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Remote therapeutic monitoring (RTM) refers to the use of specialized devices designed to track and assess a patient's adherence to prescribed therapy and their response to treatment. Specifically, CPT® Code 98976 pertains to the supply of devices that facilitate data access or data transmissions, which are essential for monitoring the respiratory system. This monitoring occurs over a defined period of 30 days. The RTM devices are particularly beneficial for healthcare providers, such as physical therapists or physiatrists, who utilize them to conduct remote home monitoring of patients, especially in the context of respiratory conditions or musculoskeletal therapy. The devices enable patients to engage in therapeutic exercises while providing real-time data to clinicians, allowing for timely adjustments to treatment plans based on the patient's performance and adherence. The integration of technology in therapy not only enhances patient engagement but also supports more effective management of conditions like asthma, where environmental factors may exacerbate symptoms. Overall, CPT® Code 98976 captures the costs associated with supplying these devices and the ongoing monitoring services provided to ensure optimal patient outcomes.
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The use of CPT® Code 98976 is indicated for patients requiring remote therapeutic monitoring of their respiratory system. This includes individuals who may be experiencing conditions that necessitate close observation and management, such as:
The procedure associated with CPT® Code 98976 involves several key steps to ensure effective remote therapeutic monitoring of the respiratory system. These steps include:
After the initial 30-day monitoring period, the healthcare provider evaluates the data collected from the RTM device. This evaluation helps in determining the effectiveness of the therapy and whether any modifications are needed in the treatment plan. Continuous monitoring may be recommended based on the patient's condition and response to therapy. The provider may also schedule follow-up appointments to discuss the patient's progress and any further interventions required. It is essential for the patient to maintain communication with their healthcare provider throughout this process to ensure optimal management of their respiratory health.
| Short Descr | REM THER MNTR DEV SPLY RESP | Medium Descr | REM THER MNTR DEV SPLY DATA RESPIR SYS EA 30 D | Long Descr | Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); device(s) supply for data access or data transmissions to support monitoring of respiratory system, each 30 days | Status Code | Active Code | Global Days | XXX - Global Concept Does Not Apply | PC/TC Indicator (26, TC) | 0 - Physician Service Code | Multiple Procedures (51) | 0 - No payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 0 - 150% payment adjustment for bilateral procedures does NOT apply. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 0 - Payment restriction for assistants at surgery applies to this procedure... | Co-Surgeons (62) | 0 - Co-surgeons not permitted for this procedure. | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | STV-Packaged Codes | Berenson-Eggers TOS (BETOS) | none | MUE | 1 |
| GP | Services delivered under an outpatient physical therapy plan of care | KX | Requirements specified in the medical policy have been met | CQ | Outpatient physical therapy services furnished in whole or in part by a physical therapist assistant | 59 | Distinct procedural service: under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-e/m services performed on the same day. modifier 59 is used to identify procedures/services, other than e/m services, that are not normally reported together, but are appropriate under the circumstances. documentation must support a different session, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same individual. however, when another already established modifier is appropriate it should be used rather than modifier 59. only if no more descriptive modifier is available, and the use of modifier 59 best explains the circumstances, should modifier 59 be used. note: modifier 59 should not be appended to an e/m service. to report a separate and distinct e/m service with a non-e/m service performed on the same date, see modifier 25. | 95 | Synchronous telemedicine service rendered via a real-time interactive audio and video telecommunications system: synchronous telemedicine service is defined as a real-time interaction between a physician or other qualified health care professional and a patient who is located at a distant site from the physician or other qualified health care professional. the totality of the communication of information exchanged between the physician or other qualified health care professional and the patient during the course of the synchronous telemedicine service must be of an amount and nature that would be sufficient to meet the key components and/or requirements of the same service when rendered via a face-to-face interaction. modifier 95 may only be appended to the services listed in appendix p. appendix p is the list of cpt codes for services that are typically performed face-to-face, but may be rendered via a real-time (synchronous) interactive audio and video telecommunications system. | 97 | Rehabilitative services: when a service or procedure that may be either habilitative or rehabilitative in nature is provided for rehabilitative purposes, the physician or other qualified health care professional may add modifier 97 to the service or procedure code to indicate that the service or procedure provided was a rehabilitative service. rehabilitative services help an individual keep, get back, or improve skills and functioning for daily living that have been lost or impaired because the individual was sick, hurt, or disabled. | GN | Services delivered under an outpatient speech language pathology plan of care | GO | Services delivered under an outpatient occupational therapy plan of care | GV | Attending physician not employed or paid under arrangement by the patient's hospice provider | GW | Service not related to the hospice patient's terminal condition | XU | Unusual non-overlapping service, the use of a service that is distinct because it does not overlap usual components of the main service |
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| 2025-01-01 | Changed | Medium and Long Descriptions changed. |
| 2023-01-01 | Changed | Code description changed. |
| 2022-01-01 | Added | Code added |
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