2026 RPM CPT Calculator
Estimate monthly Medicare Remote Patient Monitoring reimbursement across CPT 99453, 99454, 99445, 99457, 99458, and 99470 — including the two new 2026 codes for shorter transmission and treatment-management periods.
Device supply — transmission days per 30-day period
Only one device-supply code applies per patient per 30-day period. The remaining 15% (fewer than 2 transmission days) is not billable.
Treatment management — qualifying time per calendar month
Only one treatment-management code applies per patient per month, and both require at least one real-time interactive communication.
Rates (editable)
Defaults are approximate 2026 Medicare non-facility national averages. Verify your locality-specific amounts in the CMS Physician Fee Schedule Look-Up Tool.
How this estimate works
The CY 2026 Physician Fee Schedule final rule added two RPM codes. CPT 99445 covers device supply with 2–15 transmission days per 30-day period (below the 16-day threshold that CPT 99454 requires), and CPT 99470 covers the first 10 minutes of monthly treatment-management time (below the 20-minute threshold that CPT 99457 requires). Engagement that previously fell short of the all-or-nothing thresholds now has a billable pathway — which is why this calculator asks for your patient mix across both tiers of each requirement.
Each patient can qualify for at most one device-supply code per 30-day period and at most one treatment-management code per calendar month, and treatment-management codes require at least one real-time interactive communication with the patient or caregiver during the month. The calculator enforces the mutually-exclusive tiers; your billing team must verify that each claimed patient actually met the thresholds from logged dates and itemized time.
For the full requirements — transmission-day counting, interactive communication, stacking RPM with CCM and TCM, and a documentation checklist — see our 2026 RPM billing guide.
Important Disclaimers
Estimates use approximate 2026 Medicare non-facility national average rates and your inputs; they are illustrative only and should not be used to forecast claims revenue. Actual reimbursement varies by geographic locality, setting, payer, MAC, and applicable Medicare payment rules. Verify current amounts in the CMS Physician Fee Schedule Look-Up Tool.
This calculator does not constitute billing, legal, or clinical advice. Billing requires that all coverage, device, consent, transmission-day, treatment-time, interactive communication, and documentation requirements are independently met for each patient and period. Consult a qualified medical coder or your Medicare Administrative Contractor for your practice's specific billing questions.
CPT is a registered trademark of the American Medical Association. CPT codes and descriptions are used here for informational purposes.