Quick answer: In 2026, Medicare reimburses Remote Patient Monitoring (RPM) through six primary CPT codes — 99453, 99454, 99457, 99458, and two new codes introduced for 2026, 99445 and 99470. A typical enrolled patient generates roughly $100–$170 per month in combined RPM reimbursement, depending on device days and clinical staff time. Exact amounts vary by your Medicare Administrative Contractor (MAC) and geographic locality.
What are the RPM CPT codes and reimbursement rates for 2026?
The table below summarizes each 2026 RPM CPT code, what it covers, its time or device-day threshold, and the approximate national average Medicare payment. Figures are rounded national averages under the 2026 Physician Fee Schedule and should be confirmed against your local MAC.
| CPT code | What it covers | Threshold | Approx. 2026 rate |
|---|---|---|---|
| 99453 | Initial device setup & patient education | One-time, per episode | ~$22 |
| 99454 | Device supply with daily readings / alerts | 16–30 days in 30 days | ~$47 |
| 99445 (new 2026) | Device supply, shorter monitoring window | 2–15 days in 30 days | ~$47 |
| 99457 | Treatment management, interactive communication | First 20 min / month | ~$52 |
| 99458 | Treatment management, each additional block | Each additional 20 min | ~$41 |
| 99470 (new 2026) | RPM treatment mgmt requiring 1 real-time interactive contact | First 10 min / month | ~$26 |
What changed in 2026: the new 99445 and 99470 codes
For 2026, CMS added two codes that close long-standing gaps. 99445 lets you bill device supply when a patient transmits data for only 2–15 days in a 30-day period — previously, fewer than 16 device-days meant no device reimbursement at all. 99470 introduces a shorter, 10-minute treatment-management increment that requires at least one real-time interactive communication, giving practices a billable path for lighter-touch months. Together they make RPM viable for more patients and more clinical scenarios.
How much does RPM reimburse per patient per month?
A common billing pattern for an actively monitored patient is 99454 (device) + 99457 (first 20 minutes) each month, which totals roughly $99. Adding a second 20-minute block (99458) brings it to about $140, and the initial month also includes the one-time 99453 setup (~$22). Across a panel of 200 enrolled patients, that recurring revenue adds up quickly — which is why accurate, automated time tracking and device-day counting matter so much.
What do you need to bill RPM correctly?
To bill RPM under Medicare you generally need: an established patient with consent on file; an FDA-defined medical device that automatically transmits physiologic data; at least the required number of device-days or minutes for the code billed; and documented clinical staff or provider time under general supervision. Meeting these thresholds consistently — and proving it — is where most RPM programs succeed or fail on audit.
How SimplyRPM helps
SimplyRPM is SMART on FHIR–enabled remote patient monitoring software that connects RPM devices, patient data, and Medicare billing workflows directly inside your EHR. It automatically tracks device-days and clinical minutes against each 2026 CPT threshold, so eligible charges — including the new 99445 and 99470 — are captured cleanly and audit-ready. Talk to our team to see it in your environment.
Frequently asked questions
Are these RPM rates the same everywhere? No. The figures above are national averages; your actual payment depends on your MAC and geographic locality adjustment.
Can you bill 99454 and 99445 together? No — they cover the same device-supply function for different day ranges (16–30 vs 2–15) within a 30-day period, so you bill whichever range applies.
Does RPM require patient consent? Yes. Medicare requires documented patient consent before RPM services are furnished.
Is RPM the same as RTM? No. Remote Therapeutic Monitoring (RTM) uses a separate code family (98975–98978) for non-physiologic data such as musculoskeletal or respiratory therapy adherence.
Last updated: July 2026. This page is general educational information, not billing, legal, or reimbursement advice. Verify all codes and rates with CMS and your Medicare Administrative Contractor before billing.