What CPT codes can I bill for and what are the limitations?admin@clovisrpm.com2025-09-01T11:17:02+00:00
If billing for RPM, you may bill RPM using the CPT codes listed below. The national rates are shown for reference.
- 99453 Device Set-up
$19.73 once per episode of care
This code may be submitted for initial set-up and patient education on use of equipment - 99454 Remote Monitoring
$43.03 per month
This code may be submitted each month for supplying a patient with an FDA cleared RPM device. The patient must use the device for more than 16 days per calendar month. - 99457 Treatment Management
$47.88 per month
This code may be submitted for treatment management services, 20 minutes or more of clinical staff, physician, or other qualified healthcare professional time in a calendar month. - 99458 Treatment Management
$38.50 per month
Each additional 20 minutes of RPM services, with maximum of 60 minutes per calendar month. - 99091 Interpretation Management
This code cover a minimum of 30 minutes in a calendar month for time it takes to gather, interpret and process data transmitted by patient. Additionally covers one communication where advising or medical management occurs.