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

Reports a physician’s or qualified health care professional’s collection and interpretation of digitally transmitted physiologic data, with at least 30 minutes of work per 30 days.

CMS RVU26DEffective Oct 1, 2026One payment locality176K Medicare services in 2024

In New Mexico, Medicare pays $54.56 for 99091 in the office and $47.21 when it’s performed in a hospital or facility.

$54.56Office (non-facility)
$47.21Hospital or facility
−1.6%vs the national office rate ($55.45)

Check a contract rate as a % of Medicare · 99091 nationwide

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

We’ll open 99091 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in New Mexico
  2. What 99091 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

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.

How New Mexico compares for 99091

Across 109 of 109 payment localities, the office rate for 99091 runs from $52.00 in Arkansas to $73.83 in Alaska. New Mexico pays $54.56. The RVUs are the same everywhere; the geographic indexes change the dollars.

99091 in New Mexico vs other payment areas
  1. New Mexico · this page$54.56
  2. Los Angeles, CA · California$59.16+$4.60
  3. Washington, DC area · District of Columbia$60.61+$6.05
  4. Miami, FL · Florida$59.69+$5.13
  5. Chicago, IL · Illinois$58.81+$4.25
  6. Manhattan, NY · New York$61.82+$7.26
  7. Alaska · Alaska$73.83+$19.27

Other areas in New Mexico first, then benchmark localities. Bars start at $0.

Every other payment area

99091 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$52.38$45.37
ArkansasArkansas$52.00$45.12
ArizonaArizona$54.60$46.83
Bakersfield, CACalifornia$56.80$48.01
Chico, CACalifornia$56.56$47.77
El Centro, CACalifornia$56.57$47.78
Fresno, CACalifornia$56.56$47.77
Hanford, CACalifornia$56.56$47.77

99091 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$52.00

$73.83

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
99091 office rate range by state
State / territoryOffice rate rangeLocalities
AK$73.831
AL$52.381
AR$52.001
AZ$54.601
CA$56.56–$65.6429
CO$56.421
CT$57.931
DC$60.611
DE$55.201
FL$55.90–$59.693
GA$54.13–$56.292
GU$56.701
HI$56.701
IA$52.641
ID$52.901
IL$55.34–$58.814
IN$53.051
KS$52.711
KY$53.431
LA$53.47–$54.802
MA$56.43–$59.872
MD$55.82–$60.613
ME$53.25–$54.442
MI$54.32–$56.482
MN$54.271
MO$53.13–$54.663
MS$52.561
MT$55.441
NC$53.501
ND$54.061
NE$52.731
NH$55.821
NJ$58.65–$60.542
NM$54.561
NV$55.071
NY$53.93–$62.895
OH$54.041
OK$53.171
OR$54.69–$57.252
PA$53.97–$57.232
PR$55.591
RI$56.431
SC$53.851
SD$53.891
TN$52.871
TX$53.81–$56.508
UT$54.231
VA$54.48–$60.612
VI$55.591
VT$54.131
WA$56.23–$60.572
WI$53.141
WV$54.311
WY$54.841

See 99091 in every payment locality

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.

How the rate is built · 99091

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.10

1.10 RVUs× 1.000 GPCI

Practice expense0.49

0.49 RVUs× 1.000 GPCI

Malpractice0.07

0.07 RVUs× 1.000 GPCI

Adjusted RVUs

1.6600

Conversion factor

$33.4009

Medicare rate

$55.45

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact New Mexico inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

12,984

Code
99091
Physician work
1.10
Practice expense
0.49
Malpractice
0.07

GPCI2026.csv

77

Locality
New Mexico
Physician work
1.000
Practice expense
0.917
Malpractice
1.201
Office calculation for 99091 in New Mexico
ComponentRVULocality factorAdjusted
Physician work1.10× 1.0001.1000
Practice expense0.49× 0.9170.4493
Malpractice0.07× 1.2010.0841
Total RVUs1.6334
Conversion factor× 33.4009

Office rate, New Mexico$54.56

Office: (1.1 × 1 + 0.49 × 0.917 + 0.07 × 1.201) × $33.4009 = $54.56

Facility: (1.1 × 1 + 0.25 × 0.917 + 0.07 × 1.201) × $33.4009 = $47.21

Open 99091 in the RVU calculator

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.

Place of service · 99091

Which rate does Medicare pay?

The POS code on the claim line (CMS-1500 box 24B).

POS 11 · non-facility rate · national

$55.45

Non-facility (office)
$55.45
Facility
$47.43

Higher because the practice carries its own overhead.

Codes related to 99091

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

Codes related to 99091
CodeHow it relatesOffice range, New Mexico
Often billed with
99454RPM device supply, 16-30 days of readingsCovers device supply and data transmission, which may accompany professional review during the same remote-monitoring episode.$47.88
Used instead
99457RPM management, first 20 minutes per monthDescribes remote-monitoring treatment-management time with an interactive communication requirement.$49.54
99474Blood pressure monitoring, 30-day data review and planApplies to management based on self-measured blood pressure when that service’s specific requirements are met.$17.44

How 99091 has changed in New Mexico

99091 · Office / nonfacility

$54.56

Effective 2026-10-01

The base rate is $3.70 higher than on 2025-10-01, moving from $50.86 to $54.56 (7.3%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release

  1. January 1, 2026

    RVU26A

    $50.86changed to$54.56

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 0.43 changed to 0.49
    • Practice expense GPCI 0.908 changed to 0.917
    • Malpractice GPCI 1.172 changed to 1.201

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $52.73changed to$50.86

    • Conversion factor 33.2875 changed to 32.3465
    • Malpractice RVU 0.08 changed to 0.07

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $51.87changed to$52.73

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $53.28changed to$51.87

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 0.42 changed to 0.43
    • Practice expense GPCI 0.902 changed to 0.908
    • Malpractice GPCI 1.169 changed to 1.172

  5. January 1, 2023

    RVU23A

    $55.34changed to$53.28

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 0.44 changed to 0.42
    • Malpractice RVU 0.09 changed to 0.08
    • Practice expense GPCI 0.896 changed to 0.902
    • Malpractice GPCI 1.166 changed to 1.169

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $55.52changed to$55.34

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 0.47 changed to 0.44
    • Malpractice RVU 0.06 changed to 0.09

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $58.26changed to$55.52

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 0.46 changed to 0.47
    • Malpractice RVU 0.08 changed to 0.06
    • Practice expense GPCI 0.908 changed to 0.896
    • Malpractice GPCI 1.207 changed to 1.166

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $57.73changed to$58.26

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 0.45 changed to 0.46
    • Malpractice RVU 0.07 changed to 0.08
    • Practice expense GPCI 0.921 changed to 0.908
    • Malpractice GPCI 1.247 changed to 1.207

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $57.99changed to$57.73

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 0.46 changed to 0.45

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    No ratechanged to$57.99

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D, RVU17A, RVU17B, RVU17C, RVU17D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$54.56$47.21RVU26D
2026-07-01$54.56$47.21RVU26C
2026-04-01$54.56$47.21RVU26B
2026-01-01$54.56$47.21RVU26A
2025-10-01$50.86$50.86RVU25D
2025-07-01$50.86$50.86RVU25C
2025-04-01$50.86$50.86RVU25B
2025-01-01$50.86$50.86RVU25A
2024-10-01$52.73$52.73RVU24D
2024-07-01$52.73$52.73RVU24C
2024-04-01$52.73$52.73RVU24B
2024-03-09$52.73$52.73RVU24AR
2024-01-01$51.87$51.87RVU24A
2023-10-01$53.28$53.28RVU23D
2023-07-01$53.28$53.28RVU23C
2023-04-01$53.28$53.28RVU23B
2023-01-01$53.28$53.28RVU23A
2022-10-01$55.34$55.34RVU22D
2022-07-01$55.34$55.34RVU22C
2022-04-01$55.34$55.34RVU22B
2022-01-01$55.34$55.34RVU22A
2021-10-01$55.52$55.52RVU21D
2021-07-01$55.52$55.52RVU21C
2021-04-01$55.52$55.52RVU21B
2021-01-01$55.52$55.52RVU21A
2020-10-01$58.26$58.26RVU20D
2020-07-01$58.26$58.26RVU20C
2020-04-01$58.26$58.26RVU20B
2020-01-01$58.26$58.26RVU20A
2019-10-01$57.73$57.73RVU19D
2019-07-01$57.73$57.73RVU19C
2019-04-01$57.73$57.73RVU19B
2019-01-01$57.73$57.73RVU19A
2018-10-01$57.99$57.99RVU18D
2018-07-01$57.99$57.99RVU18C
2018-04-01$57.99$57.99RVU18B
2018-01-01$57.99$57.99RVU18AR1
2017-10-01Separate payment rules applySeparate payment rules applyRVU17D
2017-07-01Separate payment rules applySeparate payment rules applyRVU17C
2017-04-01Separate payment rules applySeparate payment rules applyRVU17B
2017-01-01Separate payment rules applySeparate payment rules applyRVU17A
2016-10-01Separate payment rules applySeparate payment rules applyRVU16D
2016-07-01Separate payment rules applySeparate payment rules applyRVU16C
2016-04-01Separate payment rules applySeparate payment rules applyRVU16B
2016-01-01Separate payment rules applySeparate payment rules applyRVU16A
2015-10-01Separate payment rules applySeparate payment rules applyRVU15D
2015-07-01Separate payment rules applySeparate payment rules applyRVU15C
2015-04-01Separate payment rules applySeparate payment rules applyRVU15B
2015-01-01Separate payment rules applySeparate payment rules applyRVU15A
2014-10-01Separate payment rules applySeparate payment rules applyRVU14D
2014-07-01Separate payment rules applySeparate payment rules applyRVU14C
2014-04-01Separate payment rules applySeparate payment rules applyRVU14B
2014-01-01Separate payment rules applySeparate payment rules applyRVU14A
2013-10-01Separate payment rules applySeparate payment rules applyRVU13D
2013-07-01Separate payment rules applySeparate payment rules applyRVU13C
2013-04-01Separate payment rules applySeparate payment rules applyRVU13B
2013-01-01Separate payment rules applySeparate payment rules applyRVU13AR

Price 99091 for an earlier date of service

Where the New Mexico rate applies

New Mexico is a Medicare payment area, not a city. Our Census mapping connects it to 528 cities and communities in New Mexico. Some span more than one payment area; confirm with the service ZIP.

  • Abeytas
  • Abiquiu
  • Acomita Lake
  • Adelino
  • Agua Fria
  • Alamillo
  • Alamo
  • Alamogordo

Browse all communities in New Mexico

99091 billing questions

How does 99091 differ from 99457?

99091 requires at least 30 minutes of professional time collecting and interpreting physiologic data in a 30-day period. 99457 describes remote monitoring treatment-management time and includes an interactive communication requirement.

Can device supply or setup be included in 99091?

No. 99091 describes professional collection and interpretation of the data. Device supply and transmission or initial setup and education are addressed by separate remote-monitoring codes when their requirements are met.

What time should be documented?

Document at least 30 minutes of physician or qualified health care professional time spent collecting and interpreting the transmitted data during the 30-day period. Do not count device setup or patient education as that review time.

What supports reporting this service?

Keep a record of the physiologic data reviewed, the clinical interpretation, the applicable 30-day period, and the professional time spent. Examples include a review of transmitted home blood pressure or glucose readings.

Is 99091 reported per reading or per day?

No. The code is reported for a qualifying 30-day period, not once for each transmitted reading or day.

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

Show the CMS file lines behind this rate
RVUs for 99091PPRRVU2026_Oct_nonQPP.csv, line 12,984 (RVU26D)
Geographic factors for New MexicoGPCI2026.csv, line 77 (RVU26D)

Open CMS sourceHow we calculate rates

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