99458
Rpm tx mgmt ea addl 20 min
RPM treatment management, each additional 20 minutes in a calendar month, reported with the qualifying base service.
Published by RVUDoc. Numeric data: CMS RVU26C, effective 2026-07-01. Page updated 2026-09-23. Calculation limits and editorial policy.
Fee-schedule estimate before claim adjustments. Coverage, setting and payer rules still apply.
Billing guidance for 99458 is locked
- When to use it: the exact clinical situations that support billing 99458
- Documentation checklist: the 3 elements your note needs before submitting
- Common pitfalls: the 4 mistakes that get 99458 downcoded or denied
Payer notes
For the 99457/99458 pathway, 40 total qualifying minutes supports one 99458 unit and 60 supports two, subject to payer edits. Keep RPM, CCM and BHI time distinct; never count the same minute twice.
Related codes
These include alternative services and possible add-ons. Listing codes together does not establish that they can be billed together; check the applicable edits and payer policy.
See what 99458 adds to your year
Add it to the wRVU calculator with your own volume, or paste a note and let the chart audit check your coding.