Reimbursement Codes/99091
CPT I · RPM · Active
99091: Collection and interpretation of physiologic data
Physician or QHP collection and interpretation of physiologic data digitally stored or transmitted by the patient.
About this code
Physician or QHP collection and interpretation of physiologic data digitally stored or transmitted by the patient. Active under the Medicare Physician Fee Schedule when coverage and documentation rules are met. CY2027 PFS proposed rule would tighten initiating-visit, employment and established-patient conditions for RPM. This entry uses our own plain-English summary, not the copyrighted AMA CPT long descriptor. Always confirm the current CMS addendum before billing.
Medicare statusActive under the Medicare Physician Fee Schedule when coverage and documentation rules are met. CY2027 PFS proposed rule would tighten initiating-visit, employment and established-patient conditions for RPM.
PaymentDollar amounts vary by locality under the PFS. We do not invent national payment figures here; check the current CMS PFS look-up tool.
What changed
CMS proposes requiring a separately reportable initiating visit, limiting payment to clinical staff employed by the practice, and seeking comment on consolidating many RPM codes into GRPM1 and GRPM2 G-codes.
Who bills under it
Physician practices and clinics billing Medicare Part B for remote physiologic monitoring.
Cardiovascular
AliveCor
Provides consumer grade personal electrocardiogram devices and AI powered cardiac monitoring software.
Remote Monitoring & Wearables
Biofourmis
Provides AI driven remote monitoring and digital therapeutics to manage patients at home.
Remote Monitoring & Wearables
Omada Health
Provides digital care programs combined with connected tracking devices for chronic disease management.
Related FDA AI clearances
- Corvair Monza · AliveCor, Inc. · K252589
- Corvair · AliveCor, Inc. · K231010
- Impala · AliveCor, Inc. · K232035
- AliveCor QT Service · AliveCor, Inc. · K212662
- KardiaAI · AliveCor, Inc. · K201985
- Biovitals Analytics Engine · Biofourmis Singapore Pte. Ltd · K183282
- Code
- 99091
- Code type
- CPT I
- Category
- RPM
- Rule status
- Active
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