Reimbursement
$47.43
Threshold
2d
2026 Status
Active
What is CPT Code 99445?
CPT 99445 is defined as: Remote monitoring of physiologic parameter(s) (e.g., weight, blood pressure, pulse oximetry, respiratory flow rate), initial; device(s) supply with daily recording(s) or programmed alert(s) transmission, for a period of 2 to 15 days of data transmission within a 30-day period.
This code is primarily used for RPM services. It falls under the category of Remote Patient Monitoring (RPM) 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
0
Physician Effort
PE (Non-Fac)
1.41
Practice Expense
Malpractice
0.01
Risk Factor
Total RVU
1.42
Note: [(Work RVU * Work GPCI) + (PE RVU * PE GPCI) + (MP RVU * MP GPCI)] * Conversion Factor
2026 CMS Policy Intelligence
revenue protection
99445 is a landmark 2026 policy addition that prevents providers from losing all device supply revenue when patients miss the 16-day mark.
efficiency adjustment exemption
As a zero-Work RVU code (PE only), 99445 is not affected by the -2.5% efficiency adjustment applied to physician work values.
conversion factor
Utilizes the 2026 Non-QP rate of $33.40.
Administrative Framework
Operational Requirements
transmission threshold
Requires a minimum of 2 days and a maximum of 15 days of data transmission within a 30-day period. This is the 'short-duration' safety net for RPM.
device type
The device must be an FDA-defined medical device (e.g., Bluetooth BP cuff, cellular scale). Manual entry of data into an app does not qualify.
billing interval
Reported once every 30 days per patient, only if the primary 16-day code (99454) is not met.
setup linkage
Must be preceded by an initial setup and education service (99453).
Compliance Checklist
Audit Defense
No specific audit defense elements defined.
2026 Update
NEW 2026 CODE. Use for patients who drop compliance mid-month to secure partial reimbursement for device costs.
Common Clinical Scenarios
No clinical examples provided.
Target Specialties & Utilization
Typical Clinical Indications (ICD-10)
Frequently Asked Questions
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