CPT Codes for RPM and Virtual Care Management Programs
Each year, the Centers for Medicare and Medicaid Services (CMS) updates its CPT billing codes for remote patient monitoring and other healthcare services. These codes clarify how and when healthcare professionals can receive reimbursement for certain services. They also incentivize providers to implement virtual care management and remote patient monitoring for their patients.
Below, we explore key updates to billing guidelines for remote patient monitoring and virtual care management services in 2025, including CPT codes, average reimbursement rates, and tips for maximizing reimbursement.
What is Remote Patient Monitoring (RPM)?
Remote patient monitoring (RPM) is a type of remote healthcare that uses technology and digital health solutions to track patient health data from a distance.
RPM typically involves wearable health monitoring devices that collect key metrics, such as heart rate, blood pressure, or blood glucose levels. Healthcare professionals monitor these metrics to identify areas of concern and prioritize early intervention, reducing the risk of severe health complications or hospitalizations.
By providing real-time insights and enabling proactive healthcare management, RPM helps providers improve their quality of care while addressing potential barriers to treatment for patients.
What is Virtual Care Management?
Virtual care management (VCM) is a broad term that refers to using digital tools and telehealth technology to coordinate and deliver healthcare services remotely. It includes services such as remote patient monitoring, virtual check-ins, remote chronic disease care, and remote medication management.
The goal of VCM is to enable healthcare professionals to track and support their patients effectively, even without in-person visits. It improves access to care, increases patient engagement, and helps providers manage patient health needs more efficiently.
2025 CPT Codes for Remote Patient Monitoring
In 2025, CMS has not introduced major changes to CPT codes for remote patient monitoring. However, the fee structure for RPM CPT codes has been revised, leading to a slight reduction in reimbursement rates.
Here’s a look at the most current CPT codes and reimbursement rates for remote patient monitoring as of 2025:
Remote Patient Monitoring | ||
CPT Code | 2025 Average CMS Reimbursement Rate | Description |
99453 | $19.73 | Covers the initial cost of device set-up and patient education on the use of RPM equipment. |
99454 | $43.02 | Covers the cost of supplying devices, transmitting data, and reporting services. May be used once per month per patient. |
99457 | $47.87 | Provides reimbursement for an initial 20 cumulative minutes of RPM services by clinical staff, a physician, or other qualified healthcare professionals over a 30-day period. |
99458 | $38.49 | Provides reimbursement for unlimited additional increments of 20 cumulative minutes of RPM services (after the initial 20-minute minimum described above is met). |
2025 CPT Codes for Virtual Care Management
As part of an effort to focus on preventive care that helps patients live healthier, longer lives, CMS has introduced new reimbursement options that can improve primary care services. With that comes the beginning of new primary care management programs and the strengthening of several others, including:
- Advanced primary care management (APCM)
- Chronic care management (CCM)
- Principal care management (PCM)
- Behavioral health integration (BHI)
- Remote therapeutic monitoring (RTM)
RPM is one tool for virtual primary healthcare management that clinicians can receive reimbursement for. Below are CPT codes for virtual chronic care management (CCM) and principal care management (PCM) services.
Virtual Care Management | ||
CPT Code | 2025 Average CMS Reimbursement Rate | Description |
99490 | $60.49 | Reimbursement for an initial period of at least 20 minutes of clinical staff time dedicated to chronic care management services directed by a physician or other qualified healthcare professionals per calendar month. |
99439 | $45.93 | Reimbursement for CCM services, each 20 minutes of clinical staff time directed by a physician or other qualified healthcare professional, per calendar month. Providers can bill this code separately in addition to code 99490 to receive reimbursement for ongoing care services. |
99426 | $61.78 | Covers the cost of the first 30 minutes of clinical staff time directed by a physician or other qualified professional, per calendar month, for principal care management services for a single high-risk disease. |
99427 | $50.46 | Covers the cost of each additional 30 minutes of clinical staff time directed by a physician or other qualified healthcare professional, per calendar month, for principal care management services. |
Maximize Reimbursement for RPM & Virtual Care with CoachCare
Thanks to telemedicine solutions like remote patient monitoring and virtual care management, providing patients with high-quality, accessible care has never been easier. Partnering with an RPM vendor like CoachCare can help you deliver that care while confidently navigating billing and reimbursement.
Our team helps you streamline the billing process—from selecting the correct CPT codes to understanding service eligibility. CoachCare’s remote patient monitoring devices and virtual care management platform ** ** provide the technology needed to manage a virtual care program without adding unnecessary administrative burden.
Ready to learn more? Reach out to us today to discover how our devices and RPM software can support your practice.