CPT code 99457: RPM management, first 20 minutes per month2026 Medicare rate & RVUs in Connecticut

In Connecticut, Medicare pays $54.77 for 99457 in the office and $27.43 when it’s performed in a hospital or facility.

Check a contract rate as a % of Medicare · 99457 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 99457 covers

This service involves reviewing remotely transmitted physiologic readings and managing the patient's care. Examples include blood pressure readings for hypertension, weight trends for heart failure, pulse oximetry for chronic lung disease, and connected glucose readings for diabetes. A physician, other qualified health care professional, or clinical staff working under the billing practitioner's direction reviews trends, discusses findings with the patient or caregiver, and considers treatment changes. Primary care and specialty practices commonly perform this work from an office or remote care-management setting.

Count qualifying management time across the calendar month. Report 99457 once when at least 20 minutes have been furnished, including at least one real-time, two-way communication with the patient or caregiver. Report add-on 99458 for each additional full 20 minutes. Records should identify the dates, time spent, personnel, readings reviewed, management actions, and interactive contact. Device supply, when supported, is reported separately from management time. CMS assigns substantially more practice expense to this service in an office than in a facility. Do not count the same minutes toward chronic care management or another timed 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 Connecticut compares for 99457

Across 109 of 109 payment localities, the office rate for 99457 runs from $46.88 in Arkansas to $66.68 in San Benito County, CA. Connecticut pays $54.77. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

99457 rates by state

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

See 99457 in every payment locality

How the 99457 rate is calculated

Each of 99457’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 99457

99457 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 99457

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

How 99457 has changed in Connecticut

Price 99457 for an earlier date of service

Where the Connecticut rate applies

Connecticut is a Medicare payment area, not a city. Our Census mapping connects it to 215 cities and communities in Connecticut. Some span more than one payment area; confirm with the service ZIP.

• Ansonia
• Ball Pond
• Baltic
• Bantam
• Bethel
• Bethlehem Village
• Bigelow Corners
• Blue Hills

Browse all communities in Connecticut

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