Reimbursement Codes/99470

CPT I · RPM · Active

99470: RPM treatment management, 10-19 minutes

Shorter treatment management code for 10 to 19 minutes of RPM management in a calendar month.

About this code

Shorter treatment management code for 10 to 19 minutes of RPM management in a calendar month. 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.

Related FDA AI clearances

Code
99470
Code type
CPT I
Category
RPM
Rule status
Active

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