New CPT codes recently introduced in the US are better suited to...

New CPT codes recently introduced in the US are better suited to reimburse for the realities of current technology and staffing models, potentially the HeraCARE features and modalities will be covered by it.

CPT code 99453 - $19.46 One time: “Remote monitoring of physiologic parameters, initial; set-up and patient education on use of equipment.” Reimbursement for the work associated with onboarding a new patient onto a remote patient monitoring service, setting up the equipment and educating the patient on using the equipment.

CPT code 99454 - $64.15 / Monthly: Remote monitoring of physiologic parameter, initial; device(s) supply with daily recording(s) or programmed alert(s) transmission, each 30״ .days.” Reimbursement for providing the patient with a device and monitoring the data obtained for a 30-day period Note that this code can be billed each 30 days.

CPT code 99457 - $51.54 (non-facility) and $32.44 (facility) / Monthly: “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.” Reimbursement for clinical staff time that contributes toward remote patient monitoring, billed per 30-day period to 20 minutes per month.

USA getting serious on this technology, rest of the world will follow suit.

TCG