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.
In Montana, Medicare pays $26.05 for 99470 in the office and $13.36 when it’s performed in a hospital or facility.
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.
On this page 11 sections
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.
- Montana · this page$26.05
- Los Angeles, CA · California$29.00+$2.95
- Washington, DC area · District of Columbia$29.36+$3.31
- Miami, FL · Florida$27.69+$1.64
- Chicago, IL · Illinois$27.07+$1.02
- Manhattan, NY · New York$29.54+$3.49
- Alaska · Alaska$31.91+$5.86
Other areas in Montana first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| 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 |
| Madera, CACalifornia | $27.36 | $13.45 |
| Merced, CACalifornia | $27.36 | $13.45 |
| Modesto, CACalifornia | $27.36 | $13.45 |
| Napa, CACalifornia | $31.16 | $14.43 |
| Oxnard, CACalifornia | $28.83 | $13.82 |
| Redding, CACalifornia | $27.36 | $13.45 |
| Rest of CaliforniaCalifornia | $27.36 | $13.45 |
| Riverside, CACalifornia | $27.58 | $13.67 |
| Sacramento, CACalifornia | $28.57 | $13.80 |
| Salinas, CACalifornia | $28.45 | $13.74 |
| San Diego, CACalifornia | $29.00 | $13.82 |
| Marin County, CACalifornia | $32.84 | $14.94 |
| San Francisco, CACalifornia | $32.81 | $14.92 |
| San Benito County, CACalifornia | $33.53 | $15.22 |
| Santa Clara County, CACalifornia | $33.43 | $15.13 |
| San Luis Obispo, CACalifornia | $28.01 | $13.55 |
| Santa Cruz, CACalifornia | $29.19 | $13.77 |
| Santa Maria, CACalifornia | $28.53 | $13.73 |
| Santa Rosa, CACalifornia | $29.48 | $13.89 |
| Stockton, CACalifornia | $27.36 | $13.45 |
| Vallejo, CACalifornia | $31.12 | $14.39 |
| Visalia, CACalifornia | $27.36 | $13.45 |
| Yuba City, CACalifornia | $27.36 | $13.45 |
| ColoradoColorado | $26.99 | $13.49 |
| ConnecticutConnecticut | $27.56 | $13.89 |
| DelawareDelaware | $25.86 | $13.32 |
| Fort Lauderdale, FLFlorida | $26.79 | $13.93 |
| Rest of FloridaFlorida | $25.73 | $13.59 |
| Atlanta, GAGeorgia | $26.46 | $13.56 |
| Rest of GeorgiaGeorgia | $24.56 | $13.24 |
| Hawaii, Guam, HIHawaii | $27.83 | $13.40 |
| IowaIowa | $24.37 | $12.76 |
| IdahoIdaho | $24.50 | $12.82 |
| East St. Louis, ILIllinois | $25.53 | $13.85 |
| Rest of IllinoisIllinois | $25.12 | $13.53 |
| Suburban Chicago, ILIllinois | $27.05 | $14.01 |
| IndianaIndiana | $24.61 | $12.85 |
| KansasKansas | $24.28 | $12.80 |
| KentuckyKentucky | $24.33 | $13.04 |
| New Orleans, LALouisiana | $25.26 | $13.31 |
| Rest of LouisianaLouisiana | $24.30 | $13.06 |
| Metropolitan Boston, MAMassachusetts | $29.32 | $14.16 |
| Rest of MassachusettsMassachusetts | $26.88 | $13.51 |
| Baltimore area, MDMaryland | $27.47 | $13.86 |
| Rest of MarylandMaryland | $26.28 | $13.44 |
| Rest of MaineMaine | $24.60 | $12.92 |
| Southern Maine, MEMaine | $25.67 | $13.09 |
| Detroit, MIMichigan | $25.98 | $13.74 |
| Rest of MichiganMichigan | $24.83 | $13.24 |
| MinnesotaMinnesota | $26.02 | $12.96 |
| Metropolitan Kansas City, MOMissouri | $25.12 | $13.20 |
| Metropolitan St. Louis, MOMissouri | $25.33 | $13.25 |
| Rest of MissouriMissouri | $23.96 | $13.02 |
| MississippiMississippi | $23.79 | $12.86 |
| North CarolinaNorth Carolina | $24.80 | $12.96 |
| North DakotaNorth Dakota | $25.66 | $12.96 |
| NebraskaNebraska | $24.48 | $12.76 |
| New HampshireNew Hampshire | $26.59 | $13.37 |
| Northern New JerseyNew Jersey | $29.16 | $14.43 |
| Rest of New JerseyNew Jersey | $27.91 | $14.05 |
| New MexicoNew Mexico | $24.94 | $13.30 |
| NevadaNevada | $25.96 | $13.25 |
| NYC suburbs and Long Island, NYNew York | $30.13 | $15.04 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $28.09 | $14.19 |
| Queens, NYNew York | $29.75 | $14.74 |
| Rest of New YorkNew York | $25.10 | $13.05 |
| OhioOhio | $24.75 | $13.16 |
| OklahomaOklahoma | $24.30 | $12.96 |
| Portland, OROregon | $27.72 | $13.61 |
| Rest of OregonOregon | $25.79 | $13.15 |
| Metropolitan Philadelphia, PAPennsylvania | $26.98 | $13.77 |
| Rest of PennsylvaniaPennsylvania | $24.78 | $13.13 |
| Puerto RicoPuerto Rico | $26.21 | $13.38 |
| Rhode IslandRhode Island | $26.67 | $13.56 |
| South CarolinaSouth Carolina | $24.81 | $13.08 |
| South DakotaSouth Dakota | $25.61 | $12.92 |
| TennesseeTennessee | $24.38 | $12.84 |
| Austin, TXTexas | $26.87 | $13.44 |
| Beaumont, TXTexas | $24.65 | $13.10 |
| Brazoria, TXTexas | $25.85 | $13.28 |
| Dallas, TXTexas | $25.99 | $13.35 |
| Fort Worth, TXTexas | $25.85 | $13.33 |
| Galveston, TXTexas | $25.92 | $13.31 |
| Houston, TXTexas | $26.28 | $13.68 |
| Rest of TexasTexas | $25.22 | $13.18 |
| UtahUtah | $25.08 | $13.15 |
| VirginiaVirginia | $25.60 | $13.12 |
| Virgin Islands, VIUnited States Virgin Islands | $26.21 | $13.38 |
| VermontVermont | $25.57 | $13.01 |
| Rest of WashingtonWashington | $26.82 | $13.46 |
| King County, WAWashington | $29.86 | $14.29 |
| WisconsinWisconsin | $24.96 | $12.80 |
| West VirginiaWest Virginia | $24.37 | $13.34 |
| WyomingWyoming | $25.88 | $13.19 |
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
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $31.91 | 1 |
| AL | $23.88 | 1 |
| AR | $23.61 | 1 |
| AZ | $25.49 | 1 |
| CA | $27.36–$33.53 | 29 |
| CO | $26.99 | 1 |
| CT | $27.56 | 1 |
| DC | $29.36 | 1 |
| DE | $25.86 | 1 |
| FL | $25.73–$27.69 | 3 |
| GA | $24.56–$26.46 | 2 |
| GU | $27.83 | 1 |
| HI | $27.83 | 1 |
| IA | $24.37 | 1 |
| ID | $24.50 | 1 |
| IL | $25.12–$27.07 | 4 |
| IN | $24.61 | 1 |
| KS | $24.28 | 1 |
| KY | $24.33 | 1 |
| LA | $24.30–$25.26 | 2 |
| MA | $26.88–$29.32 | 2 |
| MD | $26.28–$29.36 | 3 |
| ME | $24.60–$25.67 | 2 |
| MI | $24.83–$25.98 | 2 |
| MN | $26.02 | 1 |
| MO | $23.96–$25.33 | 3 |
| MS | $23.79 | 1 |
| MT | $26.05 | 1 |
| NC | $24.80 | 1 |
| ND | $25.66 | 1 |
| NE | $24.48 | 1 |
| NH | $26.59 | 1 |
| NJ | $27.91–$29.16 | 2 |
| NM | $24.94 | 1 |
| NV | $25.96 | 1 |
| NY | $25.10–$30.13 | 5 |
| OH | $24.75 | 1 |
| OK | $24.30 | 1 |
| OR | $25.79–$27.72 | 2 |
| PA | $24.78–$26.98 | 2 |
| PR | $26.21 | 1 |
| RI | $26.67 | 1 |
| SC | $24.81 | 1 |
| SD | $25.61 | 1 |
| TN | $24.38 | 1 |
| TX | $24.65–$26.87 | 8 |
| UT | $25.08 | 1 |
| VA | $25.60–$29.36 | 2 |
| VI | $26.21 | 1 |
| VT | $25.57 | 1 |
| WA | $26.82–$29.86 | 2 |
| WI | $24.96 | 1 |
| WV | $24.37 | 1 |
| WY | $25.88 | 1 |
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
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
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.31 | × 1.000 | 0.3100 |
| Practice expense | 0.45 | × 1.000 | 0.4500 |
| Malpractice | 0.02 | × 0.998 | 0.0200 |
| Total RVUs | 0.7800 | ||
| 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
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.
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
January 1, 2026
RVU26A
No ratechanged to$26.05
Held through RVU26B, RVU26C, RVU26D.
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.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $26.05 | $13.36 | RVU26D |
| 2026-07-01 | $26.05 | $13.36 | RVU26C |
| 2026-04-01 | $26.05 | $13.36 | RVU26B |
| 2026-01-01 | $26.05 | $13.36 | RVU26A |
| 2025-10-01 | Not in this release | Not in this release | RVU25D |
| 2025-07-01 | Not in this release | Not in this release | RVU25C |
| 2025-04-01 | Not in this release | Not in this release | RVU25B |
| 2025-01-01 | Not in this release | Not in this release | RVU25A |
| 2024-10-01 | Not in this release | Not in this release | RVU24D |
| 2024-07-01 | Not in this release | Not in this release | RVU24C |
| 2024-04-01 | Not in this release | Not in this release | RVU24B |
| 2024-03-09 | Not in this release | Not in this release | RVU24AR |
| 2024-01-01 | Not in this release | Not in this release | RVU24A |
| 2023-10-01 | Not in this release | Not in this release | RVU23D |
| 2023-07-01 | Not in this release | Not in this release | RVU23C |
| 2023-04-01 | Not in this release | Not in this release | RVU23B |
| 2023-01-01 | Not in this release | Not in this release | RVU23A |
| 2022-10-01 | Not in this release | Not in this release | RVU22D |
| 2022-07-01 | Not in this release | Not in this release | RVU22C |
| 2022-04-01 | Not in this release | Not in this release | RVU22B |
| 2022-01-01 | Not in this release | Not in this release | RVU22A |
| 2021-10-01 | Not in this release | Not in this release | RVU21D |
| 2021-07-01 | Not in this release | Not in this release | RVU21C |
| 2021-04-01 | Not in this release | Not in this release | RVU21B |
| 2021-01-01 | Not in this release | Not in this release | RVU21A |
| 2020-10-01 | Not in this release | Not in this release | RVU20D |
| 2020-07-01 | Not in this release | Not in this release | RVU20C |
| 2020-04-01 | Not in this release | Not in this release | RVU20B |
| 2020-01-01 | Not in this release | Not in this release | RVU20A |
| 2019-10-01 | Not in this release | Not in this release | RVU19D |
| 2019-07-01 | Not in this release | Not in this release | RVU19C |
| 2019-04-01 | Not in this release | Not in this release | RVU19B |
| 2019-01-01 | Not in this release | Not in this release | RVU19A |
| 2018-10-01 | Not in this release | Not in this release | RVU18D |
| 2018-07-01 | Not in this release | Not in this release | RVU18C |
| 2018-04-01 | Not in this release | Not in this release | RVU18B |
| 2018-01-01 | Not in this release | Not in this release | RVU18AR1 |
| 2017-10-01 | Not in this release | Not in this release | RVU17D |
| 2017-07-01 | Not in this release | Not in this release | RVU17C |
| 2017-04-01 | Not in this release | Not in this release | RVU17B |
| 2017-01-01 | Not in this release | Not in this release | RVU17A |
| 2016-10-01 | Not in this release | Not in this release | RVU16D |
| 2016-07-01 | Not in this release | Not in this release | RVU16C |
| 2016-04-01 | Not in this release | Not in this release | RVU16B |
| 2016-01-01 | Not in this release | Not in this release | RVU16A |
| 2015-10-01 | Not in this release | Not in this release | RVU15D |
| 2015-07-01 | Not in this release | Not in this release | RVU15C |
| 2015-04-01 | Not in this release | Not in this release | RVU15B |
| 2015-01-01 | Not in this release | Not in this release | RVU15A |
| 2014-10-01 | Not in this release | Not in this release | RVU14D |
| 2014-07-01 | Not in this release | Not in this release | RVU14C |
| 2014-04-01 | Not in this release | Not in this release | RVU14B |
| 2014-01-01 | Not in this release | Not in this release | RVU14A |
| 2013-10-01 | Not in this release | Not in this release | RVU13D |
| 2013-07-01 | Not in this release | Not in this release | RVU13C |
| 2013-04-01 | Not in this release | Not in this release | RVU13B |
| 2013-01-01 | Not in this release | Not in this release | RVU13AR |
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
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
Fee sheets · Coming soon
Put 99470 and the rest of your codes on one sheet
Your codes at your locality, with payer contracts beside Medicare.
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