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CPT 99454: Remote Physiologic Monitoring Device Supply, 16–30 Days
CPT code 99454 identifies the supply of one or more devices used for remote physiologic monitoring that occurs for 16 to 30 days in a 30‑day period. The code captures an increasingly important category of virtual care that enables continuous physiologic data collection outside traditional clinical settings, supporting chronic disease management and post‑acute monitoring at scale. Nationally, growth in remote physiologic monitoring reflects broader adoption of digital health tools and payer policy updates that recognize device supply and remote monitoring as distinct billable services.
Key payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find an overview of what CPT code 99454 represents, typical clinical and operational contexts for its use, and which payers commonly provide coverage. The publication outlines benchmark considerations, common billing modifiers and coding context, and how 99454 relates to other remote monitoring services.
This summary provides clinicians, billing professionals, and policy analysts with a concise reference on the code's clinical intent, service setting, and payer landscape. Data not available in the input are noted where applicable and detailed payer‑specific reimbursement benchmarks and claim adjudication patterns are provided in the main report.
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Billing Code Overview
CPT code 99454 describes the service in which a provider supplies one or more devices for remote physiologic monitoring that takes place for 16 to 30 days within a 30‑day period. The service type is device supply for remote physiologic monitoring and the typical site of service is the patient's home, where monitoring occurs remotely over the specified monitoring interval.
Data not available in the input.