Billing code 99091: Remote data reviewMedicare rate & RVUs in Utah
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.
Medicare pays $54.23 for 99091 in the office in Utah (Utah). Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 99091 covers
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.
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 in Utah
| Payment locality | Office | Facility |
|---|---|---|
| Utah | $54.23 | $46.69 |
How the 99091 rate is calculated
Each of 99091’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 99091
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 1.10Practice expense 0.49Malpractice 0.07
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 99091
99091 has no global surgery period, no multiple-procedure, bilateral or assistant-at-surgery adjustment, and no professional/technical split. What changes the payment is where the service happens: the place of service on the claim decides whether Medicare pays the office or the facility rate.
Place of service · 99091
Which rate does Medicare pay?
The POS code on the claim line (CMS-1500 box 24B).
Non-facility (office) rate · national
$55.45
The facility rate would be $47.43 (+$8.02). In a facility, the facility bills its own costs separately.
99091 compared with similar codes
Compare codes
99091 vs 99457 vs 99454 vs 99453 vs 99474: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 99457RPM management
- 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.
- 99454RPM device supply
- 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.
- 99453RPM setup
- 99453 describes initial remote-monitoring device setup and patient education. 99091 describes subsequent professional data collection and interpretation requiring at least 30 minutes.
- 99474Blood pressure monitoring
- 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.
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 indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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