$48.86–$51.01
Choose 99091 for at least 30 minutes of collecting and interpreting physiologic data in a 30-day period. 99457 is for remote-monitoring treatment-management time that includes interactive communication.
On this page
CMS RVU26D · Effective 2026-10-01
99091 Remote data review Medicare reimbursement rates in Maine
Reports a physician’s or qualified health care professional’s collection and interpretation of digitally transmitted physiologic data, with at least 30 minutes of work per 30 days. Compare 99091 office and facility rates across CMS payment localities in Maine.
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 99091 in Maine?
Maine has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
$53.25–$54.44
2 of 2 localities have a supported rate.
Facility setting
$45.88–$46.49
2 of 2 localities have a 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 99091: Remote physiologic data review
Reports a physician’s or qualified health care professional’s collection and interpretation of digitally transmitted physiologic data, with at least 30 minutes of work per 30 days.
A physician or other qualified health care professional uses this service to collect and interpret physiologic readings sent digitally by a patient or caregiver. Examples include home blood pressure readings, glucose measurements, and ECG data used to monitor a patient’s condition. The work may occur in an office-based or facility setting and does not require the patient to be present while the data are reviewed.
Report the service for each qualifying 30-day period when the physician or qualified health care professional spends at least 30 minutes collecting and interpreting the data. Documentation should identify the data reviewed, the clinical interpretation, and the time spent on the service. The code represents professional review and interpretation, rather than device setup or the supply and transmission of readings; those activities are described by separate remote-monitoring services when their requirements are met.
Where the value comes from
- Work RVU1.10 · 66%
- Practice expense (office) RVU0.49 · 30%
- Malpractice RVU0.07 · 4%
176K
Medicare services in 2024 · #407 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.
99091 compared with similar codes
Office rates for Maine, from the same CMS release.
$47.84–$51.52
99454 describes device supply and data transmission over the monitoring period. 99091 describes the physician’s or qualified health care professional’s collection and interpretation of the resulting data.
$19.77–$21.27
99453 describes initial remote-monitoring device setup and patient education. 99091 describes subsequent professional data collection and interpretation requiring at least 30 minutes.
$17.28–$18.14
99474 is specific to management based on self-measured blood pressure. 99091 covers collection and interpretation of physiologic data more broadly, including blood pressure, glucose, or ECG data.
Compare 99091 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.
2 of 2 payment localities
Rest Of Maine →
Office / nonfacility
$53.25
Facility
$45.88
Southern Maine →
Office / nonfacility
$54.44
Facility
$46.49
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.
99091 billing questions
How does 99091 differ from 99457?
99091 requires at least 30 minutes of professional time collecting and interpreting physiologic data in a 30-day period. 99457 describes remote monitoring treatment-management time and includes an interactive communication requirement.
Can device supply or setup be included in 99091?
No. 99091 describes professional collection and interpretation of the data. Device supply and transmission or initial setup and education are addressed by separate remote-monitoring codes when their requirements are met.
What time should be documented?
Document at least 30 minutes of physician or qualified health care professional time spent collecting and interpreting the transmitted data during the 30-day period. Do not count device setup or patient education as that review time.
What supports reporting this service?
Keep a record of the physiologic data reviewed, the clinical interpretation, the applicable 30-day period, and the professional time spent. Examples include a review of transmitted home blood pressure or glucose readings.
Is 99091 reported per reading or per day?
No. The code is reported for a qualifying 30-day period, not once for each transmitted reading or day.
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.
12,98199078,,Group health education,B,,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
12,98299080,,Special reports or forms,B,,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
12,98399082,,Unusual physician travel,C,,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
12,98499091,,Collj & interpj data ea 30 d,A,,1.10,0.49,,0.25,,0.07,1.66,1.42,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,98599100,,Anes pt exteme age<1 yr&>70,B,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,ZZZ,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
12,98699116,,Anes comp tot bdy hypthrm,B,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,ZZZ,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
12,98799135,,Anes comp ctrld hypotension,B,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,ZZZ,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00