Reimbursement & Billing

RPM Codes

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*

Code

99453

Initial setup and patient education on use of equipment

$19.19

Code

99454

Supply of devices, collection, transmission, and report/summary services to the clinician

$63.15

Code

99457

Remote physiologic monitoring services by clinical staff/MD/QHCP for the first 20 minutes of RPM services

$50.94

Code

99458

Remote physiologic monitoring services by clinical staff/MD/QHCP that exceeds first 20 minutes of RPM services

$41.17

*Based on Consolidated Appropriations Act, 2021 modified (CY) 2021 Medicare Physician Fee Schedule (MPFS)