
Medical Device Utilized

16-Day Wear Per 30-Day Period

Management of Chronic Condition

Clinic Follow-Up With Patient
RPM Codes
CPT Code |
CPT Code Description |
CMS Reimbursement National Average*1 |
Code 99453 |
Initial patient setup, enrollment, and education of use of equipment |
$19.03 |
Code 99454 |
Supply of PKG device, data collection, transmission, and report/summary services to the clinician |
$55.72 |
Code 99457 |
RPM services by clinical staff/MD/QHCP for the first 20 mins of interactive communication |
$50.18 |
Code 99458 |
RPM services by clinical staff/MD/QHCP that exceeds first 20 mins of interactive communication with patient; up to 2x |
$40.84 |
*The CMS amounts listed are just the Average National Medicare Reimbursement but do not reflect MAC pricing by state or commercial reimbursement.
1. www.cms.gov/medicare/physician-fee-schedule/
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