99457 Rpm treatment management first 20 minutes
Also known as: remote patient monitoring, RPM management, telemonitoring
Remote patient monitoring treatment management service for first 20 minutes of clinical staff time, including device data review and patient communication.
In Plain Language
nurse or doctor checks your health readings from home and calls you
Clinical Context
Used when clinical staff actively manages patient care based on remote-monitored physiological parameters, including interpretation, clinical decision-making, and patient communication.
RVU Breakdown
| Work RVU | 0.61 |
| Total RVU | 0.61 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
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
With a work RVU of 0.61, this code ranks in the 11th percentile among Evaluation & Management codes — 2.5x below the median (1.54). The highest wRVU in this category is 18.46.
Specialties
Frequently Asked Questions
What is CPT code 99457?
CPT 99457 (Rpm treatment management first 20 minutes) is a Evaluation & Management code. Remote patient monitoring treatment management service for first 20 minutes of clinical staff time, including device data review and patient communication.
Who uses CPT code 99457?
CPT 99457 is used by Internal Medicine, Cardiology, Nursing. Used when clinical staff actively manages patient care based on remote-monitored physiological parameters, including interpretation, clinical decision-making, and patient communication.
When is CPT 99457 used?
Used when clinical staff actively manages patient care based on remote-monitored physiological parameters, including interpretation, clinical decision-making, and patient communication.
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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.