Medicare Reimbursement for RPM

CPT 99453

Initial Setup and patient education on use of equipment for remote monitoring of physiological parameters(blood pressure, blood glucose, weight). Billed only once per episode of care.

Average National Payment

$21

CPT 99454

Device transmission fee for remote monitoring of physiological parameters (blood pressure, blood glucose, weight), billed every 30 days.

Average National Payment

$69

CPT 99457

Remote physiological monitoring treatment management services, 20 minutes or more of clinical staff / physician / other qualified health care professional time in a calendar month requiring “interactive communication” in real time, includes synchronous two-way interactions that can be enhanced with video or other kinds of data transmission with the patient / care giver during the month.

Average National Payment

$53

CPT 99458

Additional 20 minutes of interactive communication between the patient and the physician / non physician practitioner / clinical staff.

Average National Payment

$43