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Hello All,

My question pertains to coding blood pressure monitoring on remote devices (non-digitally transmitting) for patients at health care events/in-home services.

Since the health events are one time only I was thinking 99453 or 99454 would suffice. I see that the service must be ordered by a physician for these two codes and would need to be billed multiple times a year. The implication is that the hypertensive members would need to continue monitoring this throughout the year which would cause this to be coded sufficient times in the year to meet the requirements.

Pretty confident it is one of these two code but would like to check if anyone has further experience with home services/events for bp monitoring/reporting? The CPT II codes that accompany these are fairly straightforward.

Thank you! Below are options below form the coding book.



CPT codes for remote monitoring devices
• 93784 – Ambulatory blood pressure monitoring, utilizing a system such as magnetic tape and/or computer disc, for 24 hours or longer; including recording, scanning analysis, interpretation and report
• 93788 – Scanning analysis with report
• 93790 – Review with interpretation and report
• 99091 – Collection and interpretation of physiologic data (e.g., ECG, blood pressure, glucose monitoring) digitally stored and/or transmitted by the patient and/or caregiver to the physician or other qualified healthcare professional, qualified by education and training
• 99453 – Remote monitoring of physiologic parameter(s) (e.g., weight, blood pressure, pulse oximetry, respiratory flow rate), initial; set-up and patient education on use of equipment
• 99454 – Remote monitoring of physiologic parameter(s) (e.g., weight, blood pressure, pulse oximetry, respiratory flow rate), initial; device(s) supply with daily recording(s) or programmed alert(s) transmission, each 30 days
• 99457 – Remote physiologic monitoring treatment management services, 20 minutes or more of clinical staff/physician/other qualified healthcare professional time in a calendar month requiring interactive communication with the patient/caregiver during the month
• 99473 – Self-measured blood pressure using a device validated for clinical accuracy; patient education/training and device 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/or caregiver to the physician or other qualified health care professional, with report of average systolic and diastolic pressures and subsequent communication of a treatment plan to the patient
 
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