SMBP CPT®️ Coding
• 99457 may not be billed together with 99091 for same billing period and beneficiary. *Note Current exceptions to codes as a result of COVID-19 may be in place by CMS and other payers. Patients may not be required to give consent to be enrolled in RPM and co-pays may be waived. In addition, RPM may be utilized for
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www.auanet.org99457 Rem physiol mntr 20 min mo 1.45 $48.70 1.49 $51.99 -6.3% 0.90 $30.23 0.92 $32.10 -5.8% 99458 Rem physiol mntr ea addl 20 1.18 $39.63 1.2 $41.87 -5.4% 0.9 $30.23 0.91 $31.75 NA 99471 Ped critical care initial NA NA NA NA NA 22.94 $770.44 22.91 $799.40 -3.6% 99472 Ped critical care subsq NA NA NA NA NA 11.70 $392.94 11.64 $406.16 -3.3%
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www.endocrine.orgA. CPT codes 99091 and 99457 should be billed for insulin pump work that is separate from an E/M visit. Providers should document the work performed and time spent performing the services in the medical record. If you are meeting with a patient face-to …