CPT 99453: RPM device setup
The one-time RPM code for setting up the monitoring device and teaching the patient how to use it.
CPT 99453 at a glance
- Time threshold
- Setup and education, no monthly minute threshold
- Who performs it
- Clinical staff or the practitioner
- How often
- Typically once per episode of care; confirm with your MAC
- Approx. 2026 national rate
- ~$20
What the record needs to show
- A practitioner order for remote monitoring and an established relationship with the patient
- Documented patient consent
- Record that the device was set up and the patient was taught to use it
- A device that meets the FDA definition of a medical device
Common billing mistakes
- Billing setup again for a patient already within an episode of care
- Billing without a documented order or consent
Where Zenith fits
Your practice stays the billing provider for CPT 99453. Zenith supplies trained clinical staff who do the work inside your EHR and invoice your practice for the labor. Zenith does not bill Medicare. See Remote Patient Monitoring for how the program runs.
Educational summary, not billing or legal advice. Rates are 2026 Medicare national averages and vary by locality and payer. Confirm current rules in the CMS Physician Fee Schedule and with your Medicare Administrative Contractor.