2025 CPT code 98980
(Active) Effective Date: N/A Medicine Services and Procedures > Non-Face-to-Face Nonphysician Services Feed
Remote therapeutic monitoring treatment management services, physician or other qualified healthcare professional time in a calendar month requiring at least one interactive communication with the patient or caregiver during the calendar month; first 20 minutes.
Modifiers may be applicable depending on the specific payer and circumstances.
Medical necessity should be established by documenting the patient's condition, the need for remote monitoring, and how the monitoring helps manage the condition and improve patient outcomes.
A physician or other qualified healthcare professional provides remote therapeutic monitoring (RTM) treatment management, including reviewing data, monitoring patient response to therapy, and interacting with the patient or caregiver.This requires at least one interactive communication with the patient/caregiver each calendar month, encompassing the first 20 minutes of RTM.
In simple words: This code covers the doctor's time spent managing your treatment remotely using special monitoring devices, like those for breathing or muscle problems.It includes at least one conversation with you or your caregiver each month and covers the first 20 minutes of this remote management.
This code covers the first 20 minutes of remote therapeutic monitoring (RTM) treatment management services provided by a physician or other qualified healthcare professional in a calendar month.It includes at least one interactive communication with the patient or caregiver during the calendar month. RTM involves using FDA-approved medical devices to collect therapeutic data, which is then reviewed and monitored to manage the patient's treatment plan. Examples of RTM include monitoring respiratory system status, musculoskeletal system status, therapy adherence, and therapy response.
Example 1: A patient with chronic obstructive pulmonary disease (COPD) uses a remote spirometer to monitor lung function. The physician reviews the transmitted data, communicates with the patient to assess symptoms and adherence to the treatment plan, and adjusts medications as needed. The physician spends 20 minutes on these activities during the calendar month., A patient recovering from knee surgery uses a remote sensor to track range of motion and activity levels. The physician reviews the data, communicates with the patient to discuss progress and any pain or discomfort, and modifies the rehabilitation plan accordingly. The total time spent by physician is 20 minutes within the calendar month., A patient with hypertension uses a remote blood pressure monitor. The physician reviews the data, contacts the patient to discuss readings and medication adherence, and provides lifestyle recommendations. All this requires 20 minutes of physician's time in a month.
Documentation should include the data gathered from the device, date and time of patient/caregiver interaction, and any treatment decisions made based on the monitoring.
- Specialties:Various specialties can utilize this code, including pulmonology, orthopedics, cardiology, and others managing chronic conditions remotely.
- Place of Service:Office, Home, and other places where remote monitoring is managed.