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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
| CPT | What it covers | Requirement | Est. payment | Status |
|---|---|---|---|---|
| 99453 | Device setup & patient education | At least 2 days of data; one-time per device | ~$22 | Updated |
| 99445 | Device supply — shorter window | 2–15 days of data in a 30-day period | ~$52 | New 2026 |
| 99454 | Device supply — full window | 16–30 days of data in a 30-day period | ~$52 | Unchanged |
| 99470 | Care management — brief visit | 10–19 min clinical time + 1 real-time interaction | ~$26 | New 2026 |
| 99457 | Care management — first 20 min | 20+ min; must include interactive communication | ~$52 | Unchanged |
| 99458 | Care management — each add'l 20 min | Each additional 20-min increment beyond 99457 | ~$41 | Unchanged |
⚠ 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.
This guide is for general informational purposes and does not constitute billing or legal advice.