99458 Rpm treatment management each additional 20 minutes
Also known as: remote patient monitoring add-on, RPM additional time
Remote patient monitoring treatment management service for each additional 20 minutes of clinical staff time, including ongoing monitoring and patient management.
In Plain Language
continued nurse or doctor monitoring based on your home readings
Clinical Context
Used for additional clinical staff time spent managing complex remote monitoring cases requiring extended care coordination beyond initial 20-minute period.
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 99458?
CPT 99458 (Rpm treatment management each additional 20 minutes) is a Evaluation & Management code. Remote patient monitoring treatment management service for each additional 20 minutes of clinical staff time, including ongoing monitoring and patient management.
Who uses CPT code 99458?
CPT 99458 is used by Nursing, Cardiology, Internal Medicine. Used for additional clinical staff time spent managing complex remote monitoring cases requiring extended care coordination beyond initial 20-minute period.
When is CPT 99458 used?
Used for additional clinical staff time spent managing complex remote monitoring cases requiring extended care coordination beyond initial 20-minute period.
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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.