APTA RTM Codes

Question 1

What are RTM codes?

Answer 1

to be able to report patient monitoring and treatment management
- use RTM medical devices to collect nonphysiological data

Question 2

What does RTM codes describe?

Answer 2

Monitor health conditions that affect the patient

this includes MS system status, respiratory status, therapy adherance, therapy response

Question 3

How is RTM recorded?

Answer 3

patients are able to self report, report manually or even digitally upload the data

Question 4

When were the codes created?

Answer 4

created by the CPT editorial panel in october 2020

Question 5

What is code 98975?

Answer 5

remote therapy monitoring with the inital setup and patient education on equipment use

Question 6

What is code 98976?

Answer 6

Remote therapy monitoring of their respiratory system each 30 days

Question 7

What is code 98977?

Answer 7

Remote therapy monitoring of their musculoskeletal system each 30 days

Question 8

What is code 98980?

Answer 8

remote therapy monitoring between health care professional and patient/caregiver within the month for treatment management
- first 20 minutes

Question 9

What is code 98981?

Answer 9

each + 20 min from code 98980

98980 = meeting with health care professionals for treatment management

Question 10

How is someone eligible for CPT codes?

Answer 10

MD order or other qualified health care professionals (PTs)

Question 11

What does CPT data relate to?

Answer 11

To the patient signs and sx and functions of therapeutic response

Question 12

What does the data represent?

Answer 12

objective device-generated data
or
subjective inputs that is reported by the patient

Question 13

What kind of device is allowed for data collection?

Answer 13

be a medical device “as defined by the FDA”

Question 14

When is code 98975 reported?

Answer 14

once per care and only if the patient started the device with pt monitoring of at least 16 days

Question 15

What do you document with code 98975?

Answer 15

The type of device that is being used and pt education

Question 16

When is code 98975 billed?

Answer 16

On day 17 of monitoring

Question 17

What is reported with code 98976/98977?

Answer 17

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

Question 18

When is code 98976/98977 reported?

Answer 18

only if 16 days of collection happened within 30 days

I combined these since they’re the same report

Question 19

What is documented with code 98976?

Answer 19

the name and description of the device

I combined these since they’re the same report

Question 20

What are the qualifications for reporting code 98980?

Answer 20

communication needs to be synchronous (in person or online)

The minutes reported spent talking can’t be counted towards other codes

Question 21

When is code 98980 not reported?

Answer 21

Unless a full 20 minutes are met

this can also be applied for 98981 for any additional 20 minutes

Question 22

What is documented with code 98980?

Answer 22

• Data gathered from the device
• the date and time of the communication
• decisions that can impact treatment
• any PoC changes

Question 23

What are “sometimes therapy”?

Answer 23

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

Question 24

What codes are not subject to payment adjustments for PTA?

Answer 24

98976 and 98977 but 98975 is subject to adjustments

Question 25

How are PTA services allowed?

Answer 25

due to the current public health emergency, vitual PTA supervision if allowed which includes RTM