New 2026 RPM CPT Codes 99445 and 99470: What Changed and Why It Matters

The 2026 Medicare Physician Fee Schedule delivered the most significant expansion of remote patient monitoring billing since the codes were introduced. Two new CPT codes – 99445 and 99470 – close the gaps that made many real-world patients unbillable.

The problem with the old rules

Until now, RPM device supply (99454) required at least 16 days of readings in a 30-day period, and treatment management (99457) required at least 20 minutes of clinical time per month. A patient with 12 days of readings and 15 minutes of review generated no revenue at all, even though real monitoring and real clinical work happened.

What CPT 99445 changes

99445 covers device supply with 2-15 days of readings in a 30-day period, reimbursing at roughly the same rate as 99454 (~$47 national average). Patients ramping up, traveling, or partially adherent are now billable months instead of losses.

What CPT 99470 changes

99470 covers the first 10 minutes of monthly treatment management with at least one interactive communication (~$26). Months that fall short of the 20-minute threshold for 99457 no longer go uncompensated.

The full 2026 RPM code family

• 99453 – setup and patient education (~$22, once per episode)
• 99454 – device supply, 16-30 days (~$47)
• 99445 – device supply, 2-15 days (~$47) – NEW
• 99457 – management, first 20 minutes (~$52)
• 99458 – management, each additional 20 minutes (~$41)
• 99470 – management, first 10 minutes (~$26) – NEW

What your practice should do

1. Re-run your program economics – previously unbillable patients may now cover their device costs.
2. Update billing workflows so 99445/99470 are selected when thresholds for 99454/99457 are not met.
3. Audit your documentation – the new codes still require device readings and logged interactive communication.

SimplyRPM tracks day counts and clinical minutes automatically and maps each patient-month to the right code. See the full 2026 billing guide or request a demo.

Rates are unadjusted national averages; confirm against the current fee schedule and your MAC.