Patients are now more involved in their blood pressure (BP) monitoring. This involvement from the patient makes it easier for physicians to diagnose and manage the patient’s hypertension.

With 10 years of evidence from research proving the benefits of self-measured blood pressure (SMBP), two new CPT codes became effective January 1, 2020 to reflect this. The need for these codes shows the transition to more physicians using home monitoring blood pressure.

99473 Self-Monitored Blood Pressure using a device validated for clinical accuracy; patient education/training and device calibration.

99473 captures training the patient on the home SMBP and its calibration.

99474 Self-Measured Blood Pressure using a device validated for clinical accuracy; separate self-measurements of two readings one minute apart twice daily over a 30-day period (minimum of 12 readings), collection of data reported by the patient and caregiver to the physician or other qualified healthcare professional, with report of average systolic and diastolic pressures and subsequent communication or a treatment plan to the patient.

99474 captures the physician’s or other qualified healthcare professional’s review of data collection by the patient at home including a report and communication back to the patient.

Using SMBP provides more blood pressure readings over a longer period of time. This helps paint a better, clearer picture of the patient’s blood pressure history for the provider than just the patient’s blood pressure within a single office visit. It also aids in predicting any future cardiovascular risk over taking the measurements when the patient is in the office.

For more information on 2020 CPT Updates, join the 2020 CPT Updates Live Webinar with Rhonda Granja. For more information on the webinar, visit: https://mmiclasses.com/2020-cpt-updates-webinar/

For more information on 2020 Cardiology Updates, refer to the 2020 Cardiology Updates On Demand Webinar with Rhonda Granja. For more information on the webinar, visit: https://mmiclasses.com/2020-cardiology-updates-webinar/