Remote Therapeutic Monitoring Documentation

Effective January 1, 2022, CMS introduced 5 new Remote Therapeutic Monitoring (RTM) codes that may be utilized by PT, OT, and SLPs. An RTM device may be a tool to progress and monitor home exercises, such as Keet, or another device specifically used for therapeutic monitoring.

Three of the codes are used to bill for set up and supply of remote monitoring devices and two of the codes are used to bill for ongoing remote patient management.

RTM Set Up and Supply Codes

When initiating RTM services, you may bill for the initial set up and patient education on use of the equipment using code 98975. Use 98976 as a charge for the supply used for remote therapeutic monitoring. You may charge for the supply each 30 days.

Code Description Billing Frequency
98975 RTM setup and education At initial setup of RTM device
98976 RTM Device Supply with Scheduled Recordings/Alerts Respiratory, each 30 days At initial set up and each 30 days as needed
98977 RTM Device Supply with Scheduled Recordings/Alerts MSK, each 30 days At initial set up and each 30 days as needed

RTM Treatment Codes

Charges for the cumulative time providing remote monitoring services are billed using codes 98980 and 98981 for each calendar month.

Code Description Billing Frequency
98980 RTM Treatment, first 20 minutes of cumulative monitoring and interactive communication Once per calendar month
98981 RTM Treatment, all subsequent monitoring and interactive communication for the episode of care, each 20 minutes

The typical conventions for aggregating timed units do not apply for RTM treatment. To bill the first unit of RTM treatment, documentation must show at least 20 minutes of service. The first unit is billed with the 98980 procedure code and subsequent whole 20 minute units of service are billed with the 98981 procedure code.

To simplify billing RTM for our users, we added a billing rule to the standard CCI Edits to automatically roll 98980 into 98981 after the first 20 minutes of RTM treatment. CCI Edits are typically applied to all Medicare category payers. If you would like the RTM billing rule to be added for payers that do not have CCI Edits applied, please reach out to Clinicient support.

Assistant Modifiers for RTM Services

Similar to any other PT or OT service, RTM services are subject to application of the assistant modifier when the assistant provides more than 10% of the minutes of service. Insight will automatically apply the assistant modifier as needed if Assistant Modifier Payer Rules are enabled.

Documenting RTM

We are currently seeking clarity on documentation and billing for RTM services to ensure that we are providing the best knowledge possible. Please stand by, more information will be coming soon.

Note: The information provided herein is intended to be general in nature. It is not offered as legal or insurance related advice and is not a complete description intended to replace or to be an interpretation of specific Medicare requirements. Although every effort has been made to ensure the content herein is correct, we assume no responsibility or liability for its accuracy. Contact the Department of Health & Human Services (DHHS) Centers for Medicare and Medicaid Services (CMS) for more information.

 

Related Topics:

Remote Therapeutic Monitoring Clinical Content Setup

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