Why RPM and Chronic Care Management (CCM) Go Hand-in-Hand
Beginning in 2025, the Centers for Medicare & Medicaid Services (CMS) allows clinicians to get reimbursement for advanced primary care management services, including chronic care management (CCM). The change comes as part of an overall push to make it easier for providers to deliver high-quality primary care and shift from a reactive to a preventive healthcare approach.
Preventive care not only improves health outcomes, but it can also help lower costs for patients and providers alike. Because remote patient monitoring (RPM) allows patients to engage in care from their homes and transmits real-time data to providers, it supports continuous care management. With the help of RPM, CCM providers can offer support in between appointments and take care beyond the four walls of their healthcare facilities.
Blending CCM and RPM: A New Approach to Preventive Care
Remote patient monitoring involves using wearable health monitoring devices and software to collect, track, and monitor patient health vitals in real-time. The data collected can help providers understand whether their care approach is effective and if patient health goals are being met.
Providers can offer patients access to RPM devices and virtual health technology as part of their chronic care management approach. Doing so helps enhance care, enables timely interventions, and offers a natural way to engage patients.
Insights collected via RPM programs can also provide valuable looks into a patient’s health outside of clinical settings.
CMS currently supports using CCM and RPM together, meaning providers can bill and receive reimbursement for both services simultaneously, so long as a patient meets the criteria for both programs.
Reimbursement for RPM and CCM Services
Typically, CCM services reimburse providers on a per-patient, per-month basis. This naturally limits revenue potential. RPM, on the other hand, offers providers reimbursement for each device and interaction between providers and patients. So, for providers leveraging both RPM and CCM, billing opportunities double.
CMS guidelines state that providers can bill for several elements of RPM use and integration, including:
- Time spent on initial device setup
- Device transmission
- Time spent on monitoring
By increasing reimbursement potential for providers focused on CCM, RPM supports a shift in primary care from reaction to prevention. CPT codes for RPM and CCM give providers a financial incentive to pursue RPM and the means to ensure that their RPM programs are sustainable.
Remote Patient Monitoring CPT Codes
RPM CPT codes allow providers to bill and receive reimbursement for certain services related to the setup, transmission, or ongoing monitoring of remote patient monitoring devices.
Remote Patient Monitoring (RPM) | ||
CPT Code | 2025 Average CMS Reimbursement Rate* | Description |
99453 | $19.73 | Reimbursement for the initial cost of RPM device set-up and patient education on the use of RPM equipment. |
99454 | $43.02 | Reimbursement for the cost of supplying devices, transmitting data, and reporting services. |
99457 | $47.87 | Reimbursement for an initial 20 cumulative minutes of RPM services by clinical staff, a physician, or other qualified healthcare professionals. |
99458 | $38.49 | Reimbursement for unlimited additional increments of 20 cumulative minutes of RPM services. This code can be billed after the initial 20-minute minimum outlined in CPT code 99457 is met. |
*All rates are based on national averages and vary by region.
Chronic Care Management CPT Codes
In recent years, CMS has also released new and updated CPT codes for advanced primary care management, including chronic care management. As of 2025, CCM CPT codes and reimbursement rates are as follows:
Chronic Care Management (CCM) | ||
CPT Code | 2025 Average CMS Reimbursement Rate* | Description |
99487 | $134.15 | Complex CCM: reimbursement for the first 60 minutes of clinical staff time directed by a physician or other qualified healthcare professional. |
99489 | $72.22 | Add-on code for CPT code 99487; reimbursement for each additional 30 minutes of clinical staff time directed by a physician or qualified healthcare professional. |
99490 | $60.49 | Reimbursement for the first 20 minutes of clinical staff time spent on CCM services directed by a physician or other qualified healthcare professional. |
99491 | $82.18 | Reimbursement for the first 30 minutes of time spent on CCM services provided personally by a physician or other qualified healthcare professional. |
99439 | $45.95 | Add-on code for CPT code 99490; reimbursement for each additional 20 minutes of clinical staff time directed by a physician or other qualified healthcare professional. |
99437 | $57.58 | Add-on code for CPT code 99491; reimbursement for each additional 30 minutes of CCM services provided personally by a physician or other qualified healthcare professional. |
*All rates are based on national averages and vary by region.
Embrace Remote Chronic Care Management with CoachCare
In a healthcare climate characterized by increasing pressure to improve health outcomes, deliver personalized care, and maintain financial sustainability, RPM offers a unique opportunity. Remote patient monitoring devices and technologies can help providers enhance patient care while simultaneously reducing hospitalizations and shrinking overhead costs for healthcare systems. When coupled with CCM programs, RPM supports preventive care and increases reimbursement opportunities, giving providers more ways to support patients and their practices.
For providers already focused on CCM, incorporating RPM into the mix is a natural next step. But adopting RPM can be challenging; securing buy-in and ensuring patients actually engage with your programs isn’t always easy.
That’s why it’s so important to work with the right vendor when investing in RPM. CoachCare’s RPM devices and platform ensure that patient health data gets transmitted seamlessly. With additional benefits – like assistance with billing and optional monitoring services, where our team takes care of monitoring patients for you – to make implementing RPM easier, CoachCare’s approach is designed to take the stress out of introducing RPM to your practice so that you can focus on what matters most: delivering top-quality care.
Ready to see how RPM can help you revolutionize the care you provide? Reach out to us today to book a demo and discover what CoachCare can do for your patients.