Each year, the Centers for Medicare & Medicaid Services (CMS) releases its Final Physician Fee Schedule, outlining updated reimbursement policies and rates for the upcoming year. In the 2026 rulemaking, CMS introduced several meaningful updates for virtual care—most notably, new Remote Patient Monitoring (RPM) billing codes and an increased conversion factor, both of which contribute to higher reimbursement opportunities for eligible services.
These changes signal CMS’s continued commitment to supporting technology-enabled care models that improve access, outcomes, and efficiency for patients with chronic conditions.
Maximizing Virtual Care Programs with RPM and CCM
Remote Patient Monitoring (RPM) and Chronic Care Management (CCM) are complementary services that can be billed concurrently, enabling practices to deliver more continuous, proactive care. CCM supports patients with two or more chronic conditions through comprehensive care planning and coordination, while RPM allows clinicians to remotely track physiologic data via connected devices between office visits or following hospital discharge.
Importantly, both RPM and CCM may be delivered under the general supervision of the billing provider and do not require services to be performed solely by in-house clinical staff. This flexibility allows practices to scale programs efficiently, including leveraging outsourced clinical monitoring teams when internal staffing is limited.
Patients enrolled in CCM often benefit significantly from the addition of RPM—particularly those with uncontrolled hypertension, diabetes, or other conditions that require frequent monitoring. As a result, many practices strategically begin with CCM to identify and engage patients most likely to benefit from RPM before investing in connected devices and expanded workflows.
What’s New for 2026
For 2026, CMS has made RPM programs more flexible and accessible than ever by introducing two new RPM codes designed to support care models that involve lower data transmission thresholds and reduced treatment management time. These updates lower barriers to participation and create new opportunities for practices to tailor RPM programs to patient needs while maintaining financial sustainability.
Below is an overview of the average national Medicare reimbursement rates for 2026 for Remote Patient Monitoring (RPM) and Chronic Care Management (CCM). Reimbursement amounts for specific geographic localities can be found using the CMS Physician Fee Schedule search tool.
All amounts listed are per patient per month unless otherwise noted.
2026 RPM Reimbursement Codes and Amounts
CPT Code 99453
Description: Initial setup and patient education on device use
2025 Amount: $19.73 per patient, one time.
2026 Amount: $21.71 per patient, one time.
NEW CPT Code 99445
Description: Device supply and transmission of data 2-15 days/month
2025 Amount: N/A
2026 Amount: $52.11
Note: The new 99445 will be reimbursed at the same rate as 99454 despite fewer days of transmission, with CMS noting that the Practice Expense remains the same, as the practice is still supplying the device to the beneficiary.
CPT Code 99454
Description: Device supply and transmission of data 16-30 days/month
2025 Amount: $43.02
2026 Amount: $52.11
NEW CPT Code 99470
Description: First 10 minutes of monitoring and intervening (10-19 minutes)
2025 Amount: N/A
2026 Amount: $26.05
CPT Code: 99457
Description: First 20 minutes of monitoring and intervening
2025 Amount: $47.87
2026 Amount: $51.77
Note: CPT code 99470 (Treatment Management, first 10 minutes) is not additive with CPT code 99457 (Treatment Management, first 20 minutes). You must choose the single most appropriate code for the time spent that calendar month (e.g., if you reached 20 minutes, you would bill 99457, not 99470 and 99457).
CPT Code 99458
Description: Additional 20 minutes of monitoring and communication
2025 Amount: $38.49
2026 Amount: $41.42
2026 CCM Reimbursement Codes and Amounts
CPT Code 99490
Description: 20 minutes of non-complex CCM per month
2025 Amount: $60.49
2026 Amount: $66.13
CPT Code: 99439
Description: Each additional 20 minutes of non-complex CCM
2025 Amount: $45.93
2026 Amount: $50.44
CPT Code: 99487
Description: First 60 minutes of complex CCM per month
2025 Amount: $131.65
2026 Amount: $144.29
CPT Code: 99489
Description: Each additional 30 minutes of complex CCM per month
2025 Amount: $70.52
2026 Amount: $78.16
Visit the Rimidi RPM calculator to estimate your annual reimbursement amount.
Rimidi Supports RPM and CCM in One Platform
Whether your practice plans to provide these services with your existing staff, or you need additional clinical support services, Rimidi optimizes your virtual care programs with one configurable, EHR-integrated platform, clinical services, and a broad portfolio of connected devices.
Visit our website and request a demo to learn more today!