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99454 Rem mntr physiol param 16-30

Evaluation & Management

Also known as: remote monitoring 16-30 days, RPM extended, home health monitoring

Remote monitoring of physiological parameters (such as blood pressure, weight, glucose) for 16-30 days per month, evaluated and documented by healthcare provider.

In Plain Language

healthcare provider monitors your home health readings regularly

Clinical Context

Used for chronic disease management with frequent home health parameter monitoring over two-week to monthly periods; common in heart failure, diabetes, and hypertension management.

RVU Information

CPT 99454 does not have a physician work RVU assigned by CMS. Reimbursement for this code is determined by payer-specific fee schedules.

Billing & Documentation

E&M codes require documentation of medical decision-making (MDM) complexity or total time spent on the encounter. For 2026, time-based coding includes all physician time on the date of the encounter.

How This Code Compares

This code has a work RVU of 0.00, meaning it does not have a physician work component assigned by CMS. In the Evaluation & Management category, 8% of codes share this characteristic.

Specialties

CardiologyEndocrinologyInternal Medicine

Frequently Asked Questions

What is CPT code 99454?

CPT 99454 (Rem mntr physiol param 16-30) is a Evaluation & Management code. Remote monitoring of physiological parameters (such as blood pressure, weight, glucose) for 16-30 days per month, evaluated and documented by healthcare provider.

Who uses CPT code 99454?

CPT 99454 is used by Cardiology, Endocrinology, Internal Medicine. Used for chronic disease management with frequent home health parameter monitoring over two-week to monthly periods; common in heart failure, diabetes, and hypertension management.

When is CPT 99454 used?

Used for chronic disease management with frequent home health parameter monitoring over two-week to monthly periods; common in heart failure, diabetes, and hypertension management.

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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.