The Centers for Medicare & Medicaid Services (CMS) has proposed significant changes to Medicare reimbursement for remote physiologic monitoring (RPM) and remote therapeutic monitoring (RTM) services under the proposed calendar year (CY) 2027 Medicare Physician Fee Schedule. The changes would limit RPM and RTM to established patients, require a qualifying face-to-face visit before monitoring begins, and restrict billable monitoring work to clinical staff directly employed by the billing practitioner or practice.
The rule also proposes downward revisions to practice expense inputs for setup and device-supply codes and seeks comment on a more sweeping overhaul that would consolidate 17 existing RPM/RTM codes into four bundled monthly codes. These changes, if finalized, could require RPM and RTM vendors and providers to rework enrollment workflows, staffing arrangements, and billing models well ahead of the proposed January 1, 2027, effective date. Comments on the proposed rule are due September 14, 2026.