Remote patient monitoring (RPM) billing covers devices that collect patient health data at home and the clinical time spent reviewing it. Payers require specific documentation, minimum monitoring days and time tracking, so careful setup and records are the difference between paid and denied claims.
Patient eligibility and consent
Device setup and patient education
Tracking days of data collected
Tracking clinical staff time
Documentation of medical necessity
Monthly claim submission
Denial follow-up
Monthly billing reconciliation
| CPT Code | Description |
|---|---|
| 99453 | Initial device setup and patient education |
| 99454 | Device supply with daily recordings or alerts, each 30 days |
| 99457 | RPM treatment management, first 20 minutes per month |
| 99458 | RPM treatment management, each additional 20 minutes |
| 99091 | Collection and interpretation of physiologic data, each 30 days |
Payer rules on data days and time thresholds change, so we verify requirements before every billing cycle. Our team reviews coding, submits clean claims, follows up on denials and recovers unpaid accounts receivable for RPM practices.