$47.91
Both cover RPM device supply per 30 days. 99454 requires 16 or more days of transmitted data. 99445 applies when data was transmitted on 2 to 15 days.
On this page
CMS RVU26D · Effective 2026-10-01
99454 RPM device supply Medicare reimbursement rates in Nebraska
Monthly remote physiologic monitoring device supply with daily recordings or programmed alerts, reported when a patient transmits readings on 16 to 30 days of a 30-day period. Compare 99454 office and facility rates across CMS payment localities in Nebraska.
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 99454 in Nebraska?
Nebraska 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
$47.91
1 of 1 localities have a supported rate.
Payment area: Nebraska
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 patient monitoring
About 99454: Remote physiologic monitoring device supply, 16-30 days
Monthly remote physiologic monitoring device supply with daily recordings or programmed alerts, reported when a patient transmits readings on 16 to 30 days of a 30-day period.
This service covers supplying a connected medical device that collects and transmits physiologic data, such as blood pressure, weight, pulse oximetry, or blood glucose, from the patient's home. The device provides daily recordings or programmed alert transmissions. It is usually billed by primary care, cardiology, endocrinology, and nephrology practices managing hypertension, heart failure, diabetes, or COPD. Clinical staff or an RPM vendor working under the billing practitioner typically provide the equipment and track whether data arrives. Readings must be captured and sent electronically by the device. Readings the patient types in or reports by phone do not count.
Report one unit per 30-day period only when data was transmitted on at least 16 days. If data came in on 2 to 15 days, report 99445 instead. The service has no physician work RVUs; its value comes almost entirely from practice expense for the device and data transmission. Documentation should identify the device, monitoring order, condition being monitored, and transmission dates. Medicare expects an established patient relationship. Only one practitioner may bill device supply for a patient in a given 30-day period. Treatment management time is reported separately with 99457 and, when supported, 99458.
Where the value comes from
- Work RVU0.00 · 0%
- Practice expense (office) RVU1.55 · 99%
- Malpractice RVU0.01 · 1%
2.2M
Medicare services in 2024 · #77 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.
99454 compared with similar codes
Office rates for Nebraska, from the same CMS release.
$19.67
99453 is the one-time setup and education service at the start of monitoring. 99454 is the recurring device supply and data transmission service for a 30-day period.
$48.63
99457 covers at least 20 minutes of practitioner or staff treatment management, including interactive communication. 99454 covers device supply and data transmission, with a minimum number of transmission days but no management-time threshold.
$47.91
98976 is remote therapeutic monitoring of respiratory data, such as inhaler use. 99454 covers physiologic parameters like blood pressure, weight, or oxygen saturation.
Compare 99454 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
Nebraska →
Office / nonfacility
$47.91
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 99454 in Nebraska.
PPRRVU2026_Oct_nonQPP.csv
13,121
- Code
- 99454
- Physician work
- 0.00
- Practice expense
- 1.55
- Malpractice
- 0.01
GPCI2026.csv
72
- Locality
- Nebraska
- Physician work
- 1.000
- Practice expense
- 0.923
- Malpractice
- 0.378
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.00 | × 1.000 | 0.0000 |
| Practice expense | 1.55 | × 0.923 | 1.4307 |
| Malpractice | 0.01 | × 0.378 | 0.0038 |
| Total RVUs | 1.4344 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Nebraska$47.91
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0 | 1 |
| Practice expense | 1.55 | 0.923 |
| Malpractice | 0.01 | 0.378 |
(0 × 1 + 1.55 × 0.923 + 0.01 × 0.378) × $33.4009 = $47.91
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.
99454 billing questions
How do I choose between 99454 and 99445?
Count the days with transmitted readings in the 30-day period. Report 99454 for 16 to 30 days and 99445 for 2 to 15 days. Do not report both for the same period.
Can multiple devices generate multiple units of 99454?
No. Report one unit per patient per 30-day period, regardless of how many devices the patient uses. Only one practitioner may bill RPM device supply for that patient during the period.
Do patient-reported readings count toward the 16 days?
No. The device must capture and transmit the data electronically. Values the patient enters manually, phones in, or writes in a log do not qualify.
Can 99454 be billed without 99457?
Yes. Device supply and treatment management are separate services. Report 99457 only when at least 20 minutes of treatment management and the required interactive communication occur during a calendar month.
Can RPM device supply be billed alongside chronic care management?
Medicare allows RPM to be reported in the same month as care management services such as 99490. Time counted toward one service cannot be counted again toward the other.
Can 99454 be reported with remote therapeutic monitoring codes?
No. Medicare does not allow RPM and remote therapeutic monitoring to be billed for the same patient in the same period. Choose based on whether physiologic or therapeutic data is being monitored.
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.
13,11899451,,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
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
6905302,MO,01,METROPOLITAN ST. LOUIS,1.000,0.952,1.002
7005302,MO,99,REST OF MISSOURI,1.000,0.862,0.974
7103202,MT,01,MONTANA**,1.000,1.000,0.998
7205402,NE,00,NEBRASKA,1.000,0.923,0.378
7301312,NV,00,NEVADA**,1.000,1.001,0.833
7414312,NH,40,NEW HAMPSHIRE,1.000,1.041,0.875
7512402,NJ,01,NORTHERN NJ,1.063,1.160,1.068