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The Centers for Medicare & Medicaid Services (CMS) has released the 2026 Physician Fee Schedule (PFS) final rule, and it brings welcome news for providers: CMS is doubling down on remote care, including two new remote patient monitoring (RPM) codes that expand flexibility and access for both clinicians and patients.
These updates continue CMS's multi-year trend of supporting remote care models that blend technology, clinical oversight, and patient engagement. To help healthcare organizations unpack the details of the final rule and prepare for implementation, we're hosting a complimentary webinar on November 20. The session will explore the rule's impact across remote care programs and highlight other key changes affecting RPM and virtual care delivery.
New 2026 RPM Codes
After extensive review by the AMA CPT Editorial Panel, CMS has finalized two new RPM codes that give providers more billing options for shorter monitoring durations and management times.
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CPT 99445 – Remote monitoring of physiologic parameter(s) (eg, weight, blood pressure, pulse oximetry, respiratory flow rate), initial device(s) supply with daily recording(s) or programmed alert(s) transmission, 2-15 days in a 30-day period.
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2026 reimbursement rate: ~$47
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CPT 99470 – Remote physiologic monitoring treatment services, clinical staff/physician/other qualified health care professional time in a calendar month requiring 1 real-time interactive communication with the patient/caregiver during the calendar month; first 10 minutes.
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2026 reimbursement rate: ~$26
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What these new RPM CPT codes mean
Clinicians can now bill for fewer monitoring days or shorter management time and do so without losing compliance. For patients, this means remote patient monitoring can better match clinical needs, whether that's daily vitals over several weeks or a short-term "data burst" during medication titration or care transitions.
Existing RPM CPT Codes: The Foundation Remains
Alongside the new additions, the four foundational RPM codes remain central to remote monitoring programs.
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CPT 99453 – Remote monitoring of physiologic parameter(s) (e.g., weight, blood pressure, pulse oximetry, respiratory flow rate), initial set-up and patient education on use of equipment.
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2026 reimbursement rate: ~$22
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CPT 99454 – Remote monitoring of physiologic parameter(s) (eg, weight, blood pressure, pulse oximetry, respiratory flow rate), initial device(s) supply with daily recording(s) or programmed alert(s) transmission, 16-30 days in a 30-day period.
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2026 reimbursement rate: ~$47
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CPT 99457 – Remote physiologic monitoring treatment management services, clinical staff/physician/other qualified health care professional time in a calendar month requiring interactive communication with the patient/caregiver during the month; first 20 minutes
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2026 reimbursement rate: ~$52
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CPT 99458 – Remote physiologic monitoring treatment management services, clinical staff/physician/other qualified health care professional time in a calendar month requiring interactive communication with the patient/caregiver during the month; each additional 20 minutes
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2026 reimbursement rate: ~$41
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Why The 2026 RPM CPT Code Update Matters — A Lot
The 2026 RPM CPT code updates reinforce CMS's long-term commitment to remote care. By allowing shorter monitoring periods and smaller time increments, these new codes make RPM programs more adaptable, scalable, and accessible than ever before.
Key takeaways for practices and health systems, whether you're already running remote care programs or planning to launch one:
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More flexibility: Billing can now align more closely with clinical reality and patient needs.
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Improved access: Shorter monitoring options lower the barrier for participation.
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Future-proofed care models: These changes help integrate RPM into broader value-based care strategies.
As CMS continues to refine remote care policy, practices that modernize their workflows now will be best positioned to benefit when reimbursement rates are finalized.
Join the November 20 PFS Final Rule Webinar
Want to understand exactly how these updates fit into your RPM strategy? Join our free webinar on November 20, where we'll break down the new RPM codes, other major remote care changes in the PFS Final Rule, and key takeaways for 2026. Reserve your spot today → Here
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Disclaimer:
Health economic and reimbursement information provided by Prevounce is gathered from third-party sources and is subject to change without notice as a result of complex and frequently changing laws, regulations, rules, and policies. This information is presented for illustrative purposes only and does not constitute reimbursement or legal advice.
Prevounce encourages providers to submit accurate and appropriate claims for services. It is always the provider’s responsibility to determine medical necessity, the proper site for delivery of any services, and to submit appropriate codes, charges, and modifiers for services rendered. It is also always the provider’s responsibility to understand and comply with Medicare national coverage determinations (NCD), Medicare local coverage determinations (LCD), and any other coverage requirements established by relevant payers which can be updated frequently.
Prevounce recommends that you consult with your payers, reimbursement specialists, and/or legal counsel regarding coding, coverage, and reimbursement matters.
Payer policies will vary and should be verified prior to treatment for limitations on diagnosis, coding, or site of service requirements.
The coding options listed here are commonly used codes and are not intended to be an all- inclusive list. We recommend consulting your relevant manuals for appropriate coding options.
The Health Care Provider (HCP) is solely responsible for selecting the site of service and treatment modalities appropriate for the patient based on medically appropriate needs of that patient and the independent medical judgment of the HCP.