Remote Therapeutic Monitoring with CPT Code 98975

Remote therapeutic monitoring (RTM) has revolutionized how healthcare professionals manage patient care. CPT Code 98975 specifically enables reimbursement for initial patient education and device setup related to remote monitoring. This untimed code is part of a structured treatment plan, focusing on conditions like musculoskeletal (MSK) issues, therapy adherence, and therapy response.

What Does CPT Code 98975 Cover?

CPT Code 98975 is designed to bill for:

Initial Setup and Education: Assisting patients in using remote monitoring devices effectively.
Data Collection: Ensuring the devices are set up for recording and transmitting essential data.
Therapy Episode: This code is billed once per therapy episode, which begins when monitoring starts and concludes upon achieving a therapeutic goal.

Coding and Billing Guidelines for CPT Code 98975

Single Billing Per Episode: CPT 98975 can only be reported once per therapy episode.
Device Ownership: This code cannot be billed if the patient owns the monitoring device.
Part of a Treatment Plan: The services must align with the prescribed treatment plan.
Therapist Assistant Standards: Subject to de minimis standards when performed by a therapist assistant.

How to Use CPT Code 98975 in Practice

Healthcare providers like physical therapists can leverage this code for remote MSK monitoring. Common uses include:

Virtual Visits: Telephone or video consultations.
Patient Adherence Tracking: Monitoring how well patients follow their prescribed therapies.
Exercise Plans: Sharing at-home physical therapy plans via secure platforms.

By integrating CPT Code 98975, practices can:

Enhance patient care through real-time insights.
Increase therapy adherence and patient engagement.
Create new revenue streams by billing for RTM services.

Why Remote MSK Monitoring Matters

Remote MSK monitoring helps manage conditions involving bones, muscles, ligaments, and joints. It combines technology such as video conferencing, secure messaging, and electronic health records (EHR). Using tools like the Orbit Telehealth platform, physical therapists can maximize their practice’s efficiency and revenue.

Benefits of Telehealth with CPT Code 98975

Expanded Opportunities: Telehealth services allow medical billing under codes like 98975, 98980, and 98977.
Improved Patient Outcomes: Enhanced adherence to therapies and better health monitoring.
Revenue Growth: RTM codes open up avenues for additional reimbursements.

Conclusion

CPT Code 98975 is a game-changer for remote therapeutic monitoring, particularly in musculoskeletal care. It provides a structured way to educate patients, manage therapy remotely, and enhance practice revenues. As telehealth continues to evolve, leveraging these opportunities can position your practice for long-term success.

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