Turn monitoring minutes into reimbursement.
RPMLyra auto-tracks patient monitoring time against CPT code requirements — 99453, 99454, 99457, and 99458 — and generates billing-ready summary reports every month.
Four CPT codes. One automated workflow.
| CPT Code | Description | Requirement | Avg CMS Rate |
|---|---|---|---|
| 99453 | Device setup and patient education for remote physiologic monitoring | One-time per patient enrollment; minimum 16 days of readings in first 30-day period | ~$19–22 |
| 99454 | Device supply; daily recordings or programmed alert transmissions, per 30 days | ≥16 days of readings per 30-day period; requires ordering clinician | ~$50–54 |
| 99457 | First 20 minutes of interactive communication with patient per calendar month | Minimum 20 minutes of clinical review time; must include interactive communication | ~$48–52 |
| 99458 | Each additional 20 minutes of interactive communication beyond 99457 | Each additional 20-minute increment; billable up to 2× per month | ~$39–43 |
CMS reimbursement rates vary by locality and may change annually. Review current Medicare Physician Fee Schedule for your specific rates. Not financial or legal advice.
How RPMLyra generates billing-ready reports
Minute-by-Minute Tracking
Every qualifying clinical interaction — reading review, alert response, patient call — is timestamped and attributed to the patient's CCM record automatically.
CPT Qualification Check
Lyra checks each patient against CPT requirement criteria daily. Patients approaching the 20-minute threshold for 99457 are surfaced to the care team with time remaining.
Monthly Billing Report
At period close, Lyra generates a CPT-coded summary report per patient — ready for your revenue cycle team to submit without manual documentation review.
Estimate your monthly CCM revenue
This is a rough estimate based on average CMS reimbursement rates. Your actual revenue will vary by patient mix, billing completeness, and local fee schedules.