CPT code 99458: RPM management add-on, each additional 20 minutes per month2026 Medicare rate & RVUs in Virginia

In Virginia, Medicare pays $40.69 for 99458 in the office and $25.91 when it’s performed in a hospital or facility.

Check a contract rate as a % of Medicare · 99458 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 99458 covers

This service covers extended management time when a physician, other qualified health care professional, or clinical staff reviews readings from a remote physiologic monitoring device and acts on them. Typical devices include blood pressure cuffs, weight scales, glucometers, and pulse oximeters used by patients with hypertension, heart failure, diabetes, or COPD. The work can include reviewing transmitted readings, coordinating care-plan changes, and communicating with the patient or caregiver. Primary care, cardiology, and endocrinology practices commonly provide this service, including through clinical staff working under general supervision.

Management time accumulates across the calendar month. The first 20 minutes, including at least one real-time interactive communication, are reported with 99457. Each additional full 20 minutes supports one unit of 99458: a month with 60 total minutes supports 99457 plus two units of 99458. Remaining time short of another 20 minutes does not support another unit. Documentation should identify dates, minutes, personnel, and management activities. As an add-on code, 99458 is reported with its primary code, 99457, rather than alone, and CMS pays it within the primary service's global period.

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 Virginia compares for 99458

Across 109 of 109 payment localities, the office rate for 99458 runs from $37.99 in Arkansas to $52.29 in Alaska. Virginia pays $40.69. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

99458 rates by state

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

See 99458 in every payment locality

How the 99458 rate is calculated

Each of 99458’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 99458

The CMS indicators that decide how 99458 is paid alongside other services.

Codes related to 99458

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

How 99458 has changed in Virginia

Price 99458 for an earlier date of service

Where the Virginia rate applies

Virginia is a Medicare payment area, not a city. Our Census mapping connects it to 628 cities and communities in Virginia. Some span more than one payment area; confirm with the service ZIP.

• Abbs Valley
• Abingdon
• Accomac
• Adwolf
• Afton
• Alberta
• Aldie
• Allison Gap

Browse all communities in Virginia

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