What are the billing requirements for CPT 99457?

Requires at least 20 minutes of management time in the calendar month At least one interactive real-time communication is required Time must be documented contemporaneously

Does Healthcare SBC handle billing for 99457?

Yes. Our certified coders bill 99457 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 99457Remote Monitoring

CPT Code 99457: RPM Treatment Management, First 20 Minutes

RPM treatment management, first 20 minutes

CPT 99457 covers the first 20 minutes of remote physiologic monitoring treatment management services per calendar month, requiring interactive communication with the patient.

What this code covers

Requires at least one interactive communication with the patient or caregiver during the month.

Time includes review of data, care plan adjustment and patient communication.

May be furnished by clinical staff under general supervision of the billing practitioner.

Billing and documentation notes

Requires at least 20 minutes of management time in the calendar month
At least one interactive real-time communication is required
Time must be documented contemporaneously

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 99457, frequently asked questions questions

What is CPT code 99457?: CPT 99457 covers the first 20 minutes of remote physiologic monitoring treatment management services per calendar month, requiring interactive communication with the patient.
What are the billing requirements for CPT 99457?: Requires at least 20 minutes of management time in the calendar month At least one interactive real-time communication is required Time must be documented contemporaneously
Does Healthcare SBC handle billing for 99457?: Yes. Our certified coders bill 99457 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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