Reimbursement
$38.41
Threshold
N/A
2026 Status
Active
What is CPT Code 99091?
CPT 99091 is defined as: Collection and interpretation of physiologic data (e.g., ECG, blood pressure, glucose monitoring) digitally stored and/or transmitted by the patient and/or caregiver to the physician or other qualified health care professional, qualified by education, training, licensure/regulation (when applicable) requiring a minimum of 30 minutes of time, each 30 days.
This code is primarily used for RPM services. It falls under the category of Medicine / Remote Monitoring and is valid for the 2026 calendar year according to the CMS Physician Fee Schedule.
2026 RVU Components
Relative Value Units (Non-Facility)
Work RVU
1.1
Physician Effort
PE (Non-Fac)
0
Practice Expense
Malpractice
0.05
Risk Factor
Total RVU
1.15
Note: [(Work RVU * Work GPCI) + (PE RVU * PE GPCI) + (MP RVU * MP GPCI)] * Conversion Factor
2026 CMS Policy Intelligence
efficiency shield
NOT an E/M code; subject to the -2.5% productivity adjustment (Efficiency Shield DOES NOT apply).
value prop
High ROI for specialists who personally review complex data (e.g., continuous glucose monitor tracings or multi-lead ECG) without clinical staff involvement.
Administrative Framework
Place of Service
Operational Requirements
Standard CMS E/M requirements apply.
Compliance Checklist
Audit Defense
interpretation depth
Documentation must show 'medical thinking' and interpretation, not just a log of numbers.
time tracking
Exact minutes spent throughout the 30-day period must be logged.
Common Clinical Scenarios
No clinical examples provided.
Target Specialties & Utilization
Typical Clinical Indications (ICD-10)
Frequently Asked Questions
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