RPM Billing Quick Guide (2026) | Integrated Medical Services
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Updated for 2026 · CMS Final Rule

Remote Patient Monitoring — Billing Quick Guide

Which CPT code applies? Follow the two steps below.

What changed in 2026: Medicare now allows billing for RPM even when a patient transmits fewer than 16 days of data in a month. A new code (99445) covers 2–15 days of device data, and a new code (99470) covers shorter management time of 10–19 minutes (first 10 minutes, with at least one real-time interactive communication). Everything else stays the same.
1 How many days did the patient transmit data this month?
No Data / 0–1 Days
0–1days
Not enough data transmitted to support a billable encounter this month.
No Billing
Try again next month
Shorter Window New
2–15days
Patient transmitted data on at least 2 days but fewer than 16 days in the 30-day period.
CPT 99445
~$52 · same rate as 99454
Full Window
16–30days
Patient transmitted data on 16 or more days in the 30-day period.
CPT 99454
~$52 reimbursement
Then ask
2 How much clinical management time was spent this month?
Less Than 10 Min
<10minutes
Not enough clinical time to bill a management code this month.
No Mgmt Code
Device supply code only
Brief Visit New
10–19minutes
Clinician spent 10–19 minutes, including at least one real-time interactive communication with the patient or caregiver.
CPT 99470
~$26 reimbursement
Standard Visit
20+minutes
Clinician spent 20 or more minutes. Bill the first 20 min, then an add-on for each additional 20 min.
CPT 99457
+ 99458 per add'l 20 min
New for 2026
Unchanged from prior years
Not billable
All RPM codes at a glance
CPTWhat it coversRequirementEst. paymentStatus
99453Device setup & patient educationAt least 2 days of data; one-time per device~$22Updated
99445Device supply — shorter window2–15 days of data in a 30-day period~$52New 2026
99454Device supply — full window16–30 days of data in a 30-day period~$52Unchanged
99470Care management — brief visit10–19 min clinical time + 1 real-time interaction~$26New 2026
99457Care management — first 20 min20+ min; must include interactive communication~$52Unchanged
99458Care management — each add'l 20 minEach additional 20-min increment beyond 99457~$41Unchanged
⚠ Two rules that prevent denials: You can't bill 99445 and 99454 for the same patient in the same 30-day period — it's one or the other based on days of data. Likewise, 99470 and 99457/99458 are mutually exclusive — bill one management code per month based on total clinical time. Reimbursement figures are 2026 national averages and vary by locality; confirm current rates with your MAC or the CMS Physician Fee Schedule Look-Up Tool.
Based on the CMS Calendar Year 2026 Physician Fee Schedule Final Rule. CPT® is a registered trademark of the American Medical Association.
This guide is for general informational purposes and does not constitute billing or legal advice.