Remote patient monitoring billing codes for 2026.
The 2026 Medicare Physician Fee Schedule added two new codes for shorter monitoring periods and lighter management time, so more of your patients now qualify for reimbursement.
Two new codes fill the gaps.
Before 2026, a patient with fewer than 16 days of readings, or a month with less than 20 minutes of management time, couldn't be billed. The new codes cover those months.
Short monitoring periods
Covers device supply when a patient sends 2–15 days of readings in a 30-day period. Use it instead of 99454 for that period.
Lighter management months
Covers 10–19 minutes of treatment management in a calendar month, including interactive communication with the patient.
All six RPM codes at a glance.
| Code | What it covers | How often |
|---|---|---|
| 99453 | Initial setup and patient education on using the equipment | Once per episode of care |
| 99454 | Device supply with daily recordings or programmed alerts: 16–30 days of readings | Per 30-day period |
| 99445NEW 2026 | Device supply with recordings or alerts: 2–15 days of readings | Per 30-day period, instead of 99454 |
| 99457 | Treatment management, first 20 minutes, including interactive communication with the patient or caregiver | Per calendar month |
| 99458 | Each additional 20 minutes of treatment management | Per calendar month, add-on to 99457 |
| 99470NEW 2026 | Treatment management of 10–19 minutes, including interactive communication with the patient or caregiver | Per calendar month |
What every RPM claim needs.
- The patient's consent to receive RPM services
- An order from a physician or qualified health care professional
- A device that meets the FDA definition of a medical device
- Readings transmitted digitally. Manual entries don't qualify.
- Real-time interactive communication for the management codes
- Documented time and notes for each month you bill
Who can provide RPM?
The physician, a qualified health care professional, or clinical staff such as nurses and medical assistants under the physician's supervision, subject to state law.
What does the patient pay?
RPM is a Medicare Part B service, so standard Part B coinsurance (typically 20%) applies unless the patient has supplemental coverage.
What does Medicare pay?
Rates vary by locality and update every January. Look up your area in the CMS Physician Fee Schedule Look-Up Tool.
We help you bill correctly
Our team helps with codes, documentation and monthly claims, and The Bridge tracks the time and readings each code requires.
This guide is general information, not billing or legal advice. Coding rules change, so confirm requirements with your Medicare Administrative Contractor before billing.
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