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The American Medical Association’s (AMA's) CPT Editorial Panel has removed the requirement for a patient to transmit 16 days’ worth of data for providers to bill remote physiologic monitoring codes, effective January 2026, a public document (PDF) says.As part of that requirement, patients need to actively use a device and transmit data for at least 16 days in a 30-day period for the provider to qualify for billing. Remote patient monitoring services are billed under certain Current Procedural Terminology (CPT) codes.The remote monitoring billing win comes as the Peterson Health Technology Institute poured cold water on RPM effectiveness for hypertension on Monday. And, in September, the Department of Health and Human Services Office of Inspector General (HHS OIG) released a report that raised alarm for potential billing fraud in remote monitoring.
The AMA’s CPT Editorial Panel met in Washington, D.C., September 25-28 to discuss medical billing code change proposals. One of the agenda items at the meeting included a rework of the remote physiologic monitoring and remote therapeutic monitoring codes. The panel agreed to remove the 16-day reporting requirement for the RPM device supply code, which has been a sore spot for the industry over the last several years.
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