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The American Medical Association (AMA) has approved significant changes to the 2026 Current Procedural Terminology (CPT) book for remote monitoring codes. If you are providing remote therapeutic or remote physiologic monitoring, you need to be aware of these code changes. With these changes the burden associated with remote monitoring is reduced and you may want to look at incorporating remote monitoring into your practice.
The following new codes will be added which cover the first 2 – 15 days of monitoring
99XX4 – remote physiologic monitoring device supply code
99XX5 – remote physiologic monitoring treatment management services code
98XX4 – respiratory remote patient monitoring code
98XX5 – musculoskeletal remote patient monitoring code
98XX6 – cognitive behavioral therapy remote patient monitoring code
98XX7 – remote therapeutic monitoring treatment management services
The following codes will be revised for 2026:
99454 – Will cover 16 – 30 days of remote monitoring.
99457 – Will include only 11-20 minutes. Previously you had to interact with a patient for 20 minutes or more to bill this code, now when you hit the 11-minute threshold the code is billable.
99458 – (an add on code) Will cover each additional 10 minutes of interactive communication. The code is currently for each additional 20 minutes, the time is more granular enabling you to capture more of your billable time and be reimbursed for that time.
98975 – Will be updated to include digital therapeutic intervention.
98976 – Will be revised to include device supply for data access or data transmissions to support respiratory remote therapeutic monitoring of patients.
98977 – Will be revised to include device supply for data access or data transmissions to support musculoskeletal remote therapeutic monitoring of patients.
98978 – Will be revised to include device supply for data access or data transmissions to support cognitive behavior remote therapeutic monitoring of patients.
98980 – Will be revised to include only 11-20 minutes. Currently you must interact with a patient for 20 minutes or more to bill this code. In 2026, when you hit the 11-minute threshold, the code is billable.
98981 (an add on code) will cover each additional 10 minutes of interactive communication. This change makes time more granular, enabling you to capture more of your billable time and be reimbursed. The code is currently used for each additional 20 minutes.
The changes will be effective in January of 2026 so don’t jump the gun! As more details and guidelines for these remote monitoring codes come out, we will inform you. It is nice to see that remote monitoring is becoming more granular and making it less burdensome for clinicians to monitor patients by recognizing that daily monitoring is not necessary for many conditions.
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