Remote Monitoring Treatment Management

Prolonged Evaluation and Management (E/M) services are essential in certain situations, requiring precise coding to capture the extended nature of patient encounters. CPT code 99454 designates prolonged services in the inpatient setting, requiring direct patient contact beyond the usual service time. This code is applied when healthcare providers engage in prolonged face-to-face time with inpatients, extending beyond the typical duration of E/M services.

CPT code:

99454

Category:

Category I

Section:

Explore Evaluation and Management CPT Codes

Specialty:

Non-Face-to-Face Services

Type:

Digitally Stored Data Services/Remote Physiologic Monitoring

In the realm of E/M services, 99454 plays a crucial role, representing prolonged services in the inpatient setting. Healthcare providers utilize this code when engaging in prolonged face-to-face time with inpatients, extending beyond the usual duration of E/M services. Its application ensures accurate documentation of efforts in providing extended care during patient encounters in the inpatient setting.

Under what category does Remote Monitoring Treatment Management fall?

Category I

What is the billing unit for Remote Monitoring Treatment Management?

Per Encounter

Modifiers

Clinical use

Prolonged preventive service(s) (beyond the typical service time of the primary procedure) in the inpatient setting.

Documentation

Prolonged service in the inpatient or observation setting, requiring direct patient contact beyond the usual service; each additional 30 minutes. Clearly document each additional 30-minute increment of prolonged inpatient or observation service, including the start and end times, and describe the specific activities or discussions justifying the additional time.