AHA Coding Clinic® for HCPCS - 2019 Quarter 4
Remote patient monitoring
Published in the Third Quarter issue of AHA’s Coding Clinic for HCPCS, the article entitled “Introduction to Coding Telehealth Services,” provided an introduction to a growing aspect of healthcare. In this issue, the focus will turn to one component that falls under the broad category of telehealth services, remote patient monitoring (RPM). However, where RPM stands apart, is unlike other telehealth services, remote patient monitoring does not require a direct interaction between the health care provider and patient. Simply put, remote patient monitoring allows healthcare providers to monitor aspects of a patient’s health remotely via...
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Article Overview
This Coding Clinic article explains the general purpose and growth of remote patient monitoring within telehealth and summarizes the CPT guidance associated with reporting related services. It is aimed at coders, billing staff, and healthcare organizations that need to understand the scope of remote monitoring services, the official coding framework, and upcoming code changes referenced by the article.
Why This Topic Matters
Remote patient monitoring is an expanding part of healthcare delivery, and accurate coding requires awareness of the applicable CPT framework and current updates. This article helps readers identify the relevant reporting category and understand the broader context for compliant documentation and billing.
Article Sections
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Introduction to remote patient monitoring
Introduces remote patient monitoring as part of telehealth and describes its role in remote health data collection and chronic care support. It also discusses broad trends affecting adoption and use.
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New CPT codes effective January 1, 2019
Summarizes the CPT update discussed in the article and notes the introduction of new remote patient monitoring-related codes. The section situates these changes within the broader coding framework.
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Guidelines for remote physiologic monitoring services
Reviews the CPT codebook guidance associated with remote physiologic monitoring services and the reporting framework described in the article. It addresses general service requirements, time-based reporting concepts, and related documentation themes.
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Guidelines for remote physiologic monitoring treatment management services
Covers the guidance for treatment management services tied to remote physiologic monitoring and the circumstances described in the article. It focuses on the broader service category and related reporting considerations.
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Looking ahead to 2020 CPT updates
Notes that additional remote patient monitoring CPT changes were expected to take effect in the following year. The section highlights the need to monitor future code revisions.
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Conclusion
Provides a high-level closing discussion of the growing use of mobile and wearable technology in remote monitoring. It reiterates the broader operational and care-delivery context.
What You Will Learn
- How remote patient monitoring fits within the broader telehealth landscape
- Which CPT guidance areas are relevant to remote physiologic monitoring services
- What general categories of reporting updates were discussed for remote patient monitoring
- Why monitoring technology is becoming more important in healthcare delivery
Who Should Read This
- Medical coders
- Billing staff
- Compliance professionals
- Healthcare providers
- Revenue cycle teams
Codes Discussed
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