Billing code 99470: RPM managementMedicare rate & RVUs in Alaska
Report 99470 for the first 10 minutes of monthly remote physiologic monitoring treatment-management work, including an interactive communication with the patient or caregiver.
Medicare pays $31.91 for 99470 in the office in Alaska (Alaska*). Which amount applies depends on the service address.
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 9 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.
99470 in Alaska*
| Payment locality | Office | Facility |
|---|---|---|
| Alaska* | $31.91 | $18.39 |
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.
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.
99470 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 99457RPM management
- 99457 represents the longer initial monthly treatment-management time threshold; 99470 represents the first 10 minutes.
- 99458RPM management add-on
- 99458 reports additional treatment-management time with 99457. It is not the add-on code for 99470.
- 99453RPM setup
- 99453 covers initial setup and patient education for remote monitoring; 99470 covers monthly treatment-management work.
- 99454RPM device supply
- 99454 is for supplying the monitoring device and related transmission service; 99470 is for treatment-management time.
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
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