CPT 99457

Remote Physiologic Monitoring Treatment

Remote physiologic monitoring treatment management services requiring 20 or more minutes of interactive communication with the patient per calendar month.

20+ minutes/month
0.50 work RVU
5 requirements

Documentation Requirements

  1. 1Remote monitoring device in use (e.g., BP cuff, glucose monitor, pulse ox)
  2. 2At least 20 minutes of interactive communication per month
  3. 3Clinical data review and patient communication documented
  4. 4Treatment modifications based on monitoring data
  5. 5Patient consent for RPM services

Billing Tips

  • •Requires 20+ minutes of interactive communication (not just data review)
  • •Device setup billed separately with 99453
  • •Data transmission billed with 99454 (16+ days/month)
  • •Additional 20-minute increments billed with 99458
  • •Can be billed alongside CCM (99490) and E&M visits

Frequently Asked Questions

What counts toward the 20-minute RPM threshold?

Interactive communication includes phone calls, video visits, and secure messaging about monitoring data — not passive data review alone. Scribeable tracks and documents these interactions for compliant billing.

How does Scribeable help with RPM documentation?

Scribeable captures RPM interactions, logs communication time, and generates structured notes documenting clinical data review, patient conversations, and treatment adjustments for 99457 compliance.

Automate RPM Documentation

Scribeable captures all required elements for CPT 99457 from your patient conversation. Generate compliant notes in seconds.

Common Diagnoses

I10E11.65J44.1I50.9I48.91

Related Specialties

primary careinternal medicinecardiologypulmonologyendocrinology

Related Procedures

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Office Visit Level 3

Established patient office visit with low level of medical decision making.

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Office Visit Level 4

Established patient office visit with moderate level of medical decision making.

CPT 992152.80 work RVU

Office Visit Level 5

Established patient office visit with high level of medical decision making.

CPT 992031.60 work RVU

New Patient Level 3

New patient office visit with low level of medical decision making.

CPT 99457: Remote Physiologic Monitoring Treatment

Remote physiologic monitoring treatment management services requiring 20 or more minutes of interactive communication with the patient per calendar month.

Documentation Requirements

  1. Remote monitoring device in use (e.g., BP cuff, glucose monitor, pulse ox)
  2. At least 20 minutes of interactive communication per month
  3. Clinical data review and patient communication documented
  4. Treatment modifications based on monitoring data
  5. Patient consent for RPM services

Billing Tips

  • Requires 20+ minutes of interactive communication (not just data review)
  • Device setup billed separately with 99453
  • Data transmission billed with 99454 (16+ days/month)
  • Additional 20-minute increments billed with 99458
  • Can be billed alongside CCM (99490) and E&M visits

Frequently Asked Questions

What counts toward the 20-minute RPM threshold?

Interactive communication includes phone calls, video visits, and secure messaging about monitoring data — not passive data review alone. Scribeable tracks and documents these interactions for compliant billing.

How does Scribeable help with RPM documentation?

Scribeable captures RPM interactions, logs communication time, and generates structured notes documenting clinical data review, patient conversations, and treatment adjustments for 99457 compliance.

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