If billing for RPM, you may bill RPM using the CPT codes listed below. The national rates are shown for reference.

  1. 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
  2. 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.
  3. 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.
  4. 99458 Treatment Management
    $38.50 per month
    Each additional 20 minutes of RPM services, with maximum of 60 minutes per calendar month.
  5. 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.