CPT reference — RPM, RTM and CCM, 2026The codes,
explained properly.
What each code requires, what it pays, what it pairs with, and who may bill it — written by the physician who bills them.
22
Codes documented, with requirements and pairing rules
6
New or changed for 2026
2026
National amounts, from one source shared with the calculator
The code is rarely the hard part. What denies a monitoring claim is documented time, consent, or a missing interactive communication — so we build the workflow to capture those as the care happens, not afterwards.
Remote Patient Monitoring codes.
Physiologic data — blood pressure, weight, glucose, oxygen saturation — collected from a device.
Remote Therapeutic Monitoring codes.
Therapy adherence and response — musculoskeletal, respiratory, and cognitive behavioral. Designated 'sometimes therapy', so therapy providers can furnish it.
Chronic Care Management codes.
Care coordination between visits for patients with two or more chronic conditions.
Rules that apply to all of them.
Most denials come from these rather than from picking the wrong code.
Duration codes
Short and long codes are mutually exclusive
- 99445 (2–15 days) and 99454 (16–30 days) cannot be billed in the same 30-day period
- 98984/98976 and 98985/98977 follow the same rule
Time codes
10-min and 20-min codes are mutually exclusive
- 99470 (10 min) and 99457 (20 min) cannot be billed in the same month
- 98979 (10 min) and 98980 (20 min) follow the same rule
- Add-on codes (99458/98981) only pair with the 20-minute base codes
General
Universal requirements
- RPM and RTM cannot be billed for the same patient in the same month
- All treatment management codes require at least one live interactive communication per month
- 99454 requires automatic data transmission from the device
- Minimum 2 days of data transmission for all device supply codes
Codes are not the hard part. Documentation is.
Most denied monitoring claims fail on documented time and consent, not on choosing the wrong code. We build the workflow so the documentation happens as the care happens.
Amounts shown are 2026 national figures and are an estimate, not a quote — actual payment varies by locality, payer, and documented time. This reference is a summary for planning, not billing advice or a substitute for the current fee schedule and payer policy.
We run the billing on what we monitor.
Full revenue cycle management for Neuvora-generated claims — so the codes on this page turn into payments rather than denials.