2026 updates for RPM, RTM and APCM CPT codes

As 2026 begins, CMS is rolling out a refreshed, more flexible set of CPT codes that will shape the next era of remote care. The finalized Physician Fee Schedule brings meaningful updates across Remote Patient Monitoring (RPM), Remote Therapeutic Monitoring (RTM), and Advanced Primary Care Management (APCM), designed to better reflect real-world clinical workflows and patient behavior.

These changes simplify requirements, reduce minimum clinical time thresholds, and expand flexibility for managing conditions like blood pressure, weight, and pulse oximetry remotely. For practices, this means clearer pathways to deliver high-quality, proactive care, engage patients more effectively, and capture additional eligible revenue, all while supporting a growing, technology-enabled ecosystem of continuous care.

2026 is not just a procedural update; it’s a signal that remote care is maturing rapidly, offering practices the tools to deliver smarter, more efficient, and more patient-centered care.

New RTM and RPM Codes for 2026

One of the most notable shifts is the refinement of RPM requirements, including the move toward shorter data-collection windows and greater operational flexibility. These adjustments show CMS’s growing awareness of how patients actually interact with technology and how practices deliver care at scale.

• New RPM device code for 2-15 days of data (CPT 99445):
  Practices can now bill for RPM device supply and data transmission when patients generate 2 to 15 days of physiologic data in a 30 day period, instead of only being reimbursed when they reach 16 days or more.
  
  
• Existing RPM device code for 16-30 days (CPT 99454) remains:
  99454 continues to represent 16-30 days of data, but CMS has finalized that 99445 (2-15 days) and 99454 (16-30 days) will be paid at the same rate, giving your team flexibility to match monitoring intensity to clinical need without sacrificing reimbursement.
  
  
• New time threshold code for RPM/RTM treatment time (CPT 99470):
  A new code is available for 10-19 minutes of treatment management, filling the gap when your work does not reach the full 20 minute threshold required by existing codes. This better reflects the real, incremental care your team already provides.

New APCM codes for 2026

For CY 2026, CMS is finalizing three optional add-on G-codes for Advanced Primary Care Management (APCM). These add-on codes can be billed alongside the APCM base code in the same month and are intended to support complementary services such as physical activity guidance, nutrition counseling, and health coaching. Together with the existing APCM-aligned services, these updates enable practices to deliver more comprehensive, whole-person care to patients with complex needs within a unified primary care framework.

Table 1. 2026 CMS Physician Fee Schedule: RPM & RTM Code Updates

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