Remote Patient Monitoring

Provide better remote care and get paid for it with CPT code 99091

In 2018, CMS "unbundled" CPT code 99091 for "Remote Patient Monitoring", meaning that physicians can bill for it directly. While this development is a potentially enormous opportunity for physicians, CMS is expected to announce additional measures for compensating physicians who use wireless technologies like Pillsy to more efficiently provide preventative care.

Some basics about billing for CPT code 99091:

  • Consent and Face-to-Face Visit: An initial face-to-face visit must be performed, and the patient must provide their consent.
  • Can be Combined with Other Codes: Namely, Chronic Care Management (CPT codes 99487, 99489, and 99490), Transitional Care Management (CPT codes 99495 and 99496), and Behavioral Health Integration (BHI) (CPT codes 99492, 99493, 99494, and 99484).
  • Pays: $59 per month, for 30 minutes of analyzing data and communicating about the patient's care.
  • Who Can Perform the Service: Any licensed, qualified health professional can perform the service.
  • Equipment not Covered: Unfortunately, the cost of most remote monitoring kits are not covered. Pillsy addresses this by not requiring any upfront payment for our equipment.

In addition to being a revenue source, remote monitoring can be a way to keep your patients engaged.