This month Tenovi is focused on helping you understand the RTM, RPM, CCM experience and how activating remote monitoring in chronic care management offers a proactive approach to patient care. Patients and members enrolled in RPM are actively involved in their care plan and take daily vital sign measurements that are transmitted directly to care teams. When measurements exceed preset thresholds, a care team can intervene, and physicians can adjust treatment plans as needed to support reducing avoidable complications and supporting better outcomes.
This article provides a practical overview of current CPT codes, reimbursement rates, and compliance requirements for a strong RTM RPM CCM experience.
Enhancing the RPM CCM Experience: 2025 CPT Codes and Reimbursement
Beyond clinical value, these programs offer defined reimbursement pathways. Below is a summary of the 2025 CPT code structure, associated reimbursement rates, and CMS compliance requirements to help ensure accurate and compliant billing. It explains how each service type is structured under CMS, what activities and device types each code covers, and billing restrictions that can affect reimbursement.
The goal of this article is to help healthcare teams and billing administrators strengthen their RPM CCM experience by billing these programs accurately, compliantly, and efficiently.
Remote Patient Monitoring CPT Codes
Building a compliant RPM CCM experience starts with accurate RPM code utilization.
- 99453 – Setup and patient education: $19.73 (billed once)
- 99454 – Device data transmission (16+ days): $43.03/month
- 99457 – 20 minutes clinical time: $47.88/month
- 99458 – Each additional 20 minutes: $38.50
Remote Therapeutic Monitoring CPT Codes
RTM complements the RPM CCM experience by expanding connected monitoring to therapeutic and rehabilitative use cases
- 98975 – Setup and education: $19.73
- 98976 – Device (respiratory): $43.02
- 98977 – Device (musculoskeletal): $43.02
- 98978 – Cognitive Behavioral Therapy device: Fee Schedule dependent
- 98980 – 20 minutes treatment management: $50.15
- 98981 – Each additional 20 minutes: $39.14
Chronic Care Management CPT Codes
Strong CCM processes are central to a positive RPM CCM experience, ensuring time-based care coordination and follow-up for patients with complex or multiple conditions.
- 99490 – 20 minutes clinical staff time: $60.49
- 99439 – Additional 20 minutes (max 2 units): $57.58
- 99491 – 30 minutes provider time: $82.16
- 99437 – Additional 30 minutes provider time: $131.65
- 99487 – Complex CCM 60 minutes: $131.65
- 99489 – Complex CCM add-on 30 minutes: $45.93
CMS Compliance Guidelines for a Compliant RPM CCM Experience
- No Double Billing of Time: CMS prohibits overlapping time across RPM, RTM, and CCM. Track and document each service separately.
- No Concurrent RPM + RTM Device Codes: Only one device type may be billed per patient per month. Choose codes based on the clinical purpose.
- CCM + RPM or RTM Allowed—with Documentation: These can be billed together only when addressing distinct conditions and separately tracking time.
- Only One Provider Can Bill Device Codes Each Month: Reimbursement is limited to the first claim submitted for the applicable device code.
Proper documentation and time tracking are the foundation of a compliant, billable RPM CCM experience.
Simplify Compliance and Maximize Value
Managing three service lines can be seamless when supported by the right platform. Tenovi’s unified dashboard and connected device ecosystem help organizations:
- Accurately log and allocate provider time
- Match devices to the correct RPM or RTM codes
- Streamline CCM documentation and workflows
With more than 50 cellular-connected devices and integrated medication adherence tools, Tenovi enables providers to expand chronic care programs confidently—maintaining compliance while enhancing the overall RPM CCM experience. Want to learn more? Register for Tenovi and ThoroughCare‘s November 13, 2025 webinar on How to add CCM to RPM.
