From understanding guidelines to implementing efficient billing workflows, optimize your path to successful RPM and CCM reimbursement with eKlotho.
Remote patient monitoring (rpm) billing &CPT codes
Initial set-up and patient education on the use of equipment (One-time fee).
CPT Code 99453
Daily recordings of programmed alert transmission. Patient data readings must be performed at least 16 days each month.
CPT Code 99454
Remote physiologic monitoring services by clinical staff first 20 cumulative minutes of RPM services over a 30-day period.
CPT Code 99457
Communication with the patient/caregiver from certified clinical staff. Additional 20 minutes during the calendar month.
CPT Code 99458
Collecting and analyzing physiologic data by Clinic.
CPT Code 99091
Chronic Care Management (CCm) billing &CPT codes
20 minutes of clinical staff time per calendar month spent on non-face-to-face CCM services directed by a physician or other qualified healthcare professional.
CPT Code 99490
Additional 20 minutes of clinical staff time per calendar month spent on non-face-to-face CCM services directed by a physician or other qualified healthcare professional.
CPT Code 99439
60 minutes provided by clinical staff to substantially revise or establish a comprehensive care plan that involves moderate- to high-complexity medical decision making.
CPT Code 99487
Additional 30 minutes of clinical staff time per calendar month spent on non-face-to-face CCM services directed by a physician or other qualified healthcare professional.
CPT Code 99489
30 minutes provided personally by a physician or other qualified healthcare professional.
CPT Code 99491
Additional 30 minutes provided personally by a physician or other qualified healthcare professional.
CPT Code 99437
20 minutes of service and can only be used once per patient per month.
CPT Code G0511
