CPT 99457: Remote Patient Monitoring Treatment Management, First 20 Minutes
CPT 99457 reports the first 20 minutes of remote patient monitoring (RPM) treatment management per calendar month, requiring interactive communication with the patient. In 2026 Medicare pays about $51.77 non-facility (1.55 total RVUs times the $33.4009 conversion factor) and about $26.39 in a facility.
- Code type
- RPM treatment management (first 20 min)
- 2026 non-facility
- $51.77 (1.55 RVUs)
- 2026 facility
- $26.39 (0.79 RVUs)
- Requirement
- 20 min + interactive communication / month
What is CPT 99457 used for?
CPT 99457 reports the first 20 minutes of RPM treatment management in a calendar month, the clinical work of reviewing transmitted data, adjusting the care plan, and interacting with the patient. Unlike the device-supply code, 99457 is about clinician time and requires at least one interactive communication with the patient or caregiver during the month.
The 20 minutes may be furnished by the physician, QHP, or clinical staff under general supervision, and the time counts data review, care-plan management, and patient communication together. Combined with the device-supply code 99454, 99457 forms the core of monthly RPM reimbursement.
How much does 99457 pay in 2026?
99457 carries 1.55 non-facility RVUs and 0.79 facility RVUs. At the 2026 conversion factor of $33.4009 that is about $51.77 non-facility and $26.39 in a facility per month. When management runs longer, each additional full 20 minutes stacks on with 99458:
| Management time | Codes | 2026 non-facility total |
|---|---|---|
| 20 min | 99457 | ~$51.77 |
| 40 min | 99457 + 99458 | ~$93.19 |
| 60 min | 99457 + 99458 x2 | ~$134.61 |
Check locality rates on the Medicare fee calculator.
Time and the interactive-communication requirement
Two conditions must both be met before you can bill 99457. Reviewing data alone, without the interactive contact, does not qualify:
- 20 minutes of treatment-management time in the calendar month.
- At least one interactive, real-time communication (phone or live video) with the patient or caregiver.
RPM management and chronic care management can generally both be billed in the same month for the same patient when each is separately documented, but the same minutes cannot count toward both. Keep separate, clearly labeled time logs.
Frequently asked questions
99457 requires at least 20 minutes of RPM treatment-management time by the physician, QHP, or clinical staff in a calendar month, and that time must include at least one interactive (real-time, two-way) communication with the patient or caregiver. Reviewing data alone, without the interactive contact, does not qualify.
The 2026 national non-facility allowed amount is about $51.77 (1.55 total RVUs times $33.4009) and about $26.39 in a facility. Combined with the device-supply code, it is the core of monthly RPM reimbursement.
Yes, RPM treatment management and chronic care management can generally be billed in the same month for the same patient when each service is separately documented, but you cannot count the same minutes toward both. The time spent on RPM must be distinct from CCM time. Keep separate, clearly labeled time logs.
Sources & further reading
Reviewed by the ImmediCare Solutions RCM team
Certified billers and coders handling claims across 50+ specialties nationwide. This entry is reviewed against current payer policy and CMS rules. Last review: Jul 5, 2026.
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