Self-measured blood pressure (SMBP) benefits for patients with Medicaid
The American Medical Association is committed to improving blood pressure control. As part of this effort, we have worked with state medical societies to develop state-specific resources to enable practitioners to learn, access, and prescribe self-measured blood pressure (SMBP) for their Medicaid beneficiaries.
SMBP codes
SMBP is administered using the following Current Procedural Terminology (CPT®) and HCPCS codes:
99473: SMBP using a device validated for clinical accuracy; patient education/training and device calibration
99474: Separate self-measurements of two readings one minute apart, twice daily over a 30-day period (minimum of 12 readings), collection of data reported by the patient and/or caregiver to the physician or other qualified health care professional, with report of average systolic and diastolic pressures and subsequent communication of a treatment plan to the patient
A4670: Automatic blood pressure monitor
A4663: Blood pressure cuff
Essential SMBP resources & CME
State guidance
Access resources, policy updates and guidance on administering SMBP for Medicaid recipients by state. This list will be updated as more resources from states become available.