99454
RPM device supply ea 30 day
Remote physiologic monitoring device supply with daily recordings or programmed alert transmissions, each 30 days. CMS 2026 wRVU 0.00; practice-expense-only, covering the device, connectivity, and data infrastructure. Requires at least 16 days of transmitted data within the 30-day period.
Billing guidance for 99454 is locked
- When to use it: the exact clinical situations that support billing 99454
- Documentation checklist: the 4 elements your note needs before submitting
- Common pitfalls: the 5 mistakes that get 99454 downcoded or denied
Payer notes
Medicare pays 99454 around the high-$40s nationally as pure practice expense, which typically exceeds device and connectivity cost per patient-month and is what makes RPM programs financially viable at scale. No wRVU accrues. Medicare Advantage follows Medicare; commercial plans largely cover it but some impose their own adherence thresholds. CPT 2026 added a companion supply code for 2 to 15 days of data; check payer adoption before billing partial-adherence months under it.