99457
Remote physiologic monitoring — treatment management, first 20 minutes
The first 20 minutes of monitoring management time in a calendar month.
2026 national amount
$51.77
Billing cadence
Per calendar month
Code family
RPM
- At least 20 minutes of monitoring-management time in the month
- At least one interactive communication with the patient or caregiver — real-time, two-way
- Time is documented
- Add 99458 for each further 20 minutes
- Can be billed in the same month as CCM, but the same minutes may never be counted twice
Who can bill it
Physician or qualified health professional, or clinical staff under general supervision.
Other RPM codes.
- 99453One-time setup and education when a patient starts on a monitoring device
- 99454The monthly device-supply code when readings are transmitted on at least 16 days
- 99445The 2026 short-duration device-supply code, for months with fewer than 16 days of data
- 99458The add-on for each further 20 minutes of management time beyond the first
- 99470The 2026 short-duration management code, for months with 10–19 minutes of time
A code is a claim. Documentation is the proof.
Most denied monitoring claims fail on documented time, consent, or the interactive communication — not on choosing the wrong code. We build the workflow so the record is made as the care happens.
- 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
- 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
- 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
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.
Billing 99457 correctly is the whole job.
We run the RPM programme and the revenue cycle behind it — documented time, consent, and claims handled as part of the care rather than after it.