HealthArc’s RPM platform is designed to improve patient outcomes, reduce healthcare costs, increase clinical efficiency, boost reimbursements, and generate additional revenue.

Brief Overview of the Latest Remote Patient Monitoring (RPM) CPT Codes for 2025

There are several RPM codes that are categorized by patient management, condition, and who is providing the service (clinical staff or physician or qualified health professional).

CPT 99453 – Initial Setup and Patient Education

This code covers the initial setup and educating the patient on using the RPM devices.

This code can only be billed once per patient per device episode.
It includes educating the patient or caregiver on how to properly use the device.
It includes providing assistance to the patient in setting up the device to transmit data.
Once billed, this code should not be billed again unless the patient begins a new episode of care that requires the use of new devices.

CPT 99454 – Device Supply with Transmission

This baseline RPM code is the monthly recurring code and includes:

The supply of the device(s).
Daily data transmission to the provider.
Collection, storage, and monitoring of patient data.
Billed once for each 30-day period, regardless of the number of devices.

CPT 99457 – First 20 Minutes of Interactive Monitoring

This code reimburses for clinical time spent by clinical staff, physicians, and/or other qualified healthcare professionals who manage the RPM data and care of the patient through interactive communication.

This code requires at least 20 minutes of clinical time per calendar month.
The interactive communication must be two-way (phone, video, or secure messaging).
The time starts from reading the patient data through consultation to managing the patient care plan.

CPT 99458 – Each Additional 20 Minutes

This is an add-on code to 99457 and applies to any additional 20 minutes of patient management in a calendar month.

There is no cap on how many units may be billed as long as patient management meets the time threshold.
This code reimburses for patients who need to be monitored more closely.

CPT 99091 – Physician/Qualified Health Professional Review of Data (30 Minutes)

This code existed prior to the introduction of the RPM codes and is still billable. It is for:

30 minutes per month of physician or QHP time reviewing and interpreting patient-generated health data.
The review or interpretation must be performed directly by the provider and is not billable if done by clinical staff.
This code may be billed in conjunction with other codes; however, the provider must monitor time to avoid duplicate billing.

Additional RPM Related Codes for Blood Pressure Monitoring

In addition to RPM codes, there are specific codes for self-measured blood pressure (SMBP) monitoring:

99473 – Patient education on home monitoring and provision of SMBP devices.
99474 – Collection and reporting of SMBP readings (a minimum of 12 readings, two readings each day for 30 days).

These codes may not be in the RPM category but are often used alongside an RPM program when managing hypertension.

Who Can Bill for RPM?

RPM services can be reported and billed by:

Physicians (MD, DO)
Nurse Practitioners (NPs)
Physician Assistants (PAs)
Certified Nurse Midwives (CNMs)
Clinical Nurse Specialists (CNSs)

Clinical staff can provide the services under general supervision of a physician or qualified healthcare professional.

Latest Medicare Reimbursement for RPM Services in 2025

Medicare reimbursement for the commonly billed RPM codes:

99453: ~$20 one-time payment (education & setup).
99454: ~$55 per patient per month (device supply & transmission).
99457: ~$50 per month (20 minutes of management).
99458: ~$40 for each additional 20 minutes.
99091: ~$60 per month (provider-only review).

Note: Rates vary by region and billing practitioner. Commercial payers may reimburse at different rates. All reimbursements must adhere to CMS guidelines.