$39.87–$41.64
99457 covers the first 20 minutes in a calendar month. Add 99458 only after another full 20 minutes of qualifying management time.
On this page
CMS RVU26D · Effective 2026-10-01
99457 RPM management Medicare reimbursement rates in Michigan
Report remote physiologic monitoring treatment management after 20 minutes of monthly practitioner or clinical staff work, including live communication with the patient or caregiver. Compare 99457 office and facility rates across CMS payment localities in Michigan.
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 99457 in Michigan?
Michigan 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
$49.33–$51.64
2 of 2 localities have a supported rate.
Facility setting
$26.15–$27.14
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 patient monitoring
About 99457: Remote physiologic monitoring management, first 20 minutes
Report remote physiologic monitoring treatment management after 20 minutes of monthly practitioner or clinical staff work, including live communication with the patient or caregiver.
This service involves reviewing remotely transmitted physiologic readings and managing the patient's care. Examples include blood pressure readings for hypertension, weight trends for heart failure, pulse oximetry for chronic lung disease, and connected glucose readings for diabetes. A physician, other qualified health care professional, or clinical staff working under the billing practitioner's direction reviews trends, discusses findings with the patient or caregiver, and considers treatment changes. Primary care and specialty practices commonly perform this work from an office or remote care-management setting.
Count qualifying management time across the calendar month. Report 99457 once when at least 20 minutes have been furnished, including at least one real-time, two-way communication with the patient or caregiver. Report add-on 99458 for each additional full 20 minutes. Records should identify the dates, time spent, personnel, readings reviewed, management actions, and interactive contact. Device supply, when supported, is reported separately from management time. CMS assigns substantially more practice expense to this service in an office than in a facility. Do not count the same minutes toward chronic care management or another timed service.
Where the value comes from
- Work RVU0.61 · 39%
- Practice expense (office) RVU0.90 · 58%
- Malpractice RVU0.04 · 3%
2.6M
Medicare services in 2024 · #68 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.
99457 compared with similar codes
Office rates for Michigan, from the same CMS release.
$47.64–$50.52
99454 covers device supply and transmission for 16–30 days in a 30-day period; 99457 covers monthly management time and interactive communication. Both may be reported when their separate requirements are met.
$51.42–$53.66
98980 manages remote therapeutic monitoring, such as respiratory therapy adherence or response. 99457 manages physiologic readings, such as blood pressure, weight, or oxygen saturation.
$54.32–$56.48
99091 requires at least 30 minutes of physician or qualified health care professional data collection and interpretation and does not require interactive communication. 99457 allows clinical staff time and requires that communication; distinct work and time may support both.
Compare 99457 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
Detroit →
Office / nonfacility
$51.64
Facility
$27.14
Rest Of Michigan →
Office / nonfacility
$49.33
Facility
$26.15
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99457 billing questions
Does the 20 minutes have to happen in one sitting?
No. Qualifying minutes may accumulate across the calendar month, provided they reach 20 and include at least one interactive communication.
Can clinical staff perform the time, or only the physician?
Clinical staff time may count when the work is performed under the billing practitioner's direction. Document who performed the work and the time spent.
What counts as the required interactive communication?
It is a real-time, two-way exchange with the patient or caregiver, such as a phone or video conversation about the readings and care plan. Portal messages or texts alone do not meet that requirement.
How is time beyond the first 20 minutes reported?
Report add-on 99458 with 99457 for each additional full 20 minutes of qualifying management time in the calendar month.
Can this be reported in the same month as chronic care management?
Yes, when both services meet their requirements. Do not count the same minutes toward 99457 and chronic care management.
Can remote therapeutic monitoring management be billed with it?
Do not report RPM and remote therapeutic monitoring management for the same patient during the same period. Select the family that matches the monitored data and service.
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.
13,12199454,,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
13,12499457,,Rpm tx mgmt 1st 20 min,A,,0.61,0.90,,0.14,,0.04,1.55,0.79,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
13,12599458,,Rpm tx mgmt ea addl 20 min,A,,0.61,0.59,,0.14,,0.04,1.24,0.79,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
13,12699459,,Pelvic examination,A,,0.00,0.52,,0.52,NA,0.00,0.52,0.52,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
13,12799460,,Init nb em per day hosp,A,,1.92,0.38,NA,0.38,,0.12,2.42,2.42,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00