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Remote Patient Monitoring (RPM) Billing
From January 1, 2026, remote physiologic monitoring has two new codes: 99445 for 2 to 15 days of device data in a 30-day period, and 99470 for the first 10 minutes of treatment management in a calendar month. The old floors of 16 days and 20 minutes no longer decide whether a month is billable. They still decide which code is correct, and the wrong one is a denial or an overpayment.
98%Published NCR
24hClaim Submission
BAASigned with every client
AAPCCertified coders
AHIMACertified coders
E&OErrors and omissions insured
50 StatesRemote billing nationwide
2026 codes
What RPM billing covers
Two halves: the device and its readings, and the clinical time spent using them.
The device half is 99453 for set-up and patient education, then 99445 or 99454 for each 30-day period of transmitted readings. The management half is 99470, 99457, and 99458 for time spent by clinical staff, the physician, or another qualified professional using that data to manage the patient in a calendar month, with at least one real-time interactive communication with the patient or caregiver.
The device has to meet the FDA definition of a medical device and transmit the readings itself; numbers the patient types in or reads out over the phone are not RPM data. The patient must be established with the billing practitioner and must consent, because coinsurance applies. Only one practitioner can bill the device codes for a patient in a 30-day period.
What each RPM claim needs
- Days of transmitted data in the 30-day period
- Management minutes in the calendar month and the date of the live interaction
- Documented consent and the ordering practitioner
- No remote therapeutic monitoring billed for the same patient and period
RPM codes for 2026
Device codes count days in a 30-day period. Management codes count minutes in a calendar month.
| Code | What it pays for | Billing rule |
|---|---|---|
| 99453 | Initial set-up and patient education on the device | Once per episode of care |
| 99445 | Device supply with daily recordings or programmed alerts, 2 to 15 days in a 30-day period | New for 2026. Not with 99454 for the same period |
| 99454 | Device supply with daily recordings or programmed alerts, 16 to 30 days in a 30-day period | Not with 99445 for the same period |
| 99470 | Treatment management, first 10 minutes in a calendar month, with one real-time interactive communication | New for 2026. Not with 99457 in the same month |
| 99457 | Treatment management, first 20 minutes in a calendar month, with one real-time interactive communication | Use once time reaches 20 minutes |
| 99458 | Each additional 20 minutes of treatment management | Add-on to 99457; 40 minutes is 99457 plus one 99458 |
| 99091 | Collection and interpretation of physiologic data, at least 30 minutes in 30 days | Physician or qualified professional time only, not clinical staff |
Remote therapeutic monitoring (98975 to 98981, plus new 2026 codes 98984, 98985, and 98979) is a separate family for therapy and musculoskeletal data. It is not billed with RPM for the same patient and period.
Where RPM claims are denied
Most RPM denials are counting errors, not coverage disputes.
Device days miscounted
99445 and 99454 count days with readings in a 30-day period, not a calendar month. Billing 99454 on 14 days, or both device codes in one period, is a denial or an overpayment.
Time with no live interaction
99470 and 99457 need one real-time interactive communication in the month. A synchronous phone or video call counts. A portal message or email exchange does not.
Patient-entered readings
Medicare expects readings the device transmits. Values typed into an app or read off a home monitor during a call do not support the device codes.
Two practices billing the device
When a cardiologist and the primary care office both enroll the patient, only one can bill the device codes for the period. The other claim denies.
No consent on file
Each monthly code carries coinsurance, so consent is obtained and documented before monitoring starts.
Minutes counted twice
Time counted toward RPM cannot also count toward chronic care management or another time-based service in the same month. RPM and CCM can both be billed when the minutes are separate.
Not inside the monthly fee
The monthly cycle bills claims that are already in the system. These are scoped on their own.
Written rate
The fee is a percentage of net collections (flat or per claim in New York). No setup fee on the monthly cycle. Month to month. The written rate follows volume, payer mix, and how much of the cycle you hand over.
See pricing or request a written rate after the free audit.
Separate work
The device contract, the monitoring vendor’s platform fee, and clinical staff who review the readings stay with the practice or its RPM vendor. A retrospective audit of past RPM claims is scoped separately.
Check your RPM months against the 2026 codes
Send a month of RPM enrollments with reading days and management minutes. We show which months now bill under 99445 or 99470, which were billed wrong, and a written rate.
Written
Monthly rate
98%
Published NCR
50
US States
BAA
Every Client
RPM billing questions
Straight answers on the 2026 remote monitoring codes.
What are the new RPM codes for 2026?
99445 covers device supply with daily recordings or alerts for 2 to 15 days in a 30-day period. 99470 covers the first 10 minutes of treatment management in a calendar month, with one real-time interactive communication. Both took effect on January 1, 2026.
Can we bill RPM with fewer than 16 days of readings?
Yes, from 2026. Two to 15 days of readings in a 30-day period bill as 99445. Sixteen to 30 days bill as 99454. Only one of the two can be billed for the same period.
Does a text message count as the interactive communication?
No. The management codes require a real-time interactive communication with the patient or caregiver, such as a phone or video call. A secure message or email exchange alone does not meet it.
Can RPM and chronic care management be billed in the same month?
Yes, when the minutes are not counted twice. Time used for RPM management cannot also count toward CCM. RPM and remote therapeutic monitoring cannot be billed for the same patient and period.
Can FQHCs and rural health clinics bill RPM?
Yes. RPM is a care coordination service paid outside the FQHC prospective payment and the RHC all-inclusive rate, billed with the individual RPM codes since G0511 was retired. See FQHC and RHC billing.
How is the fee set?
As a percentage of net collections (flat or per claim in New York) on the book you hand over. No setup fee on the monthly cycle, month to month, with 30 days’ written notice. The written rate follows volume, payer mix, and scope.