Question:
If a physical therapist provides remote therapeutic monitoring using codes 98980 and +98981, are there any specific modifiers required when billing Medicare?
Answer:
Codes 98980 and +98981, also added in 2022, are used to report remote therapeutic monitoring treatment management services performed by other qualified health care professionals in addition to physicians. Be aware that Medicare considers this set of codes to represent “always therapy” services when provided by a therapist rather than physician or a qualified health professional (QHP). This means RTM services must be billed with an appropriate therapy modifier — GP, GO or GN — indicating the service is provided according to a plan of care by either a physical therapist, occupational therapist, or speech pathologist.
This question was answered in our Coding Essentials for RT/Pulmonary Function. For more hot topics relating to respiratory services, please visit our store or call us at 1.800.252.1578, ext. 2.