Remote Care Just Got Easier to Bill For

CMS's 2026 rule adds new RPM billing codes, lowering thresholds and making remote patient monitoring more scalable for US practices

10 Jun 2026

New billing rules from the Centers for Medicare and Medicaid Services, effective January 2026, have lowered the requirements for reimbursing remote patient monitoring, extending the reach of virtual care to shorter clinical interventions and smaller provider practices.

Under the previous framework, practices needed at least 16 days of patient data within a 30-day period to qualify for device reimbursement. Two newly finalised procedure codes, 99445 and 99470, reduce that floor to two days and ten minutes of clinical management time per month. Practices that previously found the threshold unworkable can now bill for limited monitoring windows without redesigning their programmes.

Payment rates have also shifted. For the first time in five years, time-based remote monitoring services are seeing rate increases. Both the new two-to-15-day code and the established 16-to-30-day code now carry equal reimbursement, allowing care teams to adjust monitoring intensity by patient need rather than revenue concern.

Florida-based Nsight Health, which serves more than 130,000 patients across 1,700 provider teams, was named Best RPM Solution at the MedTech Breakthrough Awards in May 2026. The company operates through its PRVNT.ai platform, combining connected devices with round-the-clock clinical support and automated workflows for chronic disease management. Past recipients of similar recognition include Medtronic and Teladoc.

Structural questions remain. Whether smaller independent practices will invest in the technology and administrative capacity needed to manage expanded monitoring programmes is unclear. The CMS rule creates financial conditions for growth; it does not guarantee it.