CPT® Code 98981

Add-On Code

Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time in a calendar month requiring at least one interactive communication with the patient or caregiver during the calendar month; each additional 20 minutes (List separately in addition to code for primary procedure)

Remote therapeutic monitoring (RTM) treatment management services involve the use of specialized devices to track and manage a patient's musculoskeletal or respiratory system status. These services are designed to ensure adherence to prescribed therapy and to evaluate treatment responses over time. Typically, a physical therapist or a physiatrist utilizes these devices to conduct remote monitoring before and after surgical procedures, such as major joint replacements. The process begins with the patient receiving the RTM device, followed by a training session with the therapist on how to effectively use the device. The RTM device, which resembles a computer monitor equipped with a camera, allows the patient to engage in pre-procedural exercises alongside a computerized avatar. This setup not only facilitates exercise but also enables the device to transmit the patient's usage data back to the therapy practice for ongoing assessment. Post-surgery, the therapist customizes the patient's therapy program and closely monitors their daily progress with the prescribed exercises. Regular remote meetings between the therapist and the patient are conducted to discuss therapy progress, assess the patient's feelings, including pain levels, and determine the necessity of in-person visits. Additionally, RTM devices can be employed to monitor respiratory conditions, such as asthma, particularly when exacerbated by environmental factors. The services captured under CPT® Code 98981 reflect the physician or qualified health care professional's time spent managing RTM treatment throughout a calendar month. This includes interpreting clinical data, monitoring the patient's physical condition, assessing therapeutic progress, and conducting at least one interactive communication with the patient regarding their well-being. The clinician collaborates with the patient to establish therapy goals, determine the length of the treatment program, and decide on the frequency of therapeutic routines or regimens. For billing purposes, CPT® Code 98980 is reported for the initial 20 minutes of service, while CPT® Code 98981 is used for each additional 20 minutes of service provided.