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2024 Remote Physiologic Monitoring and Therapeutic Monitoring Coding Guidance

From the College  |  January 9, 2024

A: Technically, yes. RTM enables patients’ self-reported data and digitally uploaded non-physiologic and therapeutic data. RPM, on the other hand, requires physiologic data that is automatically transmitted and not manually uploaded.

Q: Can RTM and RPM be billed together?

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A: No. At this time, RTM and RPM cannot be billed together. The CMS received various comments indicating that these services are different and should be able to be billed together, but unfortunately this is not the case, and providers will need to wait on additional coding guidance from the CMS.

Q: What devices are used with RTM?

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A: Any device that meets the FDA definition of “medical devices” can be used for RTM, but the most commonly used devices at this time are the weight scale and spirometer. While there are many remote patient monitoring devices available on today’s market, providers will need to continue monitoring and verifying any new devices with the FDA.

Q: Who can provide RTM services?

A: Clinical staff, MDs, QHCPs, physical therapists (PTs), occupational therapists (OTs) and speech pathologists. All RTM services can be provided under general supervision.  

For questions and additional coding guidance for these services, contact the ACR practice management department at [email protected].

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