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

Reports remote physiologic monitoring device supply when connected equipment transmits patient data on 2–15 days during a 30-day period.

CMS RVU26DEffective Oct 1, 2026One payment locality

In Montana, Medicare pays $52.10 for 99445 in the office.

$52.10Office (non-facility)
Not available in this settingHospital or facility
−0.0%vs the national office rate ($52.11)

Check a contract rate as a % of Medicare · 99445 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 99445 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Montana
  2. What 99445 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 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.

How Montana compares for 99445

Across 109 of 109 payment localities, the office rate for 99445 runs from $44.64 in Arkansas to $74.83 in San Benito County, CA. Montana pays $52.10. The RVUs are the same everywhere; the geographic indexes change the dollars.

99445 in Montana vs other payment areas
  1. Montana · this page$52.10
  2. Los Angeles, CA · California$61.47+$9.37
  3. Washington, DC area · District of Columbia$61.36+$9.26
  4. Miami, FL · Florida$54.74+$2.64
  5. Chicago, IL · Illinois$52.80+$0.70
  6. Manhattan, NY · New York$60.69+$8.59
  7. Alaska · Alaska$55.32+$3.22

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

Every other payment area

99445 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$45.49—
ArkansasArkansas$44.64—
ArizonaArizona$50.45—
Bakersfield, CACalifornia$56.94—
Chico, CACalifornia$56.92—
El Centro, CACalifornia$56.92—
Fresno, CACalifornia$56.92—
Hanford, CACalifornia$56.92—

99445 rates by state

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

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.

$44.64

$65.88

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

View every state and territory as a table
99445 office rate range by state
State / territoryOffice rate rangeLocalities
AK$55.321
AL$45.491
AR$44.641
AZ$50.451
CA$56.92–$74.8329
CO$55.351
CT$56.161
DC$61.361
DE$51.451
FL$50.00–$54.743
GA$46.58–$53.002
GU$59.061
HI$59.061
IA$47.501
ID$47.791
IL$47.79–$53.764
IN$48.151
KS$46.971
KY$46.331
LA$46.14–$49.102
MA$54.78–$62.112
MD$52.70–$61.363
ME$47.84–$51.522
MI$47.64–$50.522
MN$53.371
MO$44.95–$49.623
MS$44.821
MT$52.101
NC$48.521
ND$51.911
NE$47.911
NH$54.191
NJ$56.90–$60.412
NM$47.881
NV$52.101
NY$49.42–$62.185
OH$47.601
OK$46.491
OR$51.80–$57.772
PA$47.84–$54.292
PR$52.671
RI$53.781
SC$48.121
SD$51.881
TN$47.241
TX$47.42–$55.078
UT$48.971
VA$51.13–$61.362
VI$52.671
VT$51.421
WA$54.77–$63.802
WI$49.701
WV$45.471
WY$52.021

See 99445 in every payment locality

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.

How the rate is built · 99445

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.00

0.00 RVUs× 1.000 GPCI

Practice expense1.55

1.55 RVUs× 1.000 GPCI

Malpractice0.01

0.01 RVUs× 1.000 GPCI

Adjusted RVUs

1.5600

Conversion factor

$33.4009

Medicare rate

$52.11

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

The exact Montana inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

13,112

Code
99445
Physician work
0.00
Practice expense
1.55
Malpractice
0.01

GPCI2026.csv

71

Locality
Montana
Physician work
1.000
Practice expense
1.000
Malpractice
0.998
Office calculation for 99445 in Montana
ComponentRVULocality factorAdjusted
Physician work0.00× 1.0000.0000
Practice expense1.55× 1.0001.5500
Malpractice0.01× 0.9980.0100
Total RVUs1.5600
Conversion factor× 33.4009

Office rate, Montana$52.10

Office: (0 × 1 + 1.55 × 1 + 0.01 × 0.998) × $33.4009 = $52.10

Open 99445 in the RVU calculator

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.

Place of service · 99445

Which rate does Medicare pay?

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

POS 11 · non-facility rate · national

$52.11

Higher because the practice carries its own overhead.

How 99445 has changed in Montana

99445 · Office / nonfacility

$52.10

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

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

    No ratechanged to$52.10

    Held through RVU26B, RVU26C, RVU26D.

  2. 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, RVU18AR1, RVU18B, RVU18C, RVU18D, RVU19A, RVU19B, RVU19C, RVU19D, RVU20A, RVU20B, RVU20C, RVU20D, RVU21A, RVU21B, RVU21C, RVU21D, RVU22A, RVU22B, RVU22C, RVU22D, RVU23A, RVU23B, RVU23C, RVU23D, RVU24A, RVU24AR, RVU24B, RVU24C, RVU24D, RVU25A, RVU25B, RVU25C, RVU25D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$52.10Not available in this settingRVU26D
2026-07-01$52.10Not available in this settingRVU26C
2026-04-01$52.10Not available in this settingRVU26B
2026-01-01$52.10Not available in this settingRVU26A
2025-10-01Not in this releaseNot in this releaseRVU25D
2025-07-01Not in this releaseNot in this releaseRVU25C
2025-04-01Not in this releaseNot in this releaseRVU25B
2025-01-01Not in this releaseNot in this releaseRVU25A
2024-10-01Not in this releaseNot in this releaseRVU24D
2024-07-01Not in this releaseNot in this releaseRVU24C
2024-04-01Not in this releaseNot in this releaseRVU24B
2024-03-09Not in this releaseNot in this releaseRVU24AR
2024-01-01Not in this releaseNot in this releaseRVU24A
2023-10-01Not in this releaseNot in this releaseRVU23D
2023-07-01Not in this releaseNot in this releaseRVU23C
2023-04-01Not in this releaseNot in this releaseRVU23B
2023-01-01Not in this releaseNot in this releaseRVU23A
2022-10-01Not in this releaseNot in this releaseRVU22D
2022-07-01Not in this releaseNot in this releaseRVU22C
2022-04-01Not in this releaseNot in this releaseRVU22B
2022-01-01Not in this releaseNot in this releaseRVU22A
2021-10-01Not in this releaseNot in this releaseRVU21D
2021-07-01Not in this releaseNot in this releaseRVU21C
2021-04-01Not in this releaseNot in this releaseRVU21B
2021-01-01Not in this releaseNot in this releaseRVU21A
2020-10-01Not in this releaseNot in this releaseRVU20D
2020-07-01Not in this releaseNot in this releaseRVU20C
2020-04-01Not in this releaseNot in this releaseRVU20B
2020-01-01Not in this releaseNot in this releaseRVU20A
2019-10-01Not in this releaseNot in this releaseRVU19D
2019-07-01Not in this releaseNot in this releaseRVU19C
2019-04-01Not in this releaseNot in this releaseRVU19B
2019-01-01Not in this releaseNot in this releaseRVU19A
2018-10-01Not in this releaseNot in this releaseRVU18D
2018-07-01Not in this releaseNot in this releaseRVU18C
2018-04-01Not in this releaseNot in this releaseRVU18B
2018-01-01Not in this releaseNot in this releaseRVU18AR1
2017-10-01Not in this releaseNot in this releaseRVU17D
2017-07-01Not in this releaseNot in this releaseRVU17C
2017-04-01Not in this releaseNot in this releaseRVU17B
2017-01-01Not in this releaseNot in this releaseRVU17A
2016-10-01Not in this releaseNot in this releaseRVU16D
2016-07-01Not in this releaseNot in this releaseRVU16C
2016-04-01Not in this releaseNot in this releaseRVU16B
2016-01-01Not in this releaseNot in this releaseRVU16A
2015-10-01Not in this releaseNot in this releaseRVU15D
2015-07-01Not in this releaseNot in this releaseRVU15C
2015-04-01Not in this releaseNot in this releaseRVU15B
2015-01-01Not in this releaseNot in this releaseRVU15A
2014-10-01Not in this releaseNot in this releaseRVU14D
2014-07-01Not in this releaseNot in this releaseRVU14C
2014-04-01Not in this releaseNot in this releaseRVU14B
2014-01-01Not in this releaseNot in this releaseRVU14A
2013-10-01Not in this releaseNot in this releaseRVU13D
2013-07-01Not in this releaseNot in this releaseRVU13C
2013-04-01Not in this releaseNot in this releaseRVU13B
2013-01-01Not in this releaseNot in this releaseRVU13AR

Price 99445 for an earlier date of service

Where the Montana rate applies

Montana is a Medicare payment area, not a city. Our Census mapping connects it to 497 cities and communities in Montana. Some span more than one payment area; confirm with the service ZIP.

  • Absarokee
  • Acton
  • Alberton
  • Alder
  • Alzada
  • Amsterdam
  • Anaconda-Deer Lodge County
  • Antelope

Browse all communities in Montana

99445 billing questions

How do I choose between 99445 and 99454?

Count the qualifying days with device recordings or programmed transmissions in the 30-day period. Use 99445 for 2–15 days and compare with 99454 for 16–30 days.

What documentation supports 99445?

Keep the device and physiologic parameter identified, along with the reporting period and transmitted-data days. The record should support that the service involved remote physiologic monitoring.

Does 99445 report clinician review or treatment time?

No. It describes device supply and data transmission; clinician treatment-management work is a separate service, such as the work represented by 99457 when its requirements are met.

Can 99445 be reported with 99453?

They describe different parts of an RPM program: 99453 covers setup and patient education, while 99445 covers device supply for the qualifying transmission days.

Is 99445 reported for each transmission?

No. Select the code based on the qualifying transmission-day count for the 30-day period, not the number of individual data readings.

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 99445PPRRVU2026_Oct_nonQPP.csv, line 13,112 (RVU26D)
Geographic factors for MontanaGPCI2026.csv, line 71 (RVU26D)

Open CMS sourceHow we calculate rates

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