What is the CMS Reimbursement
Providers are reimbursed by Medicare (and secondary payers) via four CPT codes for onboarding and patient education, device supply, and patient monitoring & management of condition.
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Any patient with a medical condition that can be monitored remotely qualifies.
99453
Initial set-up and patient education on use of equipment
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$21, one-time
99454
Device(s) supply with daily recording(s) or programmed alert(s) transmission
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$69, recurring monthly
99457
Interactive communication with the patient/caregiver during the month; first 20 minutes
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$54, recurring monthly
99458, optional
Interactive communication with the patient/caregiver during the month; additional 20 minutes
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$54, recurring monthly
Care providers with 300 Medicare patients can add over $400,000 a year in revenue with CPT codes 99454 and 99457 alone.