CPT code 99445: RPM device supply, 2–15 transmission days2026 Medicare rate & RVUs

Medicare pays $52.11 for 99445 nationally in the office. Local office rates run $44.64–$74.83.

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

What 99445 covers

99445 represents the device-supply service for remote physiologic monitoring when connected equipment records a physiologic measure and sends recordings or programmed alerts on 2–15 days in a 30-day period. Common measures include home blood pressure, body weight, pulse oximetry, and glucose for monitoring conditions such as hypertension, heart failure, or diabetes. A physician or other qualified practitioner typically orders the monitoring, and practice staff coordinate the patient's use of the equipment.

Choose this code based on qualifying transmission days across the 30-day period: 2–15 days supports 99445, while 16–30 days points to 99454. Documentation should identify the monitoring device and parameter, the reporting period, and the days with transmitted data. This code represents device supply, not clinician time spent reviewing results or managing treatment. The CMS fee schedule assigns it zero work RVUs, consistent with a device-supply service.

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 99445 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

99445 rates by state

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

How the 99445 rate is calculated

Each of 99445’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 99445

99445 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.

99445 compared with similar codes

How to choose

99454RPM device supply16-30 days of readings

Both describe RPM device supply, but the qualifying transmission-day count differs: 99445 is for 2–15 days and 99454 for 16–30 days in a 30-day period.

99453RPM setupInitial setup and education

99453 covers initial equipment setup and patient instruction. Choose 99445 for the device-supply service based on qualifying transmission days.

99457RPM managementFirst 20 minutes per month

99457 represents time-based RPM treatment management, including required patient or caregiver communication; 99445 represents device supply and transmission days.

Codes related to 99445

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