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Part of Remote Physiologic Monitoring

CPT 99470: RPM treatment management, 10-19 minutes

Short-duration alternative to 99457 for months where 10 to 19 minutes of treatment management time were documented.

Time threshold & code combinations

10 to 19 minutes of treatment management time, plus at least one interactive communication, per calendar month.

  • Mutually exclusive with 99457 for the same month

Who can bill

  • Physicians and non-physician practitioners
  • Clinical staff under general supervision

Eligibility & billing requirements

  • Active RPM episode with device data being collected during the month
  • At least one interactive, real-time communication with the patient or caregiver during the month

When to use it

Lighter-touch monthly check-in

A patient's readings were stable, so staff spend 12 minutes reviewing the data and confirming with the patient by phone that nothing has changed.

Billing: 99470

Documentation checklist

  • Time log showing 10-19 minutes
  • Record of the interactive communication

Common billing mistakes

  • Billing 99457 when time actually only reached the 99470 range
  • Billing both 99457 and 99470 for the same patient in the same month