Remote Physiologic Monitoring (RPM)
Remote Physiologic Monitoring
Codes (CPT 99453-99458) covering the monitoring and treatment management of physiologic data transmitted from a patient's device.
1 min read · Last reviewed May 23, 2026
At a glance
- Category
- Billing
- Acronym for
- Remote Physiologic Monitoring
- Primary sources
- 1
- Workspace handoff
- revenue audit →
Where this comes up
This shows up in revenue-cycle work — claim scrubbing, charge entry, posting, A/R follow-up, and month-end close. Billers and practice managers hit this term when reconciling a payment, working a denial queue, or auditing why a claim aged past 60 days.
Full definition
What it is in practice
RPM requires a device that meets the FDA definition of a medical device, ordered by a physician, with at least 16 days of data per 30 days for 99454 to bill. Treatment management codes 99457-99458 require interactive contact.
How it shows up in your practice
Combine RPM with CCM/PCM when clinically appropriate; they can be billed together when separate time and activities are documented.
Sources
- CMS — Physician Fee Schedule (PFS)https://www.cms.gov/medicare/payment/fee-schedules/physician
Track RPM in Revenue Audit
Open revenue audit →Related terms
- BillingChronic Care Management (CCM)Care management services for Medicare beneficiaries with two or more chronic conditions; billed monthly under CPT 99490 and related codes.
- BillingRemote Therapeutic Monitoring (RTM)Codes (CPT 98975-98981) covering monitoring of non-physiologic therapeutic data such as musculoskeletal and respiratory therapy adherence.
- TelehealthTelehealthDelivery of health care services through audio-video or audio-only technology when the patient is not at the same location as the practitioner.
D3rx is a healthcare-billing and compliance research aid maintained by D3rx Inc. Articles are drafted by an LLM (Anthropic Claude) against primary HHS, OCR, CMS, eCFR, NIST, and state-regulator publications, and reviewed for restraint and source fidelity by the D3rx team.
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Related across the archive
- GlossaryRemote Therapeutic Monitoring (RTM)Codes (CPT 98975-98981) covering monitoring of non-physiologic therapeutic data such as musculoskeletal and respiratory therapy adherence.
- GlossaryChronic Care Management (CCM)Care management services for Medicare beneficiaries with two or more chronic conditions; billed monthly under CPT 99490 and related codes.
- GlossaryTelehealthDelivery of health care services through audio-video or audio-only technology when the patient is not at the same location as the practitioner.
- GlossaryCardiac Stress Test (93015-93018)CPT codes for cardiac stress testing, with separate codes for the global service, supervision, and interpretation.
- GlossaryCharge CaptureThe process of identifying and recording every billable service furnished during a patient encounter.
- GlossaryClean Claim RatePercentage of claims accepted by the payer on first submission without edits or rejections.
- GlossaryConversion FactorThe dollar value multiplied by the geographically-adjusted Relative Value Unit to determine the Medicare-allowable amount for a service.
- BillingAWV + Problem Visit Same Day: How to Bill CorrectlyYes, you can bill AWV and a problem visit the same day. Here's how to do it correctly with modifier -25.
This glossary entry is a research aid for billing and compliance staff. It does not provide legal, medical, or financial advice and does not replace counsel. References cited link to primary sources at HHS, OCR, CMS, eCFR, NIST, and the relevant payer or industry body.