CPT Codes

Here is a reference listing of our CPT CODES

RPM Codes

CPT CODE 99453: Initial Set Up. Remote monitoring of physiologic parameter(s) (e.g., weight, blood pressure, pulse oximetry, respiratory flow rate), initial; set-up and patient education on use of equipment (16 Days of vital signs/30-day period). $19 average one-time fee.

CPT CODE 99454: Remote monitoring of physiologic parameter(s) (e.g., weight, blood pressure, pulse oximetry, respiratory flow rate), initial; device(s) supply with daily recording(s) or programmed alert(s) transmission (16 Days of vital signs/30-day period). $62 average per patient per month.

CPT CODE 99091: Data Collection/Interpretation (30 min Phys/QHP). $59 average per patient per month.

CPT CODE 99457: Escalation (20 min Clinical). Remote physiologic monitoring treatment management services, Remote physiologic monitoring treatment management services, 20 minutes or more of clinical staff/physician/other qualified healthcare professional time in a calendar month requiring interactive communication with the patient/caregiver during the month. $51 average per patient per month.

CPT CODE 99458: Escalation (each additional 20 min Clinical). Remote physiologic monitoring treatment management services, clinical staff/physician/other qualified health care professional time in a calendar month requiring interactive communication with the patient/caregiver during the month: additional 20 minutes. $42 average per patient per month.

CCM Codes

CPT CODE 99490: Non-Complex CCM (20 min Clinical Staff). Chronic care management services, at least 20 minutes of clinical staff time directed by a physician or other qualified health care professional (QHP), per calendar month. $42.74 average per patient per month.

CPT CODE 99491: Non-Complex CCM. Chronic care management services, provided personally by a physician or other QHP, at least 30 minutes of physician or other QHP time, per calendar month. $85.15 average per patient per month.

CPT CODE 99487: Complex CCM. Complex chronic care management services, first 60 minutes of clinical staff time  with moderate or high complexity medical decision making by the reporting practitioner. $99.42 average per patient per month.

CPT CODE 99489: Complex CCM. Complex chronic care management services, each additional 30 minutes of clinical staff time with moderate or high complexity medical decision making by the reporting practitioner. $47.11 average per patient per month.

HCPCS CODE G0511: Principal Care Management and Chronic Care Management. 2021 national average $66.01