CPT code 99091: Remote data review, 30 minutes per 30 days2026 Medicare rate & RVUs

Medicare pays $55.45 for 99091 nationally in the office and $47.43 in a hospital or facility. Local office rates run $52.00–$73.83.

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 99091 covers

A physician or other qualified health care professional uses this service to collect and interpret physiologic readings sent digitally by a patient or caregiver. Examples include home blood pressure readings, glucose measurements, and ECG data used to monitor a patient’s condition. The work may occur in an office-based or facility setting and does not require the patient to be present while the data are reviewed.

Report the service for each qualifying 30-day period when the physician or qualified health care professional spends at least 30 minutes collecting and interpreting the data. Documentation should identify the data reviewed, the clinical interpretation, and the time spent on the service. The code represents professional review and interpretation, rather than device setup or the supply and transmission of readings; those activities are described by separate remote-monitoring services when their requirements are met.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

Where 99091 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

99091 rates by state

Office rate range in each state. Select a state to see its payment localities.

How the 99091 rate is calculated

Each of 99091’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

Payment rules and modifiers for 99091

99091 has no global surgery period, no multiple-procedure, bilateral or assistant-at-surgery adjustment, and no professional/technical split. What changes the payment is where the service happens: the place of service on the claim decides whether Medicare pays the office or the facility rate.

99091 compared with similar codes

How to choose

99457RPM managementFirst 20 minutes per month

Choose 99091 for at least 30 minutes of collecting and interpreting physiologic data in a 30-day period. 99457 is for remote-monitoring treatment-management time that includes interactive communication.

99454RPM device supply16-30 days of readings

99454 describes device supply and data transmission over the monitoring period. 99091 describes the physician’s or qualified health care professional’s collection and interpretation of the resulting data.

99453RPM setupInitial setup and education

99453 describes initial remote-monitoring device setup and patient education. 99091 describes subsequent professional data collection and interpretation requiring at least 30 minutes.

99474Blood pressure monitoring30-day data review and plan

99474 is specific to management based on self-measured blood pressure. 99091 covers collection and interpretation of physiologic data more broadly, including blood pressure, glucose, or ECG data.

Codes related to 99091

Related codes aren’t interchangeable: bill the code that matches the service performed.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Open CMS sourceHow we calculate rates