2025 CPT code 93784
(Active) Effective Date: N/A Revision Date: N/A Medicine Services and Procedures - Cardiovascular Procedures Medicine Feed
Ambulatory blood pressure monitoring (ABPM) for 24 hours or longer, including recording, analysis, interpretation, and report.
Modifiers may be applicable depending on the specific circumstances of the service; refer to the CPT manual for details.
Medical necessity for ABPM is generally established in cases of suspected white coat hypertension, resistant hypertension, unexplained symptoms potentially related to blood pressure fluctuations, or the need to assess diurnal blood pressure patterns.Specific payer guidelines may further define medical necessity criteria.
The provider or a technician applies the ambulatory blood pressure monitor.The provider reviews the collected data, interprets the results, and generates a report.The provider's clinical responsibility also includes considering the patient's medical history and daily activities in the interpretation of the ABPM data.
In simple words: The doctor or a technician puts a special device on the patient to automatically measure their blood pressure all day and night (at least 24 hours). The device stores the data. Then, the doctor looks at the information and writes a report to help understand the blood pressure pattern.
This CPT code encompasses the complete ambulatory blood pressure monitoring service. It includes the application of the ABPM device, continuous monitoring for at least 24 hours, automatic recording of blood pressure readings during the patient's daily activities, scanning and analysis of the recorded data, interpretation of the results in conjunction with the patient's medical history and reported activities, and generation of a comprehensive report.
Example 1: A patient presents with suspected white coat hypertension.The provider orders ABPM to confirm the diagnosis and guide treatment decisions., A patient with known hypertension is experiencing unexplained lightheadedness. ABPM is used to correlate the symptoms with blood pressure fluctuations., A patient with resistant hypertension undergoes ABPM to assess the effectiveness of their current medication regimen and identify potential adjustments.
Complete patient history, including current medications and symptoms.Detailed record of the ABPM procedure, including device used, monitoring duration, and any technical issues encountered.Complete analysis of the ABPM data, including interpretation and correlation with clinical findings.
** Medicare coverage for ABPM is typically limited to patients with suspected white coat hypertension, and monitoring should span at least 24 hours to meet coverage criteria.
- Revenue Code: T2D (OTHER TESTS - OTHER)
- Payment Status: Active
- Specialties:Cardiology, Internal Medicine, Family Medicine
- Place of Service:Office, Outpatient Hospital, Other Place of Service