Reimbursement

Our services

Our Inclusions:

If you are not getting ALL these services with your RPM solution - it is time to contact CENSON Health.

We all want to get paid, right?

With most remote patient monitoring solutions you would be lucky to get reimbursed for the basic RPM CPT codes – 99453, 99454, 99457, 99458 or their Medicaid/Private Insurer equivalents
Not with CENSON Health. We provide a turn-key solution that may allow you to receive reimbursement for over 60 CPT codes.

These include the full range of :
– Remote Patient Monitoring CPT codes;
– Remote Therapeutic Monitoring CPT codes;
– Medication Therapy Management CPT codes;
– Medical Nutrition Therapy CPT codes;
– Behavioral Health CPT codes;
– Chronic Care Management CPT codes;
– Transitional Care Management CPT codes;
– Principal Care Management CPT codes;
– Telehealth Consultations CPT codes.

And if you need more, CENSON Health offers Pharmacy and Lab Testing services that can be added to your revenue.

CENSON Health Services

get the codes

MEDICARE TELEHEALTH SERVICES
Code Short Descriptor
96156 Hlth bhv assmt/reassessment
96158 Hlth bhv ivntj indiv 1st 30
96159 Hlth bhv ivntj indiv ea addl
96160 Pt-focused hlth risk assmt
96161 Caregiver health risk assmt
96164 Hlth bhv ivntj grp 1st 30
96165 Hlth bhv ivntj grp ea addl
96167 Hlth bhv ivntj fam 1st 30
96168 Hlth bhv ivntj fam ea addl
97802 Medical nutrition indiv in
97803 Med nutrition indiv subseq
97804 Medical nutrition group
99202 Office/outpatient visit new
99203 Office/outpatient visit new
99204 Office/outpatient visit new
99205 Office/outpatient visit new
99211 Office/outpatient visit est
99212 Office/outpatient visit est
99213 Office/outpatient visit est
99214 Office/outpatient visit est
99215 Office/outpatient visit est
99406 Behav chng smoking 3-10 min
99407 Behav chng smoking > 10 min
99441 Phone e/m phys/qhp 5-10 min
99442 Phone e/m phys/qhp 11-20 min
99443 Phone e/m phys/qhp 21-30 min
99473 Self-meas bp pt educaj/train
99483 Assmt & care pln pt cog imp
99495 Trans care mgmt 14 day disch
99496 Trans care mgmt 7 day disch
99497 Advncd care plan 30 min
99498 Advncd care plan addl 30 min
G0108 Diab manage trn  per indiv
G0109 Diab manage trn ind/group
G0270 Mnt subs tx for change dx
G0296 Visit to determ ldct elig
G0396 Alcohol/subs interv 15-30mn
G0397 Alcohol/subs interv >30 min
G0406 Inpt/tele follow up 15
G0442 Annual alcohol screen 15 min
G0443 Brief alcohol misuse counsel
G0444 Depression screen annual
G0445 High inten beh couns std 30m
G0446 Intens behave ther cardio dx
G0447 Behavior counsel obesity 15m
G0459 Telehealth inpt pharm mgmt
G0506 Comp asses care plan ccm svc
G2086 Off base opioid tx 70min
G2087 Off base opioid tx, 60 m
G2088 Off base opioid tx, add30
G2212 Prolong outpt/office vis
RPM Specific Codes
99453 Rem mntr physiol param setup
99454 Rem mntr physiol param dev
99457 Rem physiol mntr 1st 20 min
99458 Rem physiol mntr ea addl 20
RTM Specific Codes
98975 Rem ther mntr 1st setup&edu
98976 Rem ther mntr dev sply resp
98977 Rem ther mntr dv sply mscskl
98980 Rem ther mntr 1st 20 min
98981 Rem ther mntr ea addl 20 min
CCM Specific Codes
99490 Chrnc care mgmt staff 1st 20
99439 Chrnc care mgmt staf ea addl
99487 Cplx chrnc care 1st 60 min
99489 Cplx chrnc care ea addl 30

Looking for guidance on the best way to maximize your reimbursement potential?  Reach out using the chat button below or book a consultation and our experts will share their insights and get you on the right path.