CPT 99445: The Biggest Remote Care Opportunity in 2026

The 2026 Medicare Physician Fee Schedule (PFS) FINAL Rule marks a major leap forward for remote patient monitoring (RPM). CMS has made it clear: expanding access to RPM is a priority. We have seen a significant increase in patients in our system who are now billable thanks to CPT 99445—a brand‑new code that lowers thresholds for reimbursements for remote care, to better reflect real-world use cases. Providers can simply continue doing the remote monitoring work they’re already doing and can count on getting reimbursed for their time.  

What Is CPT 99445?

CPT 99445 is one of eight new codes introduced for 2026, and one of two new RPM codes. It allows providers to bill for 2–15 days of device readings within a 30‑day period.

• If a patient submits more than 15 days, providers should continue using CPT 99454, the existing code covering 16–30 days of readings.

This significantly reduced billing threshold opens the door for more patients to participate in RPM programs, better reflecting real-world RPM behavior, creating a significant revenue opportunity for providers.

A Breakthrough for Stable Chronic Patients

Many patients with stable chronic conditions, such as hypertension or diabetes, require weekly or monthly monitoring rather than daily readings. Until now, these patients couldn’t be billed under RPM, even when they were consistently submitting data.

CPT 99445 changes that.

CMS is signaling that RPM isn’t just for high‑risk patients, but rather a valuable tool for anyone managing a chronic condition. Providers can now tailor monitoring frequency to each patient’s needs without sacrificing reimbursement.