Remote physiologic monitoring (RPM) pays practices to track parameters like weight, blood pressure, and pulse oximetry between visits and act on the data. The code family has three components: education and setup, device supply, and treatment management. It is also the code family at the center of the CY 2027 proposed rule, which would require RPM to be furnished by the practice’s own employees. Here is the current code set, the 2026 rates, and what may change.
The codes and 2026 rates
All figures are 2026 national non facility amounts, before geographic adjustment.
- CPT 99453: initial setup and patient education on the device. $21.71, billed once per episode of care.
- CPT 99454: device supply with daily recordings or programmed alerts, per 30 day period, when data is transmitted on at least 16 days. $52.11.
- CPT 99445: the newer device supply code for months with 2 to 15 days of transmitted data, added for CY 2026. $52.11.
- CPT 99457: the first 20 minutes of monthly treatment management, requiring at least one real time interactive communication with the patient or caregiver. $51.77.
- CPT 99458: each additional 20 minutes. $41.42, up to 3 units, adjudicated as a clinical edit.
- CPT 99470: the CY 2026 addition for months with 10 to 19 minutes of treatment management. $26.05.
- CPT 99091: collection and interpretation of physiologic data by the practitioner, at least 30 minutes per 30 days. $55.45. CMS allows it alongside 99457 only when the same time is not counted toward both, and CPT instructs against reporting them together.
- CPT 99473 and 99474: the self measured blood pressure pair, education and device calibration ($15.36) and readings with a reported average ($18.37).
Standing requirements
RPM is limited to established patients, a requirement that has applied since the COVID-19 public health emergency ended. Treatment management time can be clinical staff time, billable under the practitioner’s general supervision, since CMS designated these as care management services. Consent must be obtained, the monitoring must be reasonable and necessary for the patient’s condition, and time counted toward RPM cannot double count toward another billed service.
What the CY 2027 proposed rule would change
Two proposals and one comment solicitation, none final until the rule publishes this fall. First, clinical staff furnishing RPM would need to be direct employees of the billing practitioner or practice, ending third party vendor staffing. Second, RPM would require a face to face initiating visit by the billing practitioner, in person or by telehealth, before services start. Third, and easy to miss: CMS is separately seeking comment on collapsing the entire 17 code remote monitoring family into four bundled G codes covering setup and monthly monitoring for RPM and RTM, with a 2 day data floor and a 20 minute management requirement built in. That last item is a comment solicitation rather than a formal proposal, but it signals where CMS wants this code family to go.
Full breakdown with the rule text quotes: what the 2027 proposal actually says. If your program runs through a vendor today, our 2027 transition checklist walks through the exposure assessment.
Practice Management Consultancy helps practices build RPM programs staffed by their own team. Start with a care management assessment.
Sources
- CY 2027 Physician Fee Schedule proposed rule, 91 FR 43842 (RPM/RTM sections at 43892 through 43895)
- CMS Physician Fee Schedule Relative Value File, July 2026 release (rates are 2026 national non facility amounts, nonqualifying APM conversion factor, before locality adjustment)
- CMS NCCI Medically Unlikely Edits, practitioner table effective 07/01/2026
