2025 CPT code 99473
(Active) Effective Date: N/A Revision Date: N/A Evaluation and Management - Remote Physiologic Monitoring Evaluation and Management > Non-Face-to-Face Services Feed
Self-measured blood pressure using a clinically validated device; patient education/training and device calibration.
Modifier 25 may be applicable if a separately reportable E/M service is also performed on the same day.
Medical necessity is established when a patient requires self-monitoring of blood pressure for effective management of hypertension, or when there is a need for calibration and training in using the self-monitoring device.
The provider calibrates a home blood pressure monitoring device validated for clinical accuracy and trains the patient in its proper use for hypertension monitoring.
- Evaluation and Management > Non-Face-to-Face Services
- Digitally Stored Data Services/Remote Physiologic Monitoring
In simple words: This code covers teaching a patient how to use a blood pressure machine correctly and making sure the machine is working properly.It's only billed once for each device.
This CPT code reports the calibration of a blood pressure monitoring device validated for clinical accuracy and the training provided to the patient on its use.The service includes patient education and training on the setup and use of the device, ensuring its accurate operation for self-monitoring of blood pressure.This code is reported only once per device.
Example 1: A patient with a new diagnosis of hypertension is provided a home blood pressure monitor. The physician calibrates the device and teaches the patient how to use it accurately for home monitoring., A patient already using a home blood pressure monitor requires recalibration and refresher training due to inconsistencies in their readings or reported difficulties with the device., A patient is given a new blood pressure monitor as a replacement for a malfunctioning device. The physician provides training on the setup, use, and data recording capabilities of the new monitor.
Documentation should include the date and time of the service, the type of device used, confirmation of the device's validation for clinical accuracy, details of the patient education and training provided (including calibration techniques), and any necessary adjustments made to the device.Patient's understanding of the instructions should be documented.
** The device used must be FDA-approved for clinical accuracy.The service must be ordered by a physician or other qualified healthcare professional.
- Revenue Code: M5D (SPECIALIST - OTHER)
- RVU: Not specified in provided text.Consult AMA CPT codebook for current RVU values.
- Global Days: Not applicable.
- Payment Status: Active
- Modifier TC rule: Not applicable.
- Fee Schedule: Not specified in provided text. Consult AMA CPT codebook and payer-specific fee schedules for historical data.
- Specialties:Cardiology, Internal Medicine, Family Medicine
- Place of Service:Office, Home