I am new and just got my first patient from a group home. I saw him last month on 2/19/26. So I want to use him as example to make sure I am understanding well.
So these are the codes that I should use to bill
A) Setup / patient education
- 99453 – Initial setup + patient education on use of equipment
B) Device supply + data transmission - do I wait for 30 days to be over, so that will be this month on 3/20/26 that it will be 30 days. So I check how many readings I have and that will determine which code I use?
- 99445 – RPM device supply with daily recordings/alerts and transmission for 2–15 days in a 30-day period.
- 99454 – RPM device supply with daily recordings/alerts and transmission for 16–30 days in a 30-day period.
C) Treatment management (time + interactive communication)
- 99457 – RPM treatment management, first 20 minutes in the calendar month requiring interactive communication. Just looking at the month of February or do I go from 2/19/26-3/20/26
- 99458 – Each additional 20 minutes (add-on to 99457)
Is it better to keep things simple and just do from 3/1/26-3/31/26?
Also, when you establish care, what initial visit documentation do you do? over the phone? what codes do you use? I am an NP and right now I have not approached practices and trying to get comfortable and just approaching group homeowners. I am planning on going to elderly communities as well and events as well.
Do I send a record of the patient BP to their PCP?
Thank you!