$51.42
99457 covers the first 20 minutes of monthly RPM management, including interactive communication. Report 99458 with it only for each further full 20 minutes.
On this page
CMS RVU26D · Effective 2026-10-01
99458 RPM management add-on Medicare reimbursement rates in Wyoming
Report this add-on for each additional full 20 minutes of remote physiologic monitoring treatment management in a calendar month beyond the first 20 minutes reported with 99457. Compare 99458 office and facility rates across CMS payment localities in Wyoming.
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 99458 in Wyoming?
Wyoming 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
$41.07
1 of 1 localities have a supported rate.
Payment area: Wyoming**
One mapped payment locality.
Facility setting
$26.04
1 of 1 localities have a supported rate.
Payment area: Wyoming**
One mapped payment locality.
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 99458: Remote physiologic monitoring management, each additional 20 minutes
Report this add-on for each additional full 20 minutes of remote physiologic monitoring treatment management in a calendar month beyond the first 20 minutes reported with 99457.
This service covers extended management time when a physician, other qualified health care professional, or clinical staff reviews readings from a remote physiologic monitoring device and acts on them. Typical devices include blood pressure cuffs, weight scales, glucometers, and pulse oximeters used by patients with hypertension, heart failure, diabetes, or COPD. The work can include reviewing transmitted readings, coordinating care-plan changes, and communicating with the patient or caregiver. Primary care, cardiology, and endocrinology practices commonly provide this service, including through clinical staff working under general supervision.
Management time accumulates across the calendar month. The first 20 minutes, including at least one real-time interactive communication, are reported with 99457. Each additional full 20 minutes supports one unit of 99458: a month with 60 total minutes supports 99457 plus two units of 99458. Remaining time short of another 20 minutes does not support another unit. Documentation should identify dates, minutes, personnel, and management activities. As an add-on code, 99458 is reported with its primary code, 99457, rather than alone, and CMS pays it within the primary service's global period.
CMS billing rules for 99458
- Global period
- Add-on code: billed only together with a primary procedure and paid within that procedure's global period.
Where the value comes from
- Work RVU0.61 · 49%
- Practice expense (office) RVU0.59 · 48%
- Malpractice RVU0.04 · 3%
2.2M
Medicare services in 2024 · #76 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.
99458 compared with similar codes
Office rates for Wyoming, from the same CMS release.
$25.88
99470 covers the initial 10 minutes when monthly RPM management does not reach 20 minutes. It does not replace 99457 as the primary code for 99458.
$41.16
98981 is the add-on for remote therapeutic monitoring management, such as monitoring therapy adherence or response. Use 99458 for additional management time involving physiologic readings.
$52.02
99454 covers the RPM device supply and transmission of readings for a qualifying monitoring period; 99458 covers additional treatment management time.
Compare 99458 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
Wyoming** →
Office / nonfacility
$41.07
Facility
$26.04
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.
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 99458 in Wyoming**.
PPRRVU2026_Oct_nonQPP.csv
13,125
- Code
- 99458
- Physician work
- 0.61
- Practice expense
- 0.59
- Malpractice
- 0.04
GPCI2026.csv
112
- Locality
- Wyoming**
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.740
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.61 | × 1.000 | 0.6100 |
| Practice expense | 0.59 | × 1.000 | 0.5900 |
| Malpractice | 0.04 | × 0.740 | 0.0296 |
| Total RVUs | 1.2296 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Wyoming**$41.07
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.61 | 1 |
| Practice expense | 0.59 | 1 |
| Malpractice | 0.04 | 0.74 |
(0.61 × 1 + 0.59 × 1 + 0.04 × 0.74) × $33.4009 = $41.07
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.61 | 1 |
| Practice expense | 0.14 | 1 |
| Malpractice | 0.04 | 0.74 |
(0.61 × 1 + 0.14 × 1 + 0.04 × 0.74) × $33.4009 = $26.04
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.
99458 billing questions
Can 99458 be billed without 99457?
No. It is an add-on that requires 99457 for the same patient and calendar month, after the first 20 minutes of management time are complete.
How many units of 99458 can be reported in a month?
Report one unit for each additional full 20 minutes of management time beyond the first 20 minutes. A total of 40 minutes supports one unit; 60 minutes supports two.
Do partial minutes count toward another unit?
No. A unit requires a full additional 20 minutes; for example, 55 total minutes supports 99457 plus one unit of 99458.
Can clinical staff time count toward 99458?
Yes. Medicare allows documented management time by clinical staff under general supervision of the billing practitioner.
Can the same minutes count toward chronic care management and 99458?
No. RPM and chronic care management may be reported in the same month, but each minute can be counted toward only one service.
Does management time reset each calendar month?
Yes. Tally management time separately for each calendar month to determine whether 99457 and any units of 99458 are supported.
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.
13,12299455,,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
13,12899461,,Init nb em per day non-fac,A,,1.26,1.48,,0.26,,0.07,2.81,1.59,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
10902402,WA,99,REST OF WASHINGTON,1.013,1.053,0.761
11011402,WV,16,WEST VIRGINIA,1.000,0.869,1.431
11106302,WI,00,WISCONSIN,1.000,0.958,0.308
11203602,WY,21,WYOMING**,1.000,1.000,0.740
113"MAC Assignments as of November 22, 2023",,,,,,
114,,,,,,
115*Work GPCI reflects a 1.5 floor in Alaska established by the MIPPA.,,,,,,