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Remote Patient Monitoring
(RPM)
HCPCS
One-time
99453
$19.32
Description
The initial setup and patient education on how to use their connected devices as well as best practices on when to take measurements.
HCPCS
Monthly
99454
$50.15
Description
Supply and use of the devices used to remotely monitor and collect patient-generated health data. This includes data transmission alone, needing 16 days of readings within a month.
HCPCS
Monthly
99457
$48.80
Description
20 minutes of monthly interactions between the clinical staff and patient. These interactions include reviewing patient data, communicating with the patient via phone or text, and communicating with the supervising physician.
HCPCS
Occurrence
99458
$39.65
Description
Any additional 20 minutes of clinical staff time spent with the patient.
Chronic Care Management
(CCM)
HCPCS
Monthly
99490
$62.69
Description
20 minutes of clinical staff time directed by a physician or other qualified healthcare professional, per calendar month. The patient needs at least 2 chronic conditions and an established care plan.
HCPCS
Occurrence
99439
$47.44
Description
Any additional 20 minutes of clinical staff time spent with the patient
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