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.
On this page
CMS RVU26D · Effective 2026-10-01
99445 RPM device supply Medicare reimbursement rates in Iowa
Reports remote physiologic monitoring device supply when connected equipment transmits patient data on 2–15 days during a 30-day period. Compare 99445 office and facility rates across CMS payment localities in Iowa.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for 99445 in Iowa?
Iowa has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$47.50
1 of 1 localities have a supported rate.
Payment area: Iowa
One mapped payment locality.
Facility setting
No supported rate
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Remote monitoring
About 99445: Remote physiologic monitoring device supply, short-duration
Reports remote physiologic monitoring device supply when connected equipment transmits patient data on 2–15 days during a 30-day period.
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.
Where the value comes from
- Work RVU0.00 · 0%
- Practice expense (office) RVU1.55 · 99%
- Malpractice RVU0.01 · 1%
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.
99445 compared with similar codes
Office rates for Iowa, from the same CMS release.
99453 covers initial equipment setup and patient instruction. Choose 99445 for the device-supply service based on qualifying transmission days.
99457 represents time-based RPM treatment management, including required patient or caregiver communication; 99445 represents device supply and transmission days.
Compare 99445 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Iowa →
Office / nonfacility
$47.50
Facility
Unavailable
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 99445 in Iowa.
PPRRVU2026_Oct_nonQPP.csv
13,112
- Code
- 99445
- Physician work
- 0.00
- Practice expense
- 1.55
- Malpractice
- 0.01
GPCI2026.csv
53
- Locality
- Iowa
- Physician work
- 1.000
- Practice expense
- 0.915
- Malpractice
- 0.397
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.00 | × 1.000 | 0.0000 |
| Practice expense | 1.55 | × 0.915 | 1.4183 |
| Malpractice | 0.01 | × 0.397 | 0.0040 |
| Total RVUs | 1.4222 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Iowa$47.50
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0 | 1 |
| Practice expense | 1.55 | 0.915 |
| Malpractice | 0.01 | 0.397 |
(0 × 1 + 1.55 × 0.915 + 0.01 × 0.397) × $33.4009 = $47.50
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
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 indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
