Telemonitoring Frequency Limits

Update #: OPSTELMON90124
Effective Date: September 1, 2024
Current State: N/A
Future State: On September 1, 2024, Sentara Health Plans will deploy a new edit on telemonitoring codes that includes a description that defines a time period where a code can only be billed within the designated time requirements.Example: 99454 – Remote monitoring of physiologic parameter(s) (e.g., weight, blood pressure, pulse oximetry, respiratory flow rate), device(s) supply with daily recording(s) or programmed alert(s) transmission, every 30 days. This code can only be billed once every 30 days.

Applicable Plan(s): Commercial, Medicare, and Medicaid
Applicable Policy: Policy Number: 3825 Telehealth
Business Owner: Cost of Care

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Telemonitoring Frequency Limits