CPT Editorial Panel Suspends Changes to RPM Coding – What's Next?

A push to improve reimbursement for remote patient monitoring programs has stalled, and that could prompt health systems and hospitals to think twice about launching or expanding their platforms.The roadblock is coming from the American Medical Association's 21-member CPT Editorial Panel, which hasn't been able to agree on amendments to the CPT codes covering RPM services. The panel indefinitely suspended the proposed changes at its meeting last month.RPM was initially recognized in 2019 by the Centers for Medicare and Medicaid Services through a small set of codes for remote physiologic monitoring services, enabling clinicians to seek reimbursement for gathering data from patients through certain medical devices outside the hospital setting.CMS has slowly amended and expanded those codes since then, adding codes for remote therapeutic monitoring.