2025 CPT code 93788
(Active) Effective Date: N/A Medicine - Cardiovascular Procedures Feed
Ambulatory blood pressure monitoring for 24 hours or longer; scanning analysis with report.
Modifiers may be applicable. Common modifiers for this code include 51 (Multiple Procedures), 52 (Reduced Services), 76 (Repeat Procedure by Same Physician), and others.
Medical necessity for ambulatory blood pressure monitoring should be clearly documented. This could be due to suspected white coat hypertension, difficulty controlling blood pressure with medication, or evaluation of symptoms suggesting blood pressure fluctuations.Medicare specifically covers this for patients with white coat hypertension and monitoring for a minimum of 24 hours.
The provider or a technician fits the patient with the monitor. The patient wears the device for 24 hours or more while performing daily activities. The provider analyzes the recorded data and prepares a report. This code covers only the scanning analysis and report, not the recording or interpretation.
- Medicine Services and Procedures > Cardiovascular Procedures > Non-invasive Physiologic Studies and Procedures
In simple words: This procedure involves the patient wearing a blood pressure monitor for at least 24 hours, which automatically checks their blood pressure throughout the day. After this period, the doctor downloads the information and analyzes the readings, creating a report to assess blood pressure patterns.
Ambulatory blood pressure monitoring, utilizing a system such as magnetic tape and/or computer disk, for 24 hours or longer; scanning analysis with report.The process involves a patient wearing a device that automatically measures blood pressure at intervals over 24 hours and records the results. The provider then scans the data and reports the findings.
Example 1: A patient presents with elevated blood pressure readings in the clinic but claims to have normal readings at home. To evaluate for "white coat hypertension," 93788 is used for 24-hour ambulatory blood pressure monitoring., A patient with poorly controlled hypertension despite medication adjustments requires further evaluation. 93788 is used for ambulatory blood pressure monitoring to assess blood pressure fluctuations throughout the day., A patient reports symptoms suggestive of orthostatic hypotension. To determine if significant blood pressure drops occur with positional changes, the physician uses 93788 for ambulatory blood pressure monitoring.
Documentation should include the medical necessity for the monitoring, the duration of monitoring (24 hours or longer), and the provider's report of the scan analysis.
- Revenue Code: T2D - OTHER TESTS - OTHER
- Specialties:Cardiology, Internal Medicine, Family Medicine, Nephrology, Hypertension Specialists
- Place of Service:Office, Outpatient Hospital, Ambulatory Surgical Center