New CPT Codes for Remote Monitoring Will Allow for Shorter-Duration Monitoring

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The American Medical Association’s (AMA) Current Procedural Terminology (CPT) Editorial Panel—which establishes standards for medical coding—published a Summary of Panel Actions from its September 2024 meeting, which includes the addition of six new remote physiologic and therapeutic monitoring (RPM/RTM) billing codes and revisions to existing RPM/RTM codes, effective January 2026. The code definitions are not yet available, but these new codes are expected to enable providers to bill for RPM/RTM services when they collect fewer than 16 days of data within a 30-day period and provide treatment monitoring services of less than 20 minutes. 

The CPT Editorial Panel made these updates in response to stakeholder feedback that the 16-day billing threshold was not necessary in certain clinical use cases. These updates are likely to expand use of RPM and RTM during a time of heightened scrutiny around remote monitoring. Recently, the HHS Office of Inspector General (OIG) issued a report calling for greater oversight over Medicare RPM billing due to potential fraud.
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