*Current Procedural Terminology (CPT®️) code descriptors as they appear in the CPT® Professional 2023 Codebook; CPT copyright 2022 American Medical Association, all rights reserved.  CPT is used by Propeller Health with permission of the American Medical Association.  You cannot, without permission from the American Medical Association, copy, modify, distribute, display, or use CPT for any commercial purpose, including for productive use in a clinical setting. Any such use requires a separate license from the AMA. Inclusion of the CPT codes listed does not constitute endorsement by the American Medical Association for any specific purpose identified in this publication.

**This column includes the 2023 physician fee schedule amount when a physician performs a procedure in a non-facility setting. 2023 physician fee schedule pricing can be found at https://www.cms.gov/medicare/physician-fee-schedule/search

Note: CPT codes 98975 and 98976 are practice expense only codes (e.g. setup, equipment supply) that do not include work relative value units.  CPT codes 98975 and 98977 cannot be billed if the medical device used is a durable medical equipment (“DME”) item furnished by a DME supplier.

Revisions to Payment Policies under the Medicare Physician Fee Schedule Quality Payment Program and Other Revisions to Part B for CY 2023 Final Rule https://www.cms.gov/medicaremedicare-fee-service-paymentphysicianfeeschedpfs-federal-regulation-notices/cms-1770-f

The information on this site is intended to provide education and resources for assessing Medicare coverage available for remote therapeutic monitoring. Neither Propeller Health nor ResMed guarantee any coverage or reimbursement for RTM services using the Propeller system. You are responsible for ensuring that applicable payor coverage criteria are met for each patient service for which payment is sought. Please be advised that each payor may have different requirements for coverage and reimbursement of RTM services and you should consult the available payor guidance to confirm eligibility for billing.  This guidance is not intended to provide any legal or billing arising from or relating to your use of this resource for purposes of billing. ResMed and Propeller Health are not responsible for your use of the information provided on this page, and are not liable for any adverse position taken by any private or public insurer with respect to remote therapeutic monitoring.