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Follow-up on your post with RPM codes
I am new and just got my first patient from a group home. I saw him last month on 2/19/26. So I want to use him as example to make sure I am understanding well. So these are the codes that I should use to bill A) Setup / patient education - 99453 โ€“ Initial setup + patient education on use of equipment B) Device supply + data transmission - do I wait for 30 days to be over, so that will be this month on 3/20/26 that it will be 30 days. So I check how many readings I have and that will determine which code I use? - 99445 โ€“ RPM device supply with daily recordings/alerts and transmission for 2โ€“15 days in a 30-day period. - 99454 โ€“ RPM device supply with daily recordings/alerts and transmission for 16โ€“30 days in a 30-day period. C) Treatment management (time + interactive communication) - 99457 โ€“ RPM treatment management, first 20 minutes in the calendar month requiring interactive communication. Just looking at the month of February or do I go from 2/19/26-3/20/26 - 99458 โ€“ Each additional 20 minutes (add-on to 99457) Is it better to keep things simple and just do from 3/1/26-3/31/26? Also, when you establish care, what initial visit documentation do you do? over the phone? what codes do you use? I am an NP and right now I have not approached practices and trying to get comfortable and just approaching group homeowners. I am planning on going to elderly communities as well and events as well. Do I send a record of the patient BP to their PCP? Thank you!
RPM Codes 2026
The 2026 RPM code set (what to bill now) A) Setup / patient education (unchanged) - 99453 โ€“ Initial setup + patient education on use of equipment (still your โ€œstart the programโ€ code). B) Device supply + data transmission (this is where the big change happened) - 99445 (NEW for 2026) โ€“ RPM device supply with daily recordings/alerts and transmission for 2โ€“15 days in a 30-day period. - 99454 (descriptor clarified for 2026) โ€“ RPM device supply with daily recordings/alerts and transmission for 16โ€“30 days in a 30-day period. C) Treatment management (time + interactive communication) - 99457 โ€“ RPM treatment management, first 20 minutes in the calendar month requiring interactive communication. (No code change noted for 2026.) - 99458 โ€“ Each additional 20 minutes (add-on to 99457). (No change noted for 2026.) - 99470 (NEW for 2026) โ€“ RPM treatment management, first 10 minutes in the calendar month requiring 1 real-time interactive communication with the patient/caregiver.
0 likes โ€ข Mar 6
Thanks! I am new and just got my first patient from a group home. I saw him last month on 2/19/26. So I want to use him as example to make sure I am understanding well. So these are the codes that I should use to bill A) Setup / patient education - 99453 โ€“ Initial setup + patient education on use of equipment B) Device supply + data transmission - do I wait for 30 days to be over, so that will be this month on 3/20/26 that it will be 30 days. So I check how many readings I have and that will determine which code I use? - 99445 โ€“ RPM device supply with daily recordings/alerts and transmission for 2โ€“15 days in a 30-day period. - 99454 โ€“ RPM device supply with daily recordings/alerts and transmission for 16โ€“30 days in a 30-day period. C) Treatment management (time + interactive communication) - 99457 โ€“ RPM treatment management, first 20 minutes in the calendar month requiring interactive communication. Just looking at the month of february or do I go from 2/19/26-3/20/26 - 99458 โ€“ Each additional 20 minutes (add-on to 99457) Is it better to keep things simple and just do from 3/1/26-3/31/26? Also, when you establish care, what initial visit documentation do you do? over the phone? what codes do you use? I am an NP and right now I have not approached practices and trying to get comfortable and just approaching group homeowners. I am planning on going to elderly communities as well and events as well. Do I send a record of the patient BP to their PCP? Thank you!
Reimbursement
If a patient gets home health, can they also ger RPM and CCM?
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Marlene Rosana
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3points to level up
@marlene-rosana-9475
I (Marlene) am a nurse practitioner and coach while Joel (husband) serves as a chaplain in the army.

Active 2d ago
Joined Dec 18, 2025