What are the billing requirements for CPT 98975?

Reported once per episode of care Data may be patient-reported, unlike RPM which requires automatic transmission Document education provided and monitoring parameters established

Does Healthcare SBC handle billing for 98975?

Yes. Our certified coders bill 98975 routinely as part of full-service revenue cycle management, including documentation review, correct unit calculation where applicable, modifier application and denial management specific to this code.

CPT 98975Remote Monitoring

CPT Code 98975: Remote Therapeutic Monitoring Setup

RTM initial setup and patient education

CPT 98975 covers the initial setup and patient education for remote therapeutic monitoring of a non-physiologic parameter such as therapy adherence or response.

What this code covers

Remote therapeutic monitoring differs from RPM by monitoring therapeutic rather than physiologic data.

Common applications include musculoskeletal therapy adherence and respiratory medication adherence.

Reported once per episode of care at initiation.

Billing and documentation notes

Reported once per episode of care
Data may be patient-reported, unlike RPM which requires automatic transmission
Document education provided and monitoring parameters established

Related codes

CPT is a registered trademark of the American Medical Association. This page provides a general summary for educational purposes and is not a substitute for the official CPT code set, payer policy or professional coding judgment. Verify against current official descriptors and applicable payer policy before billing.

FAQ

CPT 98975, frequently asked questions questions

What is CPT code 98975?: CPT 98975 covers the initial setup and patient education for remote therapeutic monitoring of a non-physiologic parameter such as therapy adherence or response.
What are the billing requirements for CPT 98975?: Reported once per episode of care Data may be patient-reported, unlike RPM which requires automatic transmission Document education provided and monitoring parameters established
Does Healthcare SBC handle billing for 98975?: Yes. Our certified coders bill 98975 routinely as part of full-service revenue cycle management, including documentation review, correct unit calculation where applicable, modifier application and denial management specific to this code.

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