Revenue & Reimbursement

First Month

Initial Setup

CPT #99453: $18.77

RPM program onboarding and patient training

$18.77

Monthly

Base Monthly RPM

CPT #99454: $62.44

Device Kit, data transmission, programmed alerts

$62.44

Care Management
(20 min.)

CPT #99457: $51.61

First 20 minutes patient care by clinical staff

$114.05

Care Management
(40 min.)

CPT #99458: $42.22

Additional 20 minutes patient care by clinical staff

$156.27

Care Management
(60 min.)

CPT #99458: $42.22

Additional 20 minutes patient care by clinical staff

$198.49

Care Management
(80 min.)

CPT #99458: $42.22

Additional 20 minutes patient care by clinical staff

$240.71

CMS reimbursement is available for RPM services provided to Medicare/Medicaid patients with chronic conditions. Please click here to see reimbursement policies for your state.

CPT codes enable providers to bill CMS for Remote Patient Monitoring which covers RPM Kit cost and the CarePath service.

Click the links below for more information :

- RPM Policy by State - State Telehealth Laws and Reimbursement Policies - Fall 2021 - State Telehealth Laws and Reimbursement Policies Infographic

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