CPT code 99454: RPM device supply, 16-30 days of readings2026 Medicare rate & RVUs in Puerto Rico

In Puerto Rico, Medicare pays $52.67 for 99454 in the office.

Check a contract rate as a % of Medicare · 99454 nationwide

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

What 99454 covers

This service covers supplying a connected medical device that collects and transmits physiologic data, such as blood pressure, weight, pulse oximetry, or blood glucose, from the patient's home. The device provides daily recordings or programmed alert transmissions. It is usually billed by primary care, cardiology, endocrinology, and nephrology practices managing hypertension, heart failure, diabetes, or COPD. Clinical staff or an RPM vendor working under the billing practitioner typically provide the equipment and track whether data arrives. Readings must be captured and sent electronically by the device. Readings the patient types in or reports by phone do not count.

Report one unit per 30-day period only when data was transmitted on at least 16 days. If data came in on 2 to 15 days, report 99445 instead. The service has no physician work RVUs; its value comes almost entirely from practice expense for the device and data transmission. Documentation should identify the device, monitoring order, condition being monitored, and transmission dates. Medicare expects an established patient relationship. Only one practitioner may bill device supply for a patient in a given 30-day period. Treatment management time is reported separately with 99457 and, when supported, 99458.

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 Puerto Rico compares for 99454

Across 109 of 109 payment localities, the office rate for 99454 runs from $44.64 in Arkansas to $74.83 in San Benito County, CA. Puerto Rico pays $52.67. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

99454 rates by state

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

See 99454 in every payment locality

How the 99454 rate is calculated

Each of 99454’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 99454

99454 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.

Codes related to 99454

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

How 99454 has changed in Puerto Rico

Price 99454 for an earlier date of service

Where the Puerto Rico rate applies

Puerto Rico is a Medicare payment area, not a city. Our Census mapping connects it to 292 cities and communities in Puerto Rico. Some span more than one payment area; confirm with the service ZIP.

• Aceitunas
• Adjuntas
• Aguada
• Aguadilla
• Aguas Buenas
• Aguas Claras
• Aguilita
• Aibonito

Browse all communities in Puerto Rico

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