Clear, accurate healthcare coding is essential when billing Clinical Therapeutic Monitoring (CTM) and Remote Therapeutic Monitoring (RTM) services. These two services have a few similarities and quite a few differences. In this article, we will explain what CTM and RTM are, the difference between them, five CPT codes for RTM, and answer a few frequently asked questions about RTM.
What is Clinical Therapeutic Monitoring (CTM)?
Clinical Therapeutic Monitoring is a procedure during which a physician or qualified healthcare provider assesses a patient’s response to a pharmacologic therapy in an office setting. The patient must be under the care of the provider who is conducting the CTM. A CTM includes an assessment of the efficacy and safety of the drug therapy; an assessment of laboratory values, vital signs, and clinical indications; and any adjustments to the pharmacologic therapy that may be necessary as a result of the assessments. CTM should also include patient education and counseling.
What is Remote Therapeutic Monitoring (RTM)?
Remote Therapeutic Monitoring is a technology-enabled monitoring of a specific medical condition or a therapeutic treatment plan such as medication or lifestyle changes. The provider and the patient aren’t in the same place, so data is transmitted through Smartphone apps, wearables, and home health monitors. RTM generally includes real-time tracking of measures relevant to the condition being treated as well as patient interactions such as questionnaires.
What are the differences between CTM and RTM?
One of the main differences between Clinical Therapeutic Monitoring and Remote Therapeutic Monitoring is the way the data is collected. With CTM, the data is collected in a one-time office visit, whereas with RTM, the data is collected remotely, on a continuous basis. Additionally, CTM focuses on a single pharmacologic therapy that is being assessed, while RTM can include a range of therapies and patient interactions.
What are 5 CPT codes for remote therapeutic monitoring?
The CPT codes for remote therapeutic monitoring vary by the services being provided. Here is a list of five CPT codes that may be used for remote therapeutic monitoring:
- 99454 – Remote physiologic monitoring treatment management services, 15 minutes or more of pharmacologic management
- 99453 – Remote physiologic monitoring treatment management services, less than 15 minutes of pharmacologic management
- 99457 – Remote physiologic monitoring treatment management services, 30 minutes of interactive communication
- 99456 – Remote physiologic monitoring treatment management services, 20 minutes of interactive communication
- 99358 – Prolonged services, involving direct patient contact beyond the usual service, greater than thirty minutes
Frequently Asked Questions about RTM
Question 1: What are the benefits of RTM?
Answer: The benefits of RTM include improved health outcomes, enhanced patient engagement, reduced healthcare costs, and greater convenience for both patients and healthcare providers.
Question 2: What technology is required for RTM?
Answer: The technology requirements for RTM may vary by provider. In general, RTM requires technology that can securely transmit data between the patient and the provider, such as Smartphone apps, wearables, and home health monitors.
In conclusion, both Clinical Therapeutic Monitoring (CTM) and Remote Therapeutic Monitoring (RTM) are procedures which allow healthcare providers to assess and evaluate a patient’s response to pharmacologic therapy or therapeutic treatments. CTM is conducted in a one-time office visit, while RTM is done remotely and continuously. It is important to be aware of the CPT codes for RTM in order to ensure that you are accurately filing claims. If you have any questions about RTM, be sure to consult your healthcare provider.
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