CPT Code 99470Complete Billing & Coding Guide (2026)Rpm tx mgmt 1st 10 min
About CPT 99470
CPT 99470 is a Current Procedural Terminology code in the E/M category maintained by the American Medical Association. The CMS short descriptor reads "Rpm tx mgmt 1st 10 min". For the full AMA long descriptor and clinical guidance, refer to the current CPT code manual.
Documentation specificity, correct ICD-10 linkage, and modifier accuracy determine whether 99470 pays cleanly or triggers a denial. Verify CMS National Physician Fee Schedule status, applicable Medicare LCDs, and any payer-specific medical policies before submission.
When billing 99470 with a procedure on the same day, use modifier 25 to indicate a significant, separately identifiable E/M service. Documentation must support the separate work, including a distinct chief complaint or HPI section if applicable.
Code Properties
RVU Breakdown
Every CPT code’s Medicare payment is calculated from three Relative Value Unit components: physician work, practice expense, and malpractice. Together they multiply by the conversion factor to produce the payment amount.
Payment = Total RVU × Conversion Factor ($33.4009) × Geographic Adjustment (GPCI). National averages shown. Actual payment varies by locality.
Medicare Payment by State
Medicare adjusts payment by locality based on GPCI (Geographic Practice Cost Index). Higher cost-of-living areas like California and New York pay more. Rural states pay less. Top 12 states shown.
Showing top 12 of 53 states. Full locality data available in CMS PFS Locality file.
Applicable Modifiers
Modifiers commonly paired with 99470 based on its category. Apply only when the clinical circumstance warrants. Incorrect modifier use is a top audit target.
Modifier 25 on E/M plus same-day procedure is the most-audited modifier in physician billing. UnitedHealthcare, Anthem, and several BCBS plans run automated post-pay review on these claims. We audit every modifier 25 application against the chart before submission.
Find the revenue leakage in your 99470 claims.
Wrong modifier, missing documentation, bundling without justification, stale ICD-10 linkage: these are the silent revenue killers on E/M claims. Our AAPC-certified team audits your last 90 days of 99470 claims, surfaces the recoverable dollars, and appeals them. Free, no obligation.
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Related CPT Codes
Codes in the same family as 99470
Everything about CPT 99470
What does CPT code 99470 cover?
CPT 99470 is a Current Procedural Terminology code in the E/M category maintained by the American Medical Association. The CMS short descriptor reads "Rpm tx mgmt 1st 10 min". For the full AMA long descriptor and clinical guidance, refer to the current CPT code manual.
What is the Medicare payment for CPT 99470?
The national average Medicare payment for CPT 99470 is approximately $26.05 in a non-facility setting and $13.36 in a facility setting. Actual payment varies by locality based on GPCI adjustments. Total RVU is 0.78 with a conversion factor of $33.4009.
What is the global period for CPT 99470?
CPT 99470 has no global period (indicator XXX). Because it's an E/M code, there are no post-operative day restrictions. You can bill 99470 on the same day as a procedure with modifier 25 (significant, separately identifiable E/M), or during another code's post-op period with modifier 24 (unrelated E/M during global period).
CPT codes and descriptions are copyright of the American Medical Association. RVU values reflect current CMS publications. Actual payment varies by locality. Commercial payer rates vary by contract.
Free 90-Day AR Recovery Audit
We audit your last 90 days of claims and surface the revenue leakage: wrong modifiers, missed bundling appeals, ICD-10 specificity gaps. AAPC-certified coders. 2.49% of collections. No setup fees.