing physician or qualified healthcare professional at the time when RPM services are being provided.
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Can Remote Patient Monitoring be billed in conjunction with Chronic Care Management (CCM)?
RPM CPT code 99457 and CCM CPT code 99490 are billable together. It was ruled that facilitating analysis involved in RPM services is complementary to CCM services. A provider billing 99457 and 99490 together is required to deliver at least 40 minutes of services: 20 minutes of RPM, 20-minutes of CCM.
Is there a copay for RPM?
Yes, for Medicare beneficiaries. As with other Medicare Part B services, RPM codes are subject to a 20% beneficiary copay.
