October 9, 2025
CPT code 99454 is a billable medical code used for Remote Patient Monitoring (RPM) services. It specifically covers the supply of medical devices and the daily collection and transmission of physiological data for at least 16 days within 30 days.Β
These devices help track vital signs such as blood pressure, blood glucose, weight, and oxygen levels, allowing healthcare providers to monitor patients remotely.
Remote monitoring of physiologic parameters (e.g., weight, blood pressure, pulse oximetry, respiratory flow rate). Supply of devices, collection, transmission, and summary report of data to the provider each 30 days.
To bill CPT 99454, healthcare providers must meet these criteria:
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Code | Description | Frequency |
99453 | Initial setup and patient education | Once per device setup |
99454 | Device supply & daily data transmission | Every 30 days |
99457 | 1st 20 minutes of interactive patient management | Monthly |
99458 | Each additional 20 minutes of management | Monthly |
No, CPT 99454 (RPM device data transmission) and 99439 (Chronic Care Management) cannot be billed for the same time or service period unless both services meet separate and distinct documentation requirements.
CPT code 99454 is vital for modern healthcare practices that deliver remote patient monitoring services. It ensures providers are reimbursed for the technology and systems supporting continuous patient care. To optimize reimbursement, ensure all device transmissions meet 16-day requirements, documentation is complete, and the code is billed in conjunction with 99453, 99457, or 99458 when appropriate.
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Contact us today to enhance your remote monitoring revenue cycle.
CPT 99454 is used to bill for the monthly supply and transmission of data from RPM devices that track physiological metrics for at least 16 days within a 30-day period.
It can be billed once every 30 days per patient, regardless of how many RPM devices are used.
Yes. Medicare recognizes and reimburses CPT 99454 as part of RPM services under chronic care or remote monitoring programs.
99454 covers the technical component (device supply & data collection), while 99457 covers the professional component (clinical time spent reviewing and managing patient data).
Yes, 99458 is an add-on code for each additional 20 minutes of RPM management time beyond the initial 20 minutes covered by 99457.
The purpose is to enable continuous remote monitoring of chronic or post-acute patients, improving care coordination and early intervention.
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