Summary & Overview
CPT 0607T: Multisensor Cardiopulmonary Stethoscope Provision and Training
CPT code 0607T captures the provision and patient training for a multisensor cardiopulmonary “stethoscope” that transmits physiologic data to a staffed 24‑hour remote surveillance center. The code reflects newest device‑based remote physiologic monitoring workflows that pair a multi‑modality sensor with continuous or near‑continuous clinical oversight, an increasingly important component of chronic disease management and post‑acute surveillance. Nationally, adoption of device‑assisted remote monitoring has implications for outpatient care pathways, clinician workflows, and payer coverage policies.
Key payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find an overview of the clinical intent of the code, typical sites of service, and what this service represents in care delivery. The publication summarizes available national benchmarking context and payer policy themes, highlights coding and billing considerations linked to device provisioning and remote surveillance, and situates the code within broader telehealth and remote monitoring policy updates. Data not available in the input will be noted where applicable.
Billing Code Overview
CPT code 0607T describes provision and training in the use of a multisensor cardiopulmonary “stethoscope” with a micro‑controller that transmits results to a staffed 24‑hour remote surveillance center. The service includes patient education and device setup to enable continuous or on‑demand remote physiologic monitoring.
-
Service type: Remote physiologic monitoring device provisioning and patient training
-
Typical site of service: Patient's home or other non‑acute outpatient setting where remote monitoring and transmission to a staffed surveillance center is feasible
Clinical & Coding Specifications
Clinical Context
A 72-year-old patient with a history of chronic heart failure and chronic obstructive pulmonary disease is discharged from the hospital after an exacerbation. The clinician arranges home-based remote physiologic monitoring using a multisensor cardiopulmonary device that functions as an electronic “stethoscope.” A trained nurse or respiratory therapist instructs the patient and a caregiver on device placement and usage during a home visit or outpatient clinic session. The device’s microcontroller collects cardiopulmonary sounds and other physiologic signals and transmits encrypted data to a staffed 24-hour remote surveillance center monitored by trained clinicians. The surveillance team reviews transmitted recordings for actionable abnormalities (for example, new crackles, wheezes, or arrhythmic sounds), notifies the ordering clinician of urgent findings, and documents events in the patient’s record. Typical workflow steps include device provision and set-up, patient training, initial baseline transmission, ongoing scheduled or event-triggered transmissions, remote review by the surveillance center, and documentation of any interventions or escalation to emergency services or clinic follow-up. The service is billed when the multisensor cardiopulmonary device is provided with patient training and continuous remote surveillance support consistent with 0607T.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
22 | Increased procedural services | When work required is substantially greater than typically required for 0607T (document rationale and time). |
23 | Unusual anesthesia | Rarely applicable; use only if general anesthesia is required for device application or training in an unusual circumstance. |
52 | Reduced services | When substantially fewer services than described for 0607T are performed (modify billing and document). |
53 | Discontinued procedure | If device provision or training is started but discontinued for patient safety or intolerance prior to completion. |
54 | Surgical care only | Use if multiple providers split global responsibilities and another provider bills for postoperative management (rare for this service). |
55 | Postoperative management only | If only surveillance or follow-up related to the device is provided by a second clinician. |
56 | Preoperative management only | If another provider delivered only pre-provision assessments before 0607T was performed. |
62 | Two surgeons | If two qualified clinicians of different specialties share responsibility for device placement/training in a truly concurrent manner. |
80 | Assistant surgeon | If an assistant is required for device application or training and meets payer requirements. |
82 | Assistant surgeon (when qualified resident unavailable) | Use when an assistant surgeon is needed and there is no qualified resident. |
AS | Physician assistant, nurse practitioner, or clinical nurse specialist services for inpatient hospital | When a PA, NP, or CNS provides inpatient training or surveillance-related services per facility rules. |
CO | Certified registered nurse anesthetist (CRNA) services when billing under Anesthesiologist | Not typically used; included for completeness when anesthesia billing is required. |
CQ | Service furnished by a registered nurse under contract to an ACO | When surveillance or training services are performed by an RN contracted to an Accountable Care Organization. |
QK | Medical direction of two, three, or four concurrent anesthesia procedures | Rarely applicable; include only if anesthesia medical direction meets criteria. |
| Taxonomy Code | Specialty | Notes |
|---|---|---|
207RC0000X | Cardiology | Cardiologists order and interpret cardiopulmonary surveillance for heart failure and arrhythmia risk. |
207RH0000X | Pulmonology | Pulmonologists manage patients with COPD, asthma, or interstitial lung disease who benefit from pulmonary sound surveillance. |
363A00000X | Respiratory Therapy | Respiratory therapists conduct patient training and device setup in outpatient or home settings. |
363L00000X | Registered Nursing | RNs provide patient education, ongoing monitoring coordination, and liaison with the surveillance center. |
208400000X | Internal Medicine | Hospitalists or primary care internists coordinate post-discharge monitoring and follow-up care. |
Related Diagnoses
| ICD-10 Code | Description | Clinical Relevance |
|---|---|---|
I50.33 | Acute on chronic systolic (congestive) heart failure | Patients with systolic heart failure often require cardiopulmonary monitoring for fluid overload and new pulmonary crackles. |
I50.32 | Chronic systolic (congestive) heart failure | Ongoing surveillance helps detect decompensation earlier and guide outpatient management. |
J44.9 | Chronic obstructive pulmonary disease, unspecified | COPD patients benefit from monitoring for increased wheeze, diminished breath sounds, or exacerbation signs. |
J96.00 | Acute respiratory failure, unspecified whether with hypoxia or hypercapnia | Post-discharge patients at risk for recurrent respiratory failure may be monitored closely with transmitted physiologic sounds. |
R07.9 | Chest pain, unspecified | New or worsening cardiopulmonary sounds accompanied by chest pain may prompt urgent evaluation documented via transmitted data. |
Related CPT Codes
| CPT Code | Description | Relationship to This Procedure |
|---|---|---|
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, requiring a minimum of 30 minutes of time | May be used for clinician time spent interpreting data transmitted by the multisensor device when documentation meets time and content requirements. |
99453 | Remote monitoring supply and set-up of device(s) with patient education on use (initial set up) | Applicable for initial remote monitoring device setup and patient education; often billed when supplies or technology onboarding are separately reportable. |
99454 | Remote physiologic monitoring treatment management services, 20 minutes or more of clinical staff/physician/other qualified healthcare professional time in a calendar month, requiring interactive communication with the patient/caregiver during the month; device supplies and collection, transmission, and report/summary furnished to the physician or other qualified healthcare professional | May be reported for ongoing monthly management of physiologic data transmitted by the device when services meet CMS definitions. |
99457 | Remote physiologic monitoring treatment management services, 20 minutes or more of clinical staff/physician/other qualified healthcare professional time in a calendar month, requiring interactive communication with the patient/caregiver during the month | Used for management and interactive communication related to transmitted cardiopulmonary data; complements device provision billed under 0607T. |
99050 | Services provided in the office at times other than regularly scheduled hours, or days when the office is normally closed | May apply if urgent remote alerts require clinician response outside normal business hours in coordination with the surveillance center. |