Remote Patient Monitoring (PAP)

Receive respiratory signals from Positive Airway Pressure (PAP) therapy

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Integrate & Analyze

Receive daily PAP/NIV data, generate reports, and monitor KPIs/dashboards. Track adherence, risk categories, and practice metrics over time.

Stratify

Segment patients by risk, target underperformers, and predict exacerbations for chronic conditions like heart failure, COPD, and asthma.

Communicate

Engage patients via HIPAA-compliant messaging, audio, and video through mobile and desktop platforms.

Track & Bill

Track time spent via built-in time-tracking and reporting tools. Identify RTM billing codes automatically calculated by time spent in a month.

How it Works?

Patients’ respiratory signals are captured via a CPAP machine, and then the data is shared with different care team members.

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CPT Billing Codes and Reimbursement for RPM (PAP)

Non-Complex CPTs

CPT-99453

Initial set-up and patient education on use of equipment.

Billable once at time of setup.

RVU 0.55

$19.03

Medicare National Payment Amount (2025)

CPT-99454

Device(s) supply with daily recording(s) or programmed alert(s) transmission, 16 or more days a month.

Billable once every 30 days.

RVU 1.61

$55.72

Medicare National Payment Amount (2025)

CPT-99457

Remote physiologic monitoring treatment, first 20+ mins/month by clinical staff or physician, requiring interactive patient/caregiver communication.

99457’s 20 minutes includes interactive communication and care management time.

Billable once per calendar month.

RVU 1.45

$50.18

Medicare National Payment Amount (2025)

CPT-99437

Reported when an additional 20 minutes of interactive communication is provided to the patient/caregiver, and is billed in conjunction with CPT code 99457.

99458 covers each extra 20 minutes; no monthly RPM time cap per patient.

Billable for every additional 20 minutes per calendar month.

RVU 1.18

$40.84

Medicare National Payment Amount (2025)

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Frequently Asked Questions

What is PAP therapy and how does Remote Patient Monitoring work with it?

Positive Airway Pressure (PAP) therapy is a treatment for conditions like sleep apnea, COPD, and other respiratory disorders. Remote Patient Monitoring (RPM) connects your PAP device to a secure platform, allowing healthcare providers to receive daily usage, adherence, and performance data without the patient visiting the clinic.

Which devices are supported for remote monitoring?

Most major PAP/NIV device manufacturers (e.g., ResMed, Philips Respironics, Fisher & Paykel) are supported. Devices with wireless, cellular, or Bluetooth connectivity can automatically transmit therapy data.

What kind of data is collected from my PAP device?

Typical metrics include:

  • Usage hours per night
  • Mask leak rates
  • Apnea–Hypopnea Index (AHI)
  • Pressure settings and delivered pressures
  • Breathing patterns
  • Adherence trends over time

Is my personal health data secure?

Yes. All RPM platforms for PAP therapy use HIPAA-compliant data encryption and secure transmission. Access is restricted to authorized healthcare staff only.

Do I need special equipment to start RPM for PAP therapy?

Usually, no extra hardware is required if your PAP machine has built-in connectivity. For older models, a wireless adapter or modem may be provided.

Can RPM help if I’m having trouble with my PAP therapy?

Yes. Your care team can identify mask fit issues, high leak rates, or poor adherence early and contact you via messaging, audio, or video to troubleshoot problems.

How is my time tracked for billing?

The system automatically logs all provider–patient interactions, reviews, and interventions to calculate time spent, which is then used to identify eligible billing codes.

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