APTA RTM Codes Flashcards
What are RTM codes?
to be able to report patient monitoring and treatment management
- use RTM medical devices to collect nonphysiological data
What does RTM codes describe?
Monitor health conditions that affect the patient
this includes MS system status, respiratory status, therapy adherance, therapy response
How is RTM recorded?
patients are able to self report, report manually or even digitally upload the data
When were the codes created?
created by the CPT editorial panel in october 2020
What is code 98975?
remote therapy monitoring with the inital setup and patient education on equipment use
What is code 98976?
Remote therapy monitoring of their respiratory system each 30 days
What is code 98977?
Remote therapy monitoring of their musculoskeletal system each 30 days
What is code 98980?
remote therapy monitoring between health care professional and patient/caregiver within the month for treatment management
- first 20 minutes
What is code 98981?
each + 20 min from code 98980
98980 = meeting with health care professionals for treatment management
How is someone eligible for CPT codes?
MD order or other qualified health care professionals (PTs)
What does CPT data relate to?
To the patient signs and sx and functions of therapeutic response
What does the data represent?
objective device-generated data
or
subjective inputs that is reported by the patient
What kind of device is allowed for data collection?
be a medical device “as defined by the FDA”
When is code 98975 reported?
once per care and only if the patient started the device with pt monitoring of at least 16 days
What do you document with code 98975?
The type of device that is being used and pt education
When is code 98975 billed?
On day 17 of monitoring
What is reported with code 98976/98977?
the cost of the use of the medical device to monitor specific system
I combined these since they’re the same report
76 - respiratory
77 - musculoskeletal
When is code 98976/98977 reported?
only if 16 days of collection happened within 30 days
I combined these since they’re the same report
What is documented with code 98976?
the name and description of the device
I combined these since they’re the same report
What are the qualifications for reporting code 98980?
communication needs to be synchronous (in person or online)
The minutes reported spent talking can’t be counted towards other codes
When is code 98980 not reported?
Unless a full 20 minutes are met
this can also be applied for 98981 for any additional 20 minutes
What is documented with code 98980?
- Data gathered from the device
- the date and time of the communication
- decisions that can impact treatment
- any PoC changes
What are “sometimes therapy”?
can be billed outside of therapy plan of care by MD and other providers
but devices should always be furnished under therapy plan of care
What codes are not subject to payment adjustments for PTA?
98976 and 98977 but 98975 is subject to adjustments
