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Remote care · Updated for 2026

The benefits of remote patient monitoring

Remote patient monitoring (RPM) lets a care team see a patient’s blood pressure, glucose, weight or oxygen levels between visits. Here’s how that helps patients, clinicians and practices, and what Medicare pays for it today.

Originally published March 2019 · Updated October 2026.
The basics

What is remote patient monitoring?

RPM uses connected medical devices, such as blood pressure cuffs, glucose meters, scales and pulse oximeters, to send a patient’s readings from home to their care team automatically, usually over a cellular connection.

Instead of seeing one reading every few months in the office, the team sees a steady stream of data. They can spot a worrying trend early, call the patient and adjust treatment before a small problem becomes an emergency visit.

Who it helps most

Patients with chronic conditions

Hypertension, diabetes, heart failure, COPD and obesity are the most common. Many patients have more than one, which makes regular check-ins even more valuable.

For patients

Why patients like RPM.

01

Care without the trip

Fewer drives to the clinic, which matters most for older patients and people in rural areas.

02

Someone is watching

Patients know their team will notice and call if their numbers change.

03

Better daily habits

Seeing their own readings every day helps patients stick with medication, diet and exercise.

04

Simple to use

Cellular devices work out of the box, with no Wi-Fi, app or smartphone needed.

For practices

How RPM helps clinicians and practices.

01

Better information

Weeks of real-world readings give a clearer picture than a single office reading.

02

Earlier action

Teams can adjust treatment between visits instead of waiting for the next appointment.

03

Fewer avoidable admissions

Catching problems early can help prevent ER visits and hospital readmissions.

04

Recurring revenue

Medicare and many other payers pay monthly for RPM, separate from office visits.

Medicare coverage

What Medicare pays for RPM in 2026.

The original three codes from 2019 have grown to six, including two new codes for shorter monitoring periods and lighter months.

99453

Setup and education

About $21.71, once per episode of care.

99454 / 99445

Device supply

About $52.11 a month for 16+ days of readings. 99445 covers 2–15 days.

99470 / 99457

Treatment management

About $26.05 for 10–19 minutes, or $51.77 for 20+ minutes a month.

99458

Additional time

About $41.42 for each additional 20 minutes.

See the full billing article for requirements and common mistakes.

Coming in 2027

Medicare has proposed big changes to RPM for 2027.

The proposals cover who can perform monitoring, a required initiating visit, and lower payment for device codes. The final rule is expected around November 1, 2026.

Read what’s changing

Rates are 2026 Medicare national averages and vary by locality and payer. This article is general information, not billing or legal advice. Confirm requirements with your Medicare Administrative Contractor.

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