Self-measured blood pressure (SMBP) benefits for patients with Medicaid


The American Medical Association is committed to improving blood pressure control. As part of this effort, we have worked with state medical societies to develop state-specific resources to enable practitioners to learn, access, and prescribe self-measured blood pressure (SMBP) for their Medicaid beneficiaries.

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SMBP is administered using the following Current Procedural Terminology (CPT®) and HCPCS codes:​​

99473: SMBP using a device validated for clinical accuracy; patient education/training and device calibration​

99474​: 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​

A4670​: Automatic blood pressure monitor​

A4663​: Blood pressure cuff​

Access resources, policy updates and guidance on administering SMBP for Medicaid recipients by state. This list will be updated as more resources from states become available.