Update on the 2026 RPM CPT Codes
Welcome to the MonitAir Newsletter
While we at MonitAir have been working hard behind the scenes to bring forward the best digital health solution in sleep, we realize we have fallen behind in one important space, and that is in staying connected with you, the people, practices, and health teams that we support. As part of remedying this shortcoming we are introducing the MonitAir Newsletter, a place to share updates on remote patient monitoring, regulatory changes, and emerging technologies that impact clinical operations.
In our first newsletter we provide an update on the 2026 RPM CPT CODES and what the changes mean for clinical and billing workflows. We look forward to connecting with you and hope this newsletter helps you to stay more informed and prepared as care delivery models continue to evolve.
What's New in RPM Coding for 2026?
Effective January 1, 2026, the CMS Physician Fee Schedule (PFS) introduced meaningful updates to Remote Patient Monitoring (RPM) CPT codes, expanding flexibility, improving clinical alignment, and unlocking new reimbursement opportunities for RPM programs.
Key Highlights
CMS finalized two new RPM CPT codes for 2026:
- CPT 99445: Device supply with remote data transmission for 2–15 days in a 30-day period.
- CPT 99470: RPM management time with at least one real-time interactive communication for the first 10 minutes in a calendar month.
These additions expand billing eligibility to include shorter monitoring durations and brief but clinically meaningful management interactions that previously fell below traditional billing thresholds.
CPT 99445: Short-Window Device Monitoring
Providers may now bill RPM for 2–15 days of device data (previously 16+ days), supporting post-discharge care, acute or transitional monitoring, and short-term medication titration. This code is reimbursed at the same rate as full-month monitoring and cannot be billed with CPT 99454 in the same period.
CPT 99470: Tiered Management Time
Allows billing for 10–19 minutes of RPM management per month with at least one live patient interaction (phone or video). This captures reimbursement for brief, clinically meaningful interventions and cannot be billed with CPT 99457 in the same month.
Foundational RPM Codes Remain in Place
| CPT Code | What It Covers | Time / Data Requirement | Avg. Medicare Rate |
|---|---|---|---|
| 99453 | Initial device setup & patient education | One-time only | ~$22 |
| 99445 (NEW) | Device supply + remote data transmission | 2-15 days in a 30-day period | ~$52 |
| 99454 | Device supply + daily data transmission | 16-30 days in a 30-day period | ~$52 |
| 99470 (NEW) | RPM management with real-time interactive communication | 10-19 minutes per calendar month | ~$26 |
| 99457 | RPM management with live interactive communication | First 20 minutes / month | ~$52 |
| 99458 | Additional RPM management time | Each additional 20 minutes | ~$42 |
Operationalizing the 2026 RPM Updates with MonitAir
To succeed under the 2026 RPM CPT structure, clinics need accurate tracking, compliant documentation, and workflows that reflect real-world care delivery. MonitAir is built to support all three.
MonitAir helps clinics:
- Track device engagement days (2–15 vs. 16–30) and RPM management time automatically.
- Apply mutual exclusivity rules and document required live patient interactions.
- Leverage short-window monitoring for care transitions, early interventions, and re-engagement.
By unifying device data, patient engagement, and clinical workflows, MonitAir helps clinics capture reimbursement for the care they already provide.
Data reflects national average Medicare Physician Fee Schedule (PFS) rates and Remote Patient Monitoring CPT codes for CY 2026. Source: CMS Final Rule and AMA CPT® 2026. Reimbursement amounts are national averages and may vary by payer, location, and contract.