Internal Medicine Coding Alert
READER QUESTIONS:
Get Ready for Medicare's Strict ABPM Coverage
Published on Sat Mar 26, 2005
Question: My internist has begun providing 24-hour blood pressure monitoring. How should I report this service?
Texas Subscriber
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).
Private carriers may have more lenient guidelines, so check with your commercial insurers regarding acceptable diagnosis codes.
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