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Medicare Care Management & Remote Monitoring

CPT 99445 Explained: New RPM 2–15 Day Monitoring Code for 2026

A practical guide to CPT 99445, the new 2026 RPM code for 2–15 days of device data in a 30-day monitoring period.

Updated for 2026. CPT 99445 introduces a new reporting option for qualifying Remote Physiologic Monitoring (RPM) when device data is collected for 2–15 days during a 30-day monitoring period.

What is CPT 99445?

CPT 99445 applies to remote physiologic monitoring device supply and data transmission for 2–15 qualifying days in a 30-day period.

CPT 99445 vs CPT 99454

The main difference is the number of qualifying monitoring days.

CodeMonitoring period994452–15 days9945416–30 days

Practices should verify current Medicare and payer requirements before submitting claims.

Important RPM Requirements

Medical necessity

The treating practitioner should determine that remote monitoring is reasonable and necessary for the patient's condition.

Connected medical device

RPM generally requires qualifying data to be digitally collected and transmitted from an eligible connected medical device.

Practices should obtain and document consent according to current Medicare and payer requirements.

Accurate monitoring-day tracking

Your RPM workflow should clearly identify how many qualifying days of data were received during each monitoring period.

Example

A patient with hypertension transmits blood-pressure readings using a connected device on 10 qualifying days during a 30-day period. If all other billing requirements are satisfied, CPT 99445 may be relevant.

How ChronicSync Helps

ChronicSync helps care teams organize remote monitoring workflows, track patient activity, and maintain structured documentation.

Start your ChronicSync Free Pilot.

Frequently Asked Questions

Can CPT 99445 and CPT 99454 be billed together?

Current Medicare contractor guidance indicates they should not both be reported for the same monitoring period.

Is CPT 99445 a treatment-management code?

No. Treatment-management services use separate RPM codes and requirements.

Does two days of data automatically qualify a claim?

No. Monitoring duration is only one requirement. Medical necessity, device requirements, consent, documentation, and payer rules also apply.

Sources

This article is educational and is not medical, legal, coding, or billing advice. Verify current CMS and payer requirements before submitting claims.

Reviewed by ChronicSync Team.