Billing code 99445: RPM device supplyMedicare rate & RVUs in Florida

Reports remote physiologic monitoring device supply when connected equipment transmits patient data on 2–15 days during a 30-day period.

CMS RVU26DEffective Oct 1, 20263 payment localities

Medicare pays $50.00–$54.74 for 99445 in the office in Florida, from Rest Of Florida to Miami. Which amount applies depends on the service address.

$50.00–$54.74Office (non-facility)
—Hospital or facility

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 99445 for the payment locality that covers the ZIP.

On this page 9 sections
  1. Rate in Florida
  2. What 99445 covers
  3. By payment locality
  4. How it’s calculated
  5. Payment rules
  6. Similar codes
  7. Related codes
  8. Billing questions
  9. Sources

What 99445 covers

99445 represents the device-supply service for remote physiologic monitoring when connected equipment records a physiologic measure and sends recordings or programmed alerts on 2–15 days in a 30-day period. Common measures include home blood pressure, body weight, pulse oximetry, and glucose for monitoring conditions such as hypertension, heart failure, or diabetes. A physician or other qualified practitioner typically orders the monitoring, and practice staff coordinate the patient's use of the equipment.

Choose this code based on qualifying transmission days across the 30-day period: 2–15 days supports 99445, while 16–30 days points to 99454. Documentation should identify the monitoring device and parameter, the reporting period, and the days with transmitted data. This code represents device supply, not clinician time spent reviewing results or managing treatment. The CMS fee schedule assigns it zero work RVUs, consistent with a device-supply service.

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 99445 pays more and less in Florida

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

3 payment localities

$50.00 to $54.74

$50.00$52.37$54.74
One dot per payment locality, office / nonfacility. Hover a dot to see the locality; select it to open that rate.
99445 office and facility rates by payment locality
Payment localityOfficeFacility
Fort Lauderdale$53.05Unavailable
Miami$54.74Unavailable
Rest Of Florida$50.00Unavailable

How the 99445 rate is calculated

Each of 99445’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 · 99445

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 0.00Practice expense 1.55Malpractice 0.01

1.5600 adjusted RVUs×$33.4009 conversion factor=$52.11

All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.

Payment rules and modifiers for 99445

99445 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 · 99445

Which rate does Medicare pay?

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

Non-facility (office) rate · national

$52.11

Only one setting is priced for this code.

99445 compared with similar codes

Compare codes

99445 vs 99454 vs 99453 vs 99457: national Medicare rates

Swap in your local Medicare rate.

  • 99445
    RPM device supply · 0 wRVU
    $52.11
  • 99454
    RPM device supply · 0 wRVU
    $52.11+$0.00
  • 99453
    RPM setup · 0 wRVU
    $21.71−$30.40
  • 99457
    RPM management · 0.61 wRVU
    $51.77−$0.34

How to choose

99454RPM device supply
Both describe RPM device supply, but the qualifying transmission-day count differs: 99445 is for 2–15 days and 99454 for 16–30 days in a 30-day period.
99453RPM setup
99453 covers initial equipment setup and patient instruction. Choose 99445 for the device-supply service based on qualifying transmission days.
99457RPM management
99457 represents time-based RPM treatment management, including required patient or caregiver communication; 99445 represents device supply and transmission days.

99445 billing questions

How do I choose between 99445 and 99454?

Count the qualifying days with device recordings or programmed transmissions in the 30-day period. Use 99445 for 2–15 days and compare with 99454 for 16–30 days.

What documentation supports 99445?

Keep the device and physiologic parameter identified, along with the reporting period and transmitted-data days. The record should support that the service involved remote physiologic monitoring.

Does 99445 report clinician review or treatment time?

No. It describes device supply and data transmission; clinician treatment-management work is a separate service, such as the work represented by 99457 when its requirements are met.

Can 99445 be reported with 99453?

They describe different parts of an RPM program: 99453 covers setup and patient education, while 99445 covers device supply for the qualifying transmission days.

Is 99445 reported for each transmission?

No. Select the code based on the qualifying transmission-day count for the 30-day period, not the number of individual data readings.

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 99445PPRRVU2026_Oct_nonQPP.csv, line 13,112 (RVU26D)

Open CMS sourceHow we calculate rates

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