As maternity care shifts toward more hybrid and proactive models, CPT 99453 offers providers a valuable opportunity to enhance prenatal care while strengthening practice finances. This code reimburses for the initial setup and onboarding of remote physiologic monitoring (RPM) devices, providing the foundation for effective, ongoing remote care.

For high-risk pregnant patients, timely access to remote monitoring can support early detection of complications such as hypertension or gestational diabetes. For low-risk pregnancies, it reduces the need for in-person appointments and travel while maintaining clinical oversight. When implemented correctly, CPT 99453 ensures your practice is reimbursed for taking that first, critical step in connecting your patients to remote care.

Beyond reimbursement, CPT 99453-based care directly aligns with national quality standards and guidelines, including:

Beyond reimbursement, CPT 99457-based care directly aligns with national quality standards and guidelines, including:

  • American College of Obstetricians and Gynecologists (ACOG): Endorses the use of remote monitoring to extend prenatal care and reduce disparities in access.
  • USPSTF: Recommends regular monitoring of maternal blood pressure, glucose, and weight to prevent perinatal complications.
  • NCQA/HEDIS: Supports remote management as a method to meet timeliness of prenatal care, postpartum follow-up, and blood pressure control measures.
  • AMA: Advocates for digital tools like RPM to support maternity care management, shared decision-making, and equity in care access.
  • AIM Patient Safety Bundles: by enabling continuous remote monitoring of vital signs and symptoms for early identification and timely response to conditions like hypertension
  • MiPATH recommendations by facilitating personalized, data-driven prenatal care through remote monitoring

What Is CPT Code 99453?

CPT 99453 covers the initial configuration of RPM devices and patient education on their use. It is a one-time billable service per episode of care, triggered when a patient begins an RPM program and completes 16 days of data transmission (i.e. meeting CPT 99454 requirements).

In a maternity context, this typically involves setting up devices like:

  • Blood pressure monitors (for preeclampsia and gestational hypertension)
  • Weight scales (for tracking gestational weight gain and fluid retention)
  • Blood glucose monitors (for managing gestational diabetes)

Providers educate the patient on using the devices properly and ensure data is transmitted reliably.

Billing Criteria for CPT 99453

To bill this code:

  • The device must meet FDA standards as a medical device and support automatic data transmission.
  • Patient must be enrolled and consented in the RPM program.
  • The setup and training must be documented, including the date and education topics covered.
  • CPT 99453 can only be billed once per care episode, even if multiple devices are deployed.
  • The patient must complete at least 16 days of data transmission in the first month to meet RPM eligibility.

Reimbursement Value

  • 2025 Medicare Non-Facility Rate: $19.73 (national average)
  • Can be combined with CPT 99454 (monthly device transmission) and 99457/99458 (RPM management time)
  • Helps support RPM programs that can reimburse over $100 per patient per month

How CPT 99453 Supports Maternity-Focused Care

  • Initiates monitoring for high-risk pregnancies, improving early identification of complications
  • Reduces visit burden for low-risk patients by replacing some in-clinic appointments with remote oversight
  • Strengthens patient-provider connection, improving engagement and adherence
  • Generates predictable revenue to support modernized, hybrid maternity care delivery models

How Marani Helps Clinics Maximize CPT 99453

Marani is your RPM partner for modern maternity care. Our software simplifies the initial RPM setup process so your clinic can easily bill CPT 99453 and scale your program efficiently.

Here’s how we help:

  • Automated device delivery – Patients receive the right FDA-cleared device at the right time, without burdening your staff.
  • Seamless patient onboarding – We help guide patients through setup and education, supporting your documentation and compliance needs.
  • Integrated data transmission & escalation – Our platform ensures 16+ days of data transmission while alerting your team to abnormal readings.
  • Smart provider notifications – Real-time alerts connect the right data to the right team member, fast.
  • EHR workflow integration – Our system is designed to fit your clinic’s workflows, not force you to change them.
  • Attractive pricing – Whether you’re a solo OB/GYN or a multi-site health system, our value-based pricing delivers ROI under any model.
  • Customizable & proven – We tailor Marani to your protocols and patient population. Our results speak for themselves in clinics of all sizes.

Why It Matters

By simplifying CPT 99453 implementation, Marani enables you to engage patients from day one, improve remote maternity monitoring, and unlock meaningful reimbursement with minimal friction.