CPT code 99445: RPM device supply, 2–15 transmission days2026 Medicare rate & RVUs in Vermont
Reports remote physiologic monitoring device supply when connected equipment transmits patient data on 2–15 days during a 30-day period.
In Vermont, Medicare pays $51.42 for 99445 in the office.
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.
On this page 11 sections
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 Vermont 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. Vermont pays $51.42. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Vermont · this page$51.42
- Los Angeles, CA · California$61.47+$10.05
- Washington, DC area · District of Columbia$61.36+$9.94
- Miami, FL · Florida$54.74+$3.32
- Chicago, IL · Illinois$52.80+$1.38
- Manhattan, NY · New York$60.69+$9.27
- Alaska · Alaska$55.32+$3.90
Other areas in Vermont first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| 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 | — |
| Madera, CACalifornia | $56.92 | — |
| Merced, CACalifornia | $56.92 | — |
| Modesto, CACalifornia | $56.92 | — |
| Napa, CACalifornia | $68.40 | — |
| Oxnard, CACalifornia | $61.40 | — |
| Redding, CACalifornia | $56.92 | — |
| Rest of CaliforniaCalifornia | $56.92 | — |
| Riverside, CACalifornia | $57.03 | — |
| Sacramento, CACalifornia | $60.39 | — |
| Salinas, CACalifornia | $60.18 | — |
| San Diego, CACalifornia | $62.10 | — |
| Marin County, CACalifornia | $73.15 | — |
| San Francisco, CACalifornia | $73.14 | — |
| San Benito County, CACalifornia | $74.83 | — |
| Santa Clara County, CACalifornia | $74.79 | — |
| San Luis Obispo, CACalifornia | $59.15 | — |
| Santa Cruz, CACalifornia | $63.08 | — |
| Santa Maria, CACalifornia | $60.54 | — |
| Santa Rosa, CACalifornia | $63.75 | — |
| Stockton, CACalifornia | $56.92 | — |
| Vallejo, CACalifornia | $68.39 | — |
| Visalia, CACalifornia | $56.92 | — |
| Yuba City, CACalifornia | $56.92 | — |
| ColoradoColorado | $55.35 | — |
| ConnecticutConnecticut | $56.16 | — |
| DelawareDelaware | $51.45 | — |
| Fort Lauderdale, FLFlorida | $53.05 | — |
| Rest of FloridaFlorida | $50.00 | — |
| Atlanta, GAGeorgia | $53.00 | — |
| Rest of GeorgiaGeorgia | $46.58 | — |
| Hawaii, Guam, HIHawaii | $59.06 | — |
| IowaIowa | $47.50 | — |
| IdahoIdaho | $47.79 | — |
| East St. Louis, ILIllinois | $48.30 | — |
| Rest of IllinoisIllinois | $47.79 | — |
| Suburban Chicago, ILIllinois | $53.76 | — |
| IndianaIndiana | $48.15 | — |
| KansasKansas | $46.97 | — |
| KentuckyKentucky | $46.33 | — |
| New Orleans, LALouisiana | $49.10 | — |
| Rest of LouisianaLouisiana | $46.14 | — |
| Metropolitan Boston, MAMassachusetts | $62.11 | — |
| Rest of MassachusettsMassachusetts | $54.78 | — |
| Baltimore area, MDMaryland | $55.96 | — |
| Rest of MarylandMaryland | $52.70 | — |
| Rest of MaineMaine | $47.84 | — |
| Southern Maine, MEMaine | $51.52 | — |
| Detroit, MIMichigan | $50.52 | — |
| Rest of MichiganMichigan | $47.64 | — |
| MinnesotaMinnesota | $53.37 | — |
| Metropolitan Kansas City, MOMissouri | $48.94 | — |
| Metropolitan St. Louis, MOMissouri | $49.62 | — |
| Rest of MissouriMissouri | $44.95 | — |
| MississippiMississippi | $44.82 | — |
| MontanaMontana | $52.10 | — |
| North CarolinaNorth Carolina | $48.52 | — |
| North DakotaNorth Dakota | $51.91 | — |
| NebraskaNebraska | $47.91 | — |
| New HampshireNew Hampshire | $54.19 | — |
| Northern New JerseyNew Jersey | $60.41 | — |
| Rest of New JerseyNew Jersey | $56.90 | — |
| New MexicoNew Mexico | $47.88 | — |
| NevadaNevada | $52.10 | — |
| NYC suburbs and Long Island, NYNew York | $62.18 | — |
| Poughkeepsie and northern NYC suburbs, NYNew York | $57.09 | — |
| Queens, NYNew York | $61.68 | — |
| Rest of New YorkNew York | $49.42 | — |
| OhioOhio | $47.60 | — |
| OklahomaOklahoma | $46.49 | — |
| Portland, OROregon | $57.77 | — |
| Rest of OregonOregon | $51.80 | — |
| Metropolitan Philadelphia, PAPennsylvania | $54.29 | — |
| Rest of PennsylvaniaPennsylvania | $47.84 | — |
| Puerto RicoPuerto Rico | $52.67 | — |
| Rhode IslandRhode Island | $53.78 | — |
| South CarolinaSouth Carolina | $48.12 | — |
| South DakotaSouth Dakota | $51.88 | — |
| TennesseeTennessee | $47.24 | — |
| Austin, TXTexas | $55.07 | — |
| Beaumont, TXTexas | $47.42 | — |
| Brazoria, TXTexas | $51.57 | — |
| Dallas, TXTexas | $51.85 | — |
| Fort Worth, TXTexas | $51.34 | — |
| Galveston, TXTexas | $51.69 | — |
| Houston, TXTexas | $51.87 | — |
| Rest of TexasTexas | $49.43 | — |
| UtahUtah | $48.97 | — |
| VirginiaVirginia | $51.13 | — |
| Virgin Islands, VIUnited States Virgin Islands | $52.67 | — |
| Rest of WashingtonWashington | $54.77 | — |
| King County, WAWashington | $63.80 | — |
| WisconsinWisconsin | $49.70 | — |
| West VirginiaWest Virginia | $45.47 | — |
| WyomingWyoming | $52.02 | — |
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
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $55.32 | 1 |
| AL | $45.49 | 1 |
| AR | $44.64 | 1 |
| AZ | $50.45 | 1 |
| CA | $56.92–$74.83 | 29 |
| CO | $55.35 | 1 |
| CT | $56.16 | 1 |
| DC | $61.36 | 1 |
| DE | $51.45 | 1 |
| FL | $50.00–$54.74 | 3 |
| GA | $46.58–$53.00 | 2 |
| GU | $59.06 | 1 |
| HI | $59.06 | 1 |
| IA | $47.50 | 1 |
| ID | $47.79 | 1 |
| IL | $47.79–$53.76 | 4 |
| IN | $48.15 | 1 |
| KS | $46.97 | 1 |
| KY | $46.33 | 1 |
| LA | $46.14–$49.10 | 2 |
| MA | $54.78–$62.11 | 2 |
| MD | $52.70–$61.36 | 3 |
| ME | $47.84–$51.52 | 2 |
| MI | $47.64–$50.52 | 2 |
| MN | $53.37 | 1 |
| MO | $44.95–$49.62 | 3 |
| MS | $44.82 | 1 |
| MT | $52.10 | 1 |
| NC | $48.52 | 1 |
| ND | $51.91 | 1 |
| NE | $47.91 | 1 |
| NH | $54.19 | 1 |
| NJ | $56.90–$60.41 | 2 |
| NM | $47.88 | 1 |
| NV | $52.10 | 1 |
| NY | $49.42–$62.18 | 5 |
| OH | $47.60 | 1 |
| OK | $46.49 | 1 |
| OR | $51.80–$57.77 | 2 |
| PA | $47.84–$54.29 | 2 |
| PR | $52.67 | 1 |
| RI | $53.78 | 1 |
| SC | $48.12 | 1 |
| SD | $51.88 | 1 |
| TN | $47.24 | 1 |
| TX | $47.42–$55.07 | 8 |
| UT | $48.97 | 1 |
| VA | $51.13–$61.36 | 2 |
| VI | $52.67 | 1 |
| VT | $51.42 | 1 |
| WA | $54.77–$63.80 | 2 |
| WI | $49.70 | 1 |
| WV | $45.47 | 1 |
| WY | $52.02 | 1 |
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
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 Vermont 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
105
- Locality
- Vermont
- Physician work
- 1.000
- Practice expense
- 0.990
- Malpractice
- 0.506
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.00 | × 1.000 | 0.0000 |
| Practice expense | 1.55 | × 0.990 | 1.5345 |
| Malpractice | 0.01 | × 0.506 | 0.0051 |
| Total RVUs | 1.5396 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Vermont$51.42
Office: (0 × 1 + 1.55 × 0.99 + 0.01 × 0.506) × $33.4009 = $51.42
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 Vermont
99445 · Office / nonfacility
$51.42
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.
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
January 1, 2026
RVU26A
No ratechanged to$51.42
Held through RVU26B, RVU26C, RVU26D.
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.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $51.42 | Not available in this setting | RVU26D |
| 2026-07-01 | $51.42 | Not available in this setting | RVU26C |
| 2026-04-01 | $51.42 | Not available in this setting | RVU26B |
| 2026-01-01 | $51.42 | Not available in this setting | RVU26A |
| 2025-10-01 | Not in this release | Not in this release | RVU25D |
| 2025-07-01 | Not in this release | Not in this release | RVU25C |
| 2025-04-01 | Not in this release | Not in this release | RVU25B |
| 2025-01-01 | Not in this release | Not in this release | RVU25A |
| 2024-10-01 | Not in this release | Not in this release | RVU24D |
| 2024-07-01 | Not in this release | Not in this release | RVU24C |
| 2024-04-01 | Not in this release | Not in this release | RVU24B |
| 2024-03-09 | Not in this release | Not in this release | RVU24AR |
| 2024-01-01 | Not in this release | Not in this release | RVU24A |
| 2023-10-01 | Not in this release | Not in this release | RVU23D |
| 2023-07-01 | Not in this release | Not in this release | RVU23C |
| 2023-04-01 | Not in this release | Not in this release | RVU23B |
| 2023-01-01 | Not in this release | Not in this release | RVU23A |
| 2022-10-01 | Not in this release | Not in this release | RVU22D |
| 2022-07-01 | Not in this release | Not in this release | RVU22C |
| 2022-04-01 | Not in this release | Not in this release | RVU22B |
| 2022-01-01 | Not in this release | Not in this release | RVU22A |
| 2021-10-01 | Not in this release | Not in this release | RVU21D |
| 2021-07-01 | Not in this release | Not in this release | RVU21C |
| 2021-04-01 | Not in this release | Not in this release | RVU21B |
| 2021-01-01 | Not in this release | Not in this release | RVU21A |
| 2020-10-01 | Not in this release | Not in this release | RVU20D |
| 2020-07-01 | Not in this release | Not in this release | RVU20C |
| 2020-04-01 | Not in this release | Not in this release | RVU20B |
| 2020-01-01 | Not in this release | Not in this release | RVU20A |
| 2019-10-01 | Not in this release | Not in this release | RVU19D |
| 2019-07-01 | Not in this release | Not in this release | RVU19C |
| 2019-04-01 | Not in this release | Not in this release | RVU19B |
| 2019-01-01 | Not in this release | Not in this release | RVU19A |
| 2018-10-01 | Not in this release | Not in this release | RVU18D |
| 2018-07-01 | Not in this release | Not in this release | RVU18C |
| 2018-04-01 | Not in this release | Not in this release | RVU18B |
| 2018-01-01 | Not in this release | Not in this release | RVU18AR1 |
| 2017-10-01 | Not in this release | Not in this release | RVU17D |
| 2017-07-01 | Not in this release | Not in this release | RVU17C |
| 2017-04-01 | Not in this release | Not in this release | RVU17B |
| 2017-01-01 | Not in this release | Not in this release | RVU17A |
| 2016-10-01 | Not in this release | Not in this release | RVU16D |
| 2016-07-01 | Not in this release | Not in this release | RVU16C |
| 2016-04-01 | Not in this release | Not in this release | RVU16B |
| 2016-01-01 | Not in this release | Not in this release | RVU16A |
| 2015-10-01 | Not in this release | Not in this release | RVU15D |
| 2015-07-01 | Not in this release | Not in this release | RVU15C |
| 2015-04-01 | Not in this release | Not in this release | RVU15B |
| 2015-01-01 | Not in this release | Not in this release | RVU15A |
| 2014-10-01 | Not in this release | Not in this release | RVU14D |
| 2014-07-01 | Not in this release | Not in this release | RVU14C |
| 2014-04-01 | Not in this release | Not in this release | RVU14B |
| 2014-01-01 | Not in this release | Not in this release | RVU14A |
| 2013-10-01 | Not in this release | Not in this release | RVU13D |
| 2013-07-01 | Not in this release | Not in this release | RVU13C |
| 2013-04-01 | Not in this release | Not in this release | RVU13B |
| 2013-01-01 | Not in this release | Not in this release | RVU13AR |
Where the Vermont rate applies
Vermont is a Medicare payment area, not a city. Our Census mapping connects it to 180 cities and communities in Vermont. Some span more than one payment area; confirm with the service ZIP.
- Albany
- Alburgh
- Algiers
- Arlington
- Ascutney
- Bakersfield
- Barnet
- Barre
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
Fee sheets
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Your codes at your locality, with payer contracts beside Medicare.
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