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

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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.

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