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The CPT® Code 98977 refers to the provision of remote therapeutic monitoring (RTM) specifically designed for tracking the status of a patient's musculoskeletal system. This monitoring includes assessing therapy adherence, evaluating therapy response, and facilitating digital therapeutic interventions. The device supplied under this code is utilized for data access or data transmissions that support the ongoing monitoring of the musculoskeletal system over a defined period of 30 days. The RTM device is particularly beneficial in a rehabilitation context, where it allows healthcare providers, such as physical therapists or physiatrists, to remotely oversee a patient's progress in their therapy regimen. This is especially relevant in scenarios involving surgical procedures, such as major joint replacements, where pre-operative and post-operative monitoring is crucial for optimal recovery. The device enables patients to engage in therapeutic exercises, often with the aid of a computerized avatar, while simultaneously transmitting their usage data back to the healthcare provider. This continuous flow of information allows clinicians to make informed decisions regarding treatment adjustments and to ensure that patients are adhering to their prescribed therapy. Overall, CPT® Code 98977 encapsulates the integration of technology in therapeutic monitoring, enhancing patient care and treatment outcomes in musculoskeletal health.
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The use of CPT® Code 98977 is indicated for patients requiring remote therapeutic monitoring of their musculoskeletal system. This includes individuals who are undergoing rehabilitation following surgical procedures, such as major joint replacements, or those who need to track their adherence to prescribed therapy and response to treatment. The device is also beneficial for patients with chronic musculoskeletal conditions that necessitate ongoing monitoring and adjustment of therapeutic interventions.
The procedure associated with CPT® Code 98977 involves several key steps to ensure effective remote therapeutic monitoring of the musculoskeletal system.
Post-procedure care following the use of CPT® Code 98977 involves continued monitoring of the patient's progress through the RTM device. The healthcare provider will review the transmitted data to assess the patient's adherence to the therapy program and their response to the prescribed exercises. This ongoing evaluation is critical for ensuring that the patient is on track with their rehabilitation goals. Additionally, the clinician may schedule follow-up consultations to discuss the patient's progress, address any concerns, and make necessary adjustments to the therapy regimen based on the data collected. The overall aim is to facilitate optimal recovery and enhance the effectiveness of the therapeutic interventions.
| Short Descr | REM THER MNTR DV SPLY MSCSKL | Medium Descr | REM THER MNTR DEV SPLY DATA MUSCSKEL 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 musculoskeletal 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. | 79 | Unrelated procedure or service by the same physician or other qualified health care professional during the postoperative period: the individual may need to indicate that the performance of a procedure or service during the postoperative period was unrelated to the original procedure. this circumstance may be reported by using modifier 79. (for repeat procedures on the same day, see modifier 76.) | 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 | 24 | Unrelated evaluation and management service by the same physician or other qualified health care professional during a postoperative period: the physician or other qualified health care professional may need to indicate that an evaluation and management service was performed during a postoperative period for a reason(s) unrelated to the original procedure. this circumstance may be reported by adding modifier 24 to the appropriate level of e/m service. | 25 | Significant, separately identifiable evaluation and management service by the same physician or other qualified health care professional on the same day of the procedure or other service: it may be necessary to indicate that on the day a procedure or service identified by a cpt code was performed, the patient's condition required a significant, separately identifiable e/m service above and beyond the other service provided or beyond the usual preoperative and postoperative care associated with the procedure that was performed. a significant, separately identifiable e/m service is defined or substantiated by documentation that satisfies the relevant criteria for the respective e/m service to be reported (see evaluation and management services guidelines for instructions on determining level of e/m service). the e/m service may be prompted by the symptom or condition for which the procedure and/or service was provided. as such, different diagnoses are not required for reporting of the e/m services on the same date. this circumstance may be reported by adding modifier 25 to the appropriate level of e/m service. note: this modifier is not used to report an e/m service that resulted in a decision to perform surgery. see modifier 57 for significant, separately identifiable non-e/m services, see modifier 59. | 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. | CO | Outpatient occupational therapy services furnished in whole or in part by an occupational therapy assistant | GA | Waiver of liability statement issued as required by payer policy, individual case | GN | Services delivered under an outpatient speech language pathology plan of care | GT | Via interactive audio and video telecommunication systems | GW | Service not related to the hospice patient's terminal condition | LT | Left side (used to identify procedures performed on the left side of the body) | RT | Right side (used to identify procedures performed on the right side of the body) | XS | Separate structure, a service that is distinct because it was performed on a separate organ/structure | 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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