CPT code 99470: RPM management, first 10 minutes2026 Medicare rate & RVUs

Medicare pays $26.05 for 99470 nationally in the office and $13.36 in a hospital or facility. Local office rates run $23.61–$33.53.

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

What 99470 covers

99470 represents monthly treatment-management work based on physiologic readings transmitted from a connected medical device. Examples include reviewing a patient’s home blood-pressure, weight, glucose, or pulse-oximetry trends and responding with a clinically appropriate management action. A physician, qualified health care professional, or clinical staff member may perform the work for a patient monitored at home for a health condition. The service requires at least one interactive communication with the patient or caregiver during the month.

Report the code for its first 10 minutes of qualifying treatment-management time in a calendar month; device setup and device supply are separate services. Documentation should identify the monitored condition and readings, the clinical review and management work, the interactive communication, and the time spent. Distinguish this shorter time threshold from 99457, which represents the longer initial monthly treatment-management threshold, and avoid counting the same work twice.

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.

Where 99470 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

99470 rates by state

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

How the 99470 rate is calculated

Each of 99470’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 99470

99470 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.

99470 compared with similar codes

How to choose

99457RPM managementFirst 20 minutes per month

99457 represents the longer initial monthly treatment-management time threshold; 99470 represents the first 10 minutes.

99458RPM management add-onEach additional 20 minutes per month

99458 reports additional treatment-management time with 99457. It is not the add-on code for 99470.

99453RPM setupInitial setup and education

99453 covers initial setup and patient education for remote monitoring; 99470 covers monthly treatment-management work.

99454RPM device supply16-30 days of readings

99454 is for supplying the monitoring device and related transmission service; 99470 is for treatment-management time.

Codes related to 99470

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

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