Part of Remote Physiologic Monitoring
CPT 99454: RPM device supply, 16+ days of data
Monthly supply of the RPM device with daily recording and transmission, when at least 16 days of data are collected in the 30-day period.
Time threshold & code combinations
At least 16 days of data collected and transmitted within a 30-day period.
- Mutually exclusive with 99445 for the same 30-day period: use 99445 instead if only 2-15 days of data were collected
Who can bill
- Physicians and non-physician practitioners
- Billed under the supervising practitioner
Eligibility & billing requirements
- Active RPM episode with a qualifying connected device in place
- At least 16 days of physiologic data automatically collected and transmitted in the 30-day period
- Device must be FDA-defined as a medical device
When to use it
Consistent daily blood pressure readings
A patient's connected blood pressure cuff transmits readings on 22 of 30 days in the billing period.
Billing: 99454
Documentation checklist
- Device data log showing 16+ days of readings in the 30-day period
Common billing mistakes
- Billing 99454 when data was actually collected on fewer than 16 days