Remote Patient Monitoring (RPM)
Remote Patient Monitoring (RPM) enables clinicians to track patients’ vital signs and health data in real time using connected devices. It is designed for managing chronic conditions (e.g. hypertension, diabetes, heart failure) by collecting daily physiologic metrics like blood pressure, blood glucose, pulse oximetry, weight, etc.
Medicare’s RPM program allows providers to deliver telehealth-based monitoring to eligible patients at home, improving chronic care management and reducing hospitalizations.
Patients measure their biometrics via easy-to-use devices, and data is transmitted to VTmedi’s platform where clinical staff review trends and alert physicians to concerning changes. This continuous oversight helps catch issues early and improves clinical outcomes while lowering total cost of care
Why RPM Matters:
Home-Based Monitoring: Patients use connected medical devices to send their health data daily or weekly to the provider’s care team.
Continuous Engagement: Our platform ensures consistent patient-provider interaction, fostering better adherence and accountability.
Better Outcomes: Early detection of issues leads to fewer hospitalizations and ER visits, while improving chronic disease management.
99453 – Initial device setup and patient education (one-time per patient). payment: $______ Billed after at least 16 days of monitoring data in a 30-day period.
99454 – Monthly supply of devices and data transmission services. Requires 16+ days of readings per month. payment: $______ per month
CPT Codes & 2025 Reimbursement
99457 – First 20 minutes of RPM data review and interactive management in a month. Requires live patient-clinician communication (e.g. phone consult). payment: $_____ per month
99458 – Each additional 20 minutes of RPM management in the month beyond the initial 20 min. Average payment: $_____
(Note: CPT 99091 for 30-min data interpretation also exists but is less commonly used. RPM and RTM cannot both be billed for the same patient in one month
These reimbursement rates illustrate the revenue potential. For example, a clinic providing RPM to 100 patients could generate over $4,000 per month from code 99454 alone, plus management fees from 99457/99458. RPM codes can be billed alongside Chronic Care Management (CCM) in the same month, as long as time spent is not double-counted
Remote Therapeutic Monitoring (RTM)
Remote Therapeutic Monitoring (RTM) is a sister program to RPM, focused on tracking patients’ non-physiological health data and therapy adherence remotely.
RTM is ideal for monitoring musculoskeletal or respiratory conditions, as well as medication compliance and therapy progress for patients with asthma, COPD, chronic pain, orthopedic recovery, etc.
Through RTM, providers can collect data such as exercise completion rates, inhaler usage, pain levels, or other symptoms via patient-reported outcomes and digital therapeutics devices.
This program enables therapists and clinicians to manage patient therapy plans between visits, ensuring patients stick to regimens and respond well to treatments.
RTM ultimately improves clinical outcomes by detecting issues in therapy adherence early – for example, noticing if a patient isn’t doing prescribed exercises or if their symptoms are worsening – so the care team can intervene.
RTM can be run by physical therapists, occupational therapists, or other qualified providers (in addition to physicians), expanding your clinic’s ability to manage care remotely for rehabilitation and chronic therapy needs.
98975 – Initial setup and patient education on RTM equipment (one-time per program start). Billed once per device/program within a 30-day period after at least 16 days of data are collected. Average payment: $19.73
98976 – Supply of device(s) for respiratory system monitoring, with scheduled recordings/transmission, each 30 days (requires ≥16 days of data in month). Average payment: $43.02
CPT Codes & 2025 Reimbursement
98977 – Supply of device(s) for musculoskeletal system monitoring, with recordings/transmission, each 30 days (requires ≥16 days of data). Average payment: $43.02
98980 – RTM treatment management services by clinician, first 20 minutes in a calendar month. Requires at least one interactive communication (e.g. phone or video check-in) with the patient during that month. Average payment: $50.14
These RTM rates (national averages) demonstrate strong reimbursement for engaging patients in physical therapy or medication adherence remotely. Notably, 98980/98981 can be billed by non-physician practitioners (e.g. therapists) as well, which means practices can leverage RTM for ancillary services. RTM can not be billed concurrently with RPM for the same patient/month and only one provider can bill RTM per patient at a timetelehealth.hhs.gov. However, RTM can be billed in the same month as CCM or other care management programs if criteria are met
RTM has its own set of CPT codes introduced in recent years to encourage remote management of patient therapy. Key RTM billing codes for 2025 include:
98981 – Each additional 20 minutes of RTM management services in a month (beyond the initial 20). Average payment: $39.14
Workflow & VTmedi Support
VTmedi handles the end-to-end RPM workflow, making it easy for your practice to implement this program at scale:
Patient Enrollment & Consent: We identify eligible Medicare patients (with chronic conditions) and obtain consent for RPMtelehealth.hhs.govtelehealth.hhs.gov. VTmedi’s team can help with patient outreach and education about the RPM program’s benefits
What VTmedi Plus Delivers:
FDA-approved devices delivered and set up for each patient
Real-time data tracking with actionable alerts
Integrated support for documentation and Medicare-compliant billing
Optional care coordination through our Chronic Care Management (CCM) and Behavioral Health Integration (BHI) programs
