CPT 99457: RPM management, 20 min
Monthly RPM management time: at least 20 minutes of review of readings and care management, including live two-way contact with the patient or caregiver.
CPT 99457 at a glance
- Time threshold
- 20 minutes per calendar month with interactive communication
- Who performs it
- Clinical staff under direction, or the practitioner
- How often
- Once per patient per month for the base unit
- Approx. 2026 national rate
- ~$52
Not reported in the same month as the shorter-time code 99470.
What the record needs to show
- At least one real-time two-way contact with the patient or caregiver in the month
- A time log showing management minutes
- A note linking the readings to the actions taken
Common billing mistakes
- Counting only automated alerts, with no live contact
- Logging time without recording what changed in the plan
Where Zenith fits
Your practice stays the billing provider for CPT 99457. 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.