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 (Average) $19.19

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 Average) $62.80

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 Average) $50.94

Patient Engagement

Proven methods for CPT 99457

Web Portal

User friendly Web Portal Dashboard provides seamless features to increase productivity while providing better healthcare.

Messaging

Real Time Messaging allows consistent communication via the Mobile App

Video Consultation

RSH 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

Pulse Oximeter Blue Tooth

Weight Scale Blue Tooth

Body Thermometer Blue Tooth

Glucometer Blue Tooth

ECG Blue Tooth

Activity Blue Tooth

Medication Blue Tooth

Cellular Gateway

Vital Watch

Cellular Watch