2025 Medicare CPT Code Reimbursements for Remote Patient Monitoring (RPM)
This November, the Centers for Medicare and Medicaid Services (CMS) issued a Final Rule updating the Physician Fee Schedule. A list of prices, reimbursement rates, and billing codes for a variety of healthcare services and costs for remote patient monitoring (RPM) are all included in the report. Along with these changes, updates will be made to CCM reimbursements.
Let’s review the Medicare and Medicaid reimbursements for remote patient monitoring (RPM).
How is Remote Patient Monitoring (RPM) different from Chronic Care Management (CCM)?
Let’s start by covering the differences between remote patient monitoring (RPM) and chronic care management (CCM). RPM providers gather data from their patients using remote devices. The codes for RPM allow providers to be reimbursed for monitoring these devices.
Some devices providers may use for monitoring RPM patients may include:
- Blood pressure cuffs
- Weight scales
- Pulse oximeters
- Heart monitors
- Blood glucose monitors
When looking for RPM reimbursements, it’s important to consider the following:
- RPM is home-based care, meaning patients receive care from home and are monitored at home instead of in a clinical setting. RPM allows patients and providers to overcome barriers related to transportation and many other factors to ensure high-quality care.
- Although this is home-based care, the data cannot be self-reported. CPT requires providers to collect and electronically transmit data from the aforementioned monitoring devices.
Providers may be able to seek reimbursement for both RPM and CCM-related costs. Patients undergoing treatment for ongoing medical challenges may receive treatment in a clinical setting in addition to their at-home monitoring care. However, RPM codes apply specifically to the devices and treatments used remotely.
Description of 2024-2025 RPM CPT Codes & Reimbursement Rates
Though the key CPT codes remain the same for 2025, a few have small updates due to inflation and Medicare budget considerations. Below is an updated look into these codes.
The most notable update for RPM reimbursement that we will see in 2025:
- Expanded usage: In 2025, RPM will allow providers to monitor a broader set of conditions, including chronic and acute conditions in different settings.
*actual reimbursement varies by region.
Maximize Your RPM and CCM Model with Signallamp
Remote patient monitoring and chronic care management require an efficient and supportive infrastructure for both providers and patients, especially when handling billing responsibilities. With high patient loads and changing regulations, providers need support in order to provide effective RPM and CCM services to their patients.
Signallamp is here to help. We provide the robust RPM and CCM support structure that providers need to sustain and grow their programs year over year. Signallamp helps providers take care further while maximizing their financial performance. With streamlined enrollment and consent, a team of trained and dedicated nurse care managers for monitoring and triage, and documentation directly into your EHR, the possibilities are endless.
Are you ready to create a sustainable RPM program? Schedule a consultation with Signallamp today.