Encounter for examination of blood pressure without abnormal findings. Z01.30 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2019 edition of ICD-10-CM Z01.30 became effective on October 1, 2018.
Encounter for screening for cardiovascular disorders
Disclosures: Kuwahara reports serving as a CMS fellow and previously served as a fellow at the Association of Asian Pacific Community Health Organizations. Disclosures: Kuwahara reports serving as a CMS fellow and previously served as a fellow at the Association of Asian Pacific Community Health Organizations.
Ways to guarantee accurate at-home blood pressure readings
The two new codes—99473 and 99474—support home blood-pressure monitoring, which provides useful information physicians can use to better diagnose and manage hypertension.
CPT® Code 93784 in section: Ambulatory blood pressure monitoring, utilizing a system such as magnetic tape and/or computer disk, for 24 hours or longer.
Persons encountering health services in other specified circumstancesZ76. 89 is a valid ICD-10-CM diagnosis code meaning 'Persons encountering health services in other specified circumstances'. It is also suitable for: Persons encountering health services NOS.
0 for Elevated blood-pressure reading, without diagnosis of hypertension is a medical classification as listed by WHO under the range - Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified .
In 2020, CPT added two new codes in the remote monitoring section related to care of patients with hypertension. You can read about 99473 and 99474 on CodingIntel.
ANSWER: You may bill CPT code 99211 for a blood pressure evaluation for an established patient whose physician requested a follow-up visit to check blood pressure. CPT code 99211 does not require the presence of the physician.
ICD-10 code: Z76. 9 Person encountering health services in unspecified circumstances.
Z76. 89 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
ICD-10 Code for Person consulting for explanation of examination or test findings- Z71. 2- Codify by AAPC.
Elevated blood-pressure reading, without diagnosis of hypertension. R03. 0 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
ICD-10 code: R03. 0 Elevated blood-pressure reading, without diagnosis of hypertension.
R03. 0 - Elevated blood-pressure reading, without diagnosis of hypertension | ICD-10-CM.
Replacement of blood pressure cuffs (procedure code A4663) or replacement of other components (procedure code A9900) may be considered when submitted with documentation of medical necessity explaining why a blood pressure cuff or other component(s) needs to be replaced.
Publication DateCategory II codeDescription3075FMost recent systolic blood pressure 130 to 139 mm Hg3077FMost recent systolic blood pressure 140 mm Hg3078FMost recent diastolic blood pressure < 80 mm Hg3079FMost recent diastolic blood pressure 80 – 89 mm Hg19 more rows•Apr 9, 2018
3074F CPT II Controlling. Blood Pressure. Most recent systolic blood pressure less than. 130 mm Hg.
Although there are four CPT codes related to ABPM, only three of them are covered by Medicare: When you provide both the technical and professional components, use code 93784.
And, as mentioned, the diagnosis code is R03.0. Of course, there are other indications for this test, this article discusses only the change in range for white coat syndrome. The test is still covered for hypertensive related disorders.
Neither the CPT ® nor the ICD-10 coding has changed , only the eligibility, expanding the covered indications. These are copied from the CMS document into the post, below.
The Centers for Medicare & Medicaid Services (CMS) has determined that the evidence is sufficient to cover ambulatory blood pressure monitoring (ABPM) for the diagnosis of hypertension in Medicare beneficiaries under the following circumstances:#N#For beneficiaries with suspected white coat hypertension, which is defined as an average office blood pressure of systolic blood pressure greater than 130 mm Hg but less than 160 mm Hg or diastolic blood pressure greater than 80 mm Hg but less than 100 mm Hg on two separate clinic/office visits with at least two separate measurements made at each visit and with at least two blood pressure measurements taken outside the office which are <130/80 mm Hg.#N#For beneficiaries with suspected masked hypertension, which is defined as average office blood pressure between 120 mm Hg and 129 mm Hg for systolic blood pressure or between 75 mm Hg and 79 mm Hg for diastolic blood pressure on two separate clinic/office visits with at least two separate measurements made at each visit and with at least two blood pressure measurements taken outside the office which are ≥130/80 mm Hg.