How To Use CPT Code 98976

CPT 98976 describes the provision of remote therapeutic monitoring services for the respiratory system. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, similar codes and billing examples.

1. What is CPT Code 98976?

CPT 98976 can be used to report the supply of one or more devices for remote therapeutic monitoring of the respiratory system. This code is used when the reporting provider supplies the devices used for scheduled recordings and/or programmed alerts transmission to monitor the respiratory system. The code is reported once every 30 days and includes a minimum of 16 days of monitoring.

2. Official Description

The official description of CPT code 98976 is: ‘Remote therapeutic monitoring (eg, therapy adherence, therapy response); device(s) supply with scheduled (eg, daily) recording(s) and/or programmed alert(s) transmission to monitor respiratory system, each 30 days.’

3. Procedure

1. After a physician or other qualified healthcare professional orders the service, the reporting provider supplies one or more devices used for therapeutic data collection for remote therapeutic monitoring (RTM) of the respiratory system.
2. The equipment is used for scheduled recordings, programmed alerts, or both, and must be a medical device as defined by the Food and Drug Administration (FDA).
3. Report the code once per 30 days, with a minimum of 16 days of monitoring.
4. RTM includes reviewing and monitoring data about signs, symptoms, and functions of the patient’s response to therapy to provide information about patient status.
5. The device may generate objective data, or a patient may provide subjective input.

4. Qualifying circumstances

CPT 98976 is used for remote therapeutic monitoring services specifically for the respiratory system. The reporting provider must supply one or more devices used for scheduled recordings and/or programmed alerts transmission. The monitoring must be performed for a minimum of 16 days, and the equipment used must be a medical device as defined by the FDA.

5. When to use CPT code 98976

CPT code 98976 should be used when the reporting provider supplies one or more devices for remote therapeutic monitoring of the respiratory system. This code is reported once every 30 days and includes a minimum of 16 days of monitoring. It is important to ensure that the monitoring is specific to the respiratory system and that the equipment used meets the FDA’s definition of a medical device.

6. Documentation requirements

To support a claim for CPT 98976, the reporting provider must document the following information:

• Physician or qualified healthcare professional’s order for the service
• Details of the device(s) supplied for remote therapeutic monitoring
• Date of service and duration of monitoring (minimum of 16 days)
• Review and monitoring of data related to the patient’s response to therapy
• Objective data generated by the device or subjective input provided by the patient

7. Billing guidelines

When billing for CPT 98976, ensure that the reporting provider supplies one or more devices for remote therapeutic monitoring of the respiratory system. The code should be reported once every 30 days, with a minimum of 16 days of monitoring. It is important to review and monitor data related to the patient’s response to therapy. Additionally, consider reporting CPT codes 98980 and 98981 for RTM treatment management, and CPT code 98975 for equipment setup and patient education.

8. Historical information

CPT 98976 was added to the Current Procedural Terminology system on January 1, 2022. There have been no updates or changes to the code since its addition.

9. Examples

1. A pulmonologist supplies a device for remote therapeutic monitoring of a patient’s respiratory system, including scheduled recordings and programmed alerts, for a period of 30 days.
2. A respiratory therapist provides a device for remote therapeutic monitoring of a patient’s respiratory system, with daily recordings and programmed alerts, for a period of 30 days.
3. A home healthcare provider supplies a device for remote therapeutic monitoring of a patient’s respiratory system, including scheduled recordings and programmed alerts, for a period of 30 days.
4. A sleep medicine specialist provides a device for remote therapeutic monitoring of a patient’s respiratory system, with daily recordings and programmed alerts, for a period of 30 days.
5. A pulmonologist supplies a device for remote therapeutic monitoring of a patient’s respiratory system, including scheduled recordings and programmed alerts, for a period of 30 days.
6. A respiratory therapist provides a device for remote therapeutic monitoring of a patient’s respiratory system, with daily recordings and programmed alerts, for a period of 30 days.
7. A home healthcare provider supplies a device for remote therapeutic monitoring of a patient’s respiratory system, including scheduled recordings and programmed alerts, for a period of 30 days.
8. A sleep medicine specialist provides a device for remote therapeutic monitoring of a patient’s respiratory system, with daily recordings and programmed alerts, for a period of 30 days.
9. A pulmonologist supplies a device for remote therapeutic monitoring of a patient’s respiratory system, including scheduled recordings and programmed alerts, for a period of 30 days.
10. A respiratory therapist provides a device for remote therapeutic monitoring of a patient’s respiratory system, with daily recordings and programmed alerts, for a period of 30 days.