Internal Medicine Coding Alert
Get Ready for Medicare's Strict ABPM Coverage
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Question: My internist has begun providing 24-hour blood pressure monitoring. How should I report this service? Answer: To receive Medicare reimbursement for ambulatory blood pressure monitoring (ABPM), you should report one of the following codes: Medicare will accept these codes only when the physician uses ABPM to test for white-coat hypertension. In this case, your primary ICD-9 code should be 796.2 (Elevated blood pressure reading without diagnosis of hypertension).
Texas Subscriber
Private carriers may have more lenient guidelines, so check with your commercial insurers regarding acceptable diagnosis codes.
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