$47.50
99445 covers device supply and data transmission over a short monitoring period. Use 99453 for the initial equipment setup and patient instruction.
On this page
CMS RVU26D · Effective 2026-10-01
99453 RPM setup Medicare reimbursement rates in Iowa
Report 99453 for initial setup of remote physiologic monitoring equipment and patient instruction on using it to transmit health data. Compare 99453 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 99453 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
$19.52
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 99453: Remote monitoring equipment setup and education
Report 99453 for initial setup of remote physiologic monitoring equipment and patient instruction on using it to transmit health data.
99453 covers initiating remote physiologic monitoring equipment and teaching the patient how to use it. Primary care and specialty practices may use it when starting home monitoring for conditions such as hypertension or heart failure, with devices that collect measures such as blood pressure, weight, or oxygen saturation. The service may involve clinical staff who configure the equipment and explain its use, with the treating practitioner directing the monitoring plan.
Select 99453 for the initial setup and education—not for recurring device data collection or time spent managing transmitted results. Document the clinical reason for monitoring, the parameter and equipment, when setup occurred, and the instruction provided. CMS’s fee-schedule inputs assign practice-expense and malpractice resources to the code, with no physician-work RVUs; the service represents equipment onboarding rather than time-based management.
Where the value comes from
- Work RVU0.00 · 0%
- Practice expense (office) RVU0.63 · 97%
- Malpractice RVU0.02 · 3%
214.7K
Medicare services in 2024 · #371 by national volume
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.
99453 compared with similar codes
Office rates for Iowa, from the same CMS release.
$47.50
99454 represents ongoing device supply and data transmission; 99453 represents the initial setup and education service.
$48.41
99457 is for remote monitoring treatment-management work, including required interactive communication and time. It is not the setup-and-instruction code.
Compare 99453 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
$19.52
Facility
Unavailable
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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 99453 in Iowa.
PPRRVU2026_Oct_nonQPP.csv
13,120
- Code
- 99453
- Physician work
- 0.00
- Practice expense
- 0.63
- Malpractice
- 0.02
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 | 0.63 | × 0.915 | 0.5765 |
| Malpractice | 0.02 | × 0.397 | 0.0079 |
| Total RVUs | 0.5844 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Iowa$19.52
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0 | 1 |
| Practice expense | 0.63 | 0.915 |
| Malpractice | 0.02 | 0.397 |
(0 × 1 + 0.63 × 0.915 + 0.02 × 0.397) × $33.4009 = $19.52
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.
99453 billing questions
How is 99453 different from 99454?
99453 describes initial equipment setup and patient education. 99454 describes the device-supply service for ongoing collection and transmission of physiologic data.
Can 99453 be reported with a device-supply code?
Yes, setup may accompany the applicable device-supply service, such as 99454 or 99445, when each service is furnished and its reporting criteria are met.
Does 99453 cover review of transmitted readings or treatment management?
No. It covers onboarding and instruction; remote monitoring treatment-management work is represented by codes such as 99457 and 99458.
What documentation supports 99453?
Record the reason for monitoring, the physiologic parameter and equipment, the setup performed, and the patient education provided.
Is 99453 reported for each reading or transmission?
No. The service is the setup and education event, not a unit for each measurement or data transmission.
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.
13,11799450,,Basic life disability exam,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
13,11899451,,Ntrprof ph1/ntrnet/ehr 5/>,A,,0.70,0.31,,0.15,,0.05,1.06,0.90,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
13,11999452,,Ntrprof ph1/ntrnet/ehr rfrl,A,,0.70,0.36,,0.18,,0.05,1.11,0.93,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
13,12099453,,Rem mntr physiol param setup,A,,0.00,0.63,,0.63,NA,0.02,0.65,0.65,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
13,12199454,,Rem mntr physiol param 16-30,A,,0.00,1.55,,1.55,NA,0.01,1.56,1.56,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
13,12299455,,Work related disability exam,R,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
13,12399456,,Disability examination,R,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5006102,IL,15,SUBURBAN CHICAGO,1.007,1.027,1.772
5106102,IL,99,REST OF ILLINOIS,1.000,0.913,1.563
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915
5607202,LA,01,NEW ORLEANS,1.000,0.941,1.136