RPM Reimbursement

If billing for RPM, you may bill RPM using the CPT codes listed below. The national rates are shown for reference.
  1. 99453 Device Set-up $19.73 once per episode of care This code may be submitted for initial set-up and patient education on use of equipment
  2. 99454 Remote Monitoring $43.03 per month This code may be submitted each month for supplying a patient with an FDA cleared RPM device. The patient must use the device for more than 16 days per calendar month.
  3. 99457 Treatment Management $47.88 per month This code may be submitted for treatment management services, 20 minutes or more of clinical staff, physician, or other qualified healthcare professional time in a calendar month.
  4. 99458 Treatment Management $38.50 per month Each additional 20 minutes of RPM services, with maximum of 60 minutes per calendar month.
  5. 99091 Interpretation Management This code cover a minimum of 30 minutes in a calendar month for time it takes to gather, interpret and process data transmitted by patient. Additionally covers one communication where advising or medical management occurs.

RPM Services Available by RSH

RSH can supply everything needed for the doctor to qualify for RPM Reimbursement under the doctors identity.

The doctor can utilize RSH available services to perform Technical and Clinical remote services and billing service are available to bill Medicare directly or on behalf of the doctor.