KAM

I’m soliciting all the coding expects. As you may know, CMS unbundled CPT 99091, Collection and interpretation of physiologic data digitally stored and/or transmitted by the patient and/or caregiver to the physician or other qualified health care professional, requires minimum 30 minutes. In the 2018 MPFS, it reads, CMS is allowing CPT code 99091 to be billed once per patient during the same service period as chronic care management (CCM) no more that once every 30 days.

My question is, would it be appropriate to bill this service if the required 30 minutes was spread within the month? I.e, Dr. A reviewed/adjusted Peter Pan’s CPAP downloaded data on the 1st, took 12 minutes, on the 10th, took 10 minutes and on the 26th took 8 minutes, for a total for 30 minutes.

Your input is very much appreciated.

Thank you,
Tiffany