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

Report 99470 for the first 10 minutes of monthly remote physiologic monitoring treatment-management work, including an interactive communication with the patient or caregiver.

CMS RVU26DEffective Oct 1, 2026One payment locality

In Montana, Medicare pays $26.05 for 99470 in the office and $13.36 when it’s performed in a hospital or facility.

$26.05Office (non-facility)
$13.36Hospital or facility
+0.0%vs the national office rate ($26.05)

Check a contract rate as a % of Medicare · 99470 nationwide

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

We’ll open 99470 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Montana
  2. What 99470 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

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.

How Montana compares for 99470

Across 109 of 109 payment localities, the office rate for 99470 runs from $23.61 in Arkansas to $33.53 in San Benito County, CA. Montana pays $26.05. The RVUs are the same everywhere; the geographic indexes change the dollars.

99470 in Montana vs other payment areas
  1. Montana · this page$26.05
  2. Los Angeles, CA · California$29.00+$2.95
  3. Washington, DC area · District of Columbia$29.36+$3.31
  4. Miami, FL · Florida$27.69+$1.64
  5. Chicago, IL · Illinois$27.07+$1.02
  6. Manhattan, NY · New York$29.54+$3.49
  7. Alaska · Alaska$31.91+$5.86

Other areas in Montana first, then benchmark localities. Bars start at $0.

Every other payment area

99470 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$23.88$12.78
ArkansasArkansas$23.61$12.71
ArizonaArizona$25.49$13.19
Bakersfield, CACalifornia$27.43$13.52
Chico, CACalifornia$27.36$13.45
El Centro, CACalifornia$27.37$13.45
Fresno, CACalifornia$27.36$13.45
Hanford, CACalifornia$27.36$13.45

99470 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.

$23.61

$31.91

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
99470 office rate range by state
State / territoryOffice rate rangeLocalities
AK$31.911
AL$23.881
AR$23.611
AZ$25.491
CA$27.36–$33.5329
CO$26.991
CT$27.561
DC$29.361
DE$25.861
FL$25.73–$27.693
GA$24.56–$26.462
GU$27.831
HI$27.831
IA$24.371
ID$24.501
IL$25.12–$27.074
IN$24.611
KS$24.281
KY$24.331
LA$24.30–$25.262
MA$26.88–$29.322
MD$26.28–$29.363
ME$24.60–$25.672
MI$24.83–$25.982
MN$26.021
MO$23.96–$25.333
MS$23.791
MT$26.051
NC$24.801
ND$25.661
NE$24.481
NH$26.591
NJ$27.91–$29.162
NM$24.941
NV$25.961
NY$25.10–$30.135
OH$24.751
OK$24.301
OR$25.79–$27.722
PA$24.78–$26.982
PR$26.211
RI$26.671
SC$24.811
SD$25.611
TN$24.381
TX$24.65–$26.878
UT$25.081
VA$25.60–$29.362
VI$26.211
VT$25.571
WA$26.82–$29.862
WI$24.961
WV$24.371
WY$25.881

See 99470 in every payment locality

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.

How the rate is built · 99470

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.31

0.31 RVUs× 1.000 GPCI

Practice expense0.45

0.45 RVUs× 1.000 GPCI

Malpractice0.02

0.02 RVUs× 1.000 GPCI

Adjusted RVUs

0.7800

Conversion factor

$33.4009

Medicare rate

$26.05

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Montana inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

13,137

Code
99470
Physician work
0.31
Practice expense
0.45
Malpractice
0.02

GPCI2026.csv

71

Locality
Montana
Physician work
1.000
Practice expense
1.000
Malpractice
0.998
Office calculation for 99470 in Montana
ComponentRVULocality factorAdjusted
Physician work0.31× 1.0000.3100
Practice expense0.45× 1.0000.4500
Malpractice0.02× 0.9980.0200
Total RVUs0.7800
Conversion factor× 33.4009

Office rate, Montana$26.05

Office: (0.31 × 1 + 0.45 × 1 + 0.02 × 0.998) × $33.4009 = $26.05

Facility: (0.31 × 1 + 0.07 × 1 + 0.02 × 0.998) × $33.4009 = $13.36

Open 99470 in the RVU calculator

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.

Place of service · 99470

Which rate does Medicare pay?

The POS code on the claim line (CMS-1500 box 24B).

POS 11 · non-facility rate · national

$26.05

Non-facility (office)
$26.05
Facility
$13.36

Higher because the practice carries its own overhead.

How 99470 has changed in Montana

99470 · Office / nonfacility

$26.05

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.

Base rate by release · bars start at $0 · select a bar to compare

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
  1. January 1, 2026

    RVU26A

    No ratechanged to$26.05

    Held through RVU26B, RVU26C, RVU26D.

  2. 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.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$26.05$13.36RVU26D
2026-07-01$26.05$13.36RVU26C
2026-04-01$26.05$13.36RVU26B
2026-01-01$26.05$13.36RVU26A
2025-10-01Not in this releaseNot in this releaseRVU25D
2025-07-01Not in this releaseNot in this releaseRVU25C
2025-04-01Not in this releaseNot in this releaseRVU25B
2025-01-01Not in this releaseNot in this releaseRVU25A
2024-10-01Not in this releaseNot in this releaseRVU24D
2024-07-01Not in this releaseNot in this releaseRVU24C
2024-04-01Not in this releaseNot in this releaseRVU24B
2024-03-09Not in this releaseNot in this releaseRVU24AR
2024-01-01Not in this releaseNot in this releaseRVU24A
2023-10-01Not in this releaseNot in this releaseRVU23D
2023-07-01Not in this releaseNot in this releaseRVU23C
2023-04-01Not in this releaseNot in this releaseRVU23B
2023-01-01Not in this releaseNot in this releaseRVU23A
2022-10-01Not in this releaseNot in this releaseRVU22D
2022-07-01Not in this releaseNot in this releaseRVU22C
2022-04-01Not in this releaseNot in this releaseRVU22B
2022-01-01Not in this releaseNot in this releaseRVU22A
2021-10-01Not in this releaseNot in this releaseRVU21D
2021-07-01Not in this releaseNot in this releaseRVU21C
2021-04-01Not in this releaseNot in this releaseRVU21B
2021-01-01Not in this releaseNot in this releaseRVU21A
2020-10-01Not in this releaseNot in this releaseRVU20D
2020-07-01Not in this releaseNot in this releaseRVU20C
2020-04-01Not in this releaseNot in this releaseRVU20B
2020-01-01Not in this releaseNot in this releaseRVU20A
2019-10-01Not in this releaseNot in this releaseRVU19D
2019-07-01Not in this releaseNot in this releaseRVU19C
2019-04-01Not in this releaseNot in this releaseRVU19B
2019-01-01Not in this releaseNot in this releaseRVU19A
2018-10-01Not in this releaseNot in this releaseRVU18D
2018-07-01Not in this releaseNot in this releaseRVU18C
2018-04-01Not in this releaseNot in this releaseRVU18B
2018-01-01Not in this releaseNot in this releaseRVU18AR1
2017-10-01Not in this releaseNot in this releaseRVU17D
2017-07-01Not in this releaseNot in this releaseRVU17C
2017-04-01Not in this releaseNot in this releaseRVU17B
2017-01-01Not in this releaseNot in this releaseRVU17A
2016-10-01Not in this releaseNot in this releaseRVU16D
2016-07-01Not in this releaseNot in this releaseRVU16C
2016-04-01Not in this releaseNot in this releaseRVU16B
2016-01-01Not in this releaseNot in this releaseRVU16A
2015-10-01Not in this releaseNot in this releaseRVU15D
2015-07-01Not in this releaseNot in this releaseRVU15C
2015-04-01Not in this releaseNot in this releaseRVU15B
2015-01-01Not in this releaseNot in this releaseRVU15A
2014-10-01Not in this releaseNot in this releaseRVU14D
2014-07-01Not in this releaseNot in this releaseRVU14C
2014-04-01Not in this releaseNot in this releaseRVU14B
2014-01-01Not in this releaseNot in this releaseRVU14A
2013-10-01Not in this releaseNot in this releaseRVU13D
2013-07-01Not in this releaseNot in this releaseRVU13C
2013-04-01Not in this releaseNot in this releaseRVU13B
2013-01-01Not in this releaseNot in this releaseRVU13AR

Price 99470 for an earlier date of service

Where the Montana rate applies

Montana is a Medicare payment area, not a city. Our Census mapping connects it to 497 cities and communities in Montana. Some span more than one payment area; confirm with the service ZIP.

  • Absarokee
  • Acton
  • Alberton
  • Alder
  • Alzada
  • Amsterdam
  • Anaconda-Deer Lodge County
  • Antelope

Browse all communities in Montana

99470 billing questions

When should I choose 99470 instead of 99457?

Use 99470 for the first 10 minutes of qualifying remote monitoring treatment-management work in the month. Code 99457 represents the longer initial time threshold.

Is an interactive communication required?

Yes. The service includes at least one interactive communication with the patient or caregiver during the calendar month.

Can 99470 and 99457 be reported for the same monthly work?

Do not count the same treatment-management minutes twice. Select the code that matches the qualifying monthly time documented.

Can 99458 be added to 99470?

99458 is additional treatment-management time reported with 99457. It should not be used to extend 99470.

Does device setup or device supply count toward 99470 time?

No. 99470 is for treatment-management work, not the separate work of setting up the monitoring service or supplying the device.

What should the record show?

Document the monitored condition, relevant readings reviewed, management work performed, time attributable to that work, and the interactive communication with the patient or caregiver.

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
RVUs for 99470PPRRVU2026_Oct_nonQPP.csv, line 13,137 (RVU26D)
Geographic factors for MontanaGPCI2026.csv, line 71 (RVU26D)

Open CMS sourceHow we calculate rates

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