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    OpenPayerBilling CodesDigitally Stored Data Services/Remote Physiologic MonitoringCPT cpt-99474-home-blood-pressure-monitoring-remote-patient-monitoring
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    CPT 99474: Home Blood Pressure Monitoring with 30-Day Average Report

    Medicare pays $19 on average nationally for this procedure.

    CPT code 99474 describes remote blood pressure monitoring where the patient measures blood pressure with a validated device twice daily (two readings one minute apart) over 30 days, providing at least 12 readings; the clinician collects the transmitted readings, calculates average systolic and diastolic values, prepares a report, and discusses a treatment plan. This is a remote physiologic monitoring service delivered over a 30-day monitoring period and is typically provided in an outpatient or telehealth/remote setting where the patient records home blood pressure measurements and the clinician reviews and documents the results.

    For related coverage guidance, see recent payer policy updates: Automated Ambulatory Blood Pressure Monitoring for Diagnosis of Hypertension in Patients with Elevated Office Blood Pressure, Cardiology - Ivabradine, Cardiac Computed Tomography (CCT)/Coronary Computed Tomographic Angiography (CCTA).

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    Clinical & Coding Specifications

    Clinical Context

    A 62-year-old patient with a history of treated hypertension and stage 1 chronic kidney disease is instructed to perform home blood pressure monitoring over a 30-day period using a validated upper-arm device. The patient is asked to measure blood pressure twice daily, taking two readings one minute apart each time, and to record at least 12 readings during the 30-day monitoring window. The patient transmits the readings electronically via a patient portal or brings a written log to the clinic.

    During the clinical workflow, a registered nurse or medical assistant collects and imports the home blood pressure data into the electronic health record. A licensed clinician (primary care physician, cardiologist, or nurse practitioner) reviews the transmitted readings, calculates the average systolic and diastolic values, prepares a concise report documenting the measurement protocol, averaged results, and interpretation, and then discusses a treatment plan with the patient (medication adjustment, lifestyle counseling, or ongoing monitoring). The encounter may occur as an in-person visit, telephone/telehealth follow-up, or an asynchronous message when the clinician reviews the compiled report and conveys management decisions to the patient.

    Related CPT Codes

    CPT CodeDescriptionRelationship to This Procedure
    99473Self-measured blood pressure using a device validated for clinical accuracy; patient education and device calibration evaluation (first 30 days)Often performed before or with 99474 when initial patient education and device validation/calibration are required.
    99457Remote physiologic monitoring treatment management services, clinical staff/physician/other qualified healthcare professional time in a calendar month requiring interactive communication with the patient/caregiver during the month; first 20 minutesMay be used when ongoing interactive remote physiologic monitoring and management are provided in addition to the 30‑day ambulatory home BP reporting.
    99458Each additional 20 minutes of remote physiologic monitoring treatment management servicesUsed when additional time beyond 99457 is required for remote management in the same month.
    99493Chronic care management services, first 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar monthMay be performed concurrently in patients receiving chronic care and home BP monitoring as part of broader care coordination.
    99091Collection and interpretation of physiologic data digitally stored and/or transmitted by the patient to the physician, requiring a minimum of 30 minutes of physician or qualified health care professional time, per 30 daysAn alternative for more time‑intensive data review and interpretation that meets the time threshold for reporting instead of or in addition to 99474.

    Related Modifiers

    9 rows

    ModifierDescriptionWhen to Use
    22Modifier –22 (Increased Procedural Services) is used when a reported procedure is substantially more extensive than normally required. The CPT Manual and CMS state it may be appended only when the…- When to use: Append modifier -22 to a procedural CPT code when the service performed is substantially more extensive than the usual service described by that code — i.e., the procedure required…
    23Modifier -23 (Unusual Anesthesia) is used on anesthesia service CPT codes when a procedure that normally requires no anesthesia or only local anesthesia must be performed under general anesthesia…- Use modifier -23 only on anesthesia CPT codes (00100–01999) when a procedure that normally requires no anesthesia or only local anesthesia must be performed under general anesthesia because of…
    25CPT modifier 25 indicates that on the same day as another procedure or service, the same physician or other qualified health care professional provided a significant, separately identifiable…- When to apply: Use modifier 25 only on an E/M code to indicate the same provider delivered a significant, separately identifiable E/M service on the same day as another procedure or service — i.e.,…
    52Modifier ‑52 (Reduced Services) indicates that a service or procedure was partially reduced or omitted at the provider’s discretion, allowing reporting of the basic procedure number with a qualifier…- Use modifier -52 when a physician or qualified health professional electively reduces or omits part of a procedure or service (for example, performing fewer required views or omitting a portion of…
    53Modifier 53 (Discontinued Procedure) signals that a surgical or diagnostic service was begun by the physician but terminated because of extenuating circumstances that threatened the patient’s…- Use modifier -53 when a physician/qualified healthcare professional has started a surgical or diagnostic procedure (e.g., anesthesia administered, incision or scope insertion) and then discontinues…
    62Modifier 62 indicates that two surgeons function as co‑surgeons, each performing distinct parts of the same primary surgical procedure. It is appended to the primary procedure code (and any…- Use modifier -62 when two surgeons act as co‑surgeons (both primary surgeons) on a single definitive primary procedure, each performing distinct parts of the same surgical procedure (append -62 to…
    78CPT modifier -78 indicates an unplanned, related return to the operating or procedure room by the same provider during the global postoperative period. It is appended when treatment for a…- Use modifier -78 when an unplanned, related complication during the original procedure’s global postoperative period requires the patient to return to a formal operating or procedure room and the…
    80CPT® Modifier 80 (Assistant Surgeon) is appended to a surgical CPT code when a physician (MD or DO) provides full, continuous assistance throughout the operative procedure. It is intended only for…- Use CPT Modifier -80 when a physician (MD or DO) serves as an assistant surgeon and provides full, continuous assistance throughout the entire operative procedure; append -80 to the surgical CPT…
    82Modifier 82 is appended to a surgical CPT code to indicate that an attending physician acted as an assistant because a qualified resident surgeon was unavailable. In teaching hospitals it documents…- When to use: Append modifier 82 in teaching-hospital settings to indicate a physician served as an assistant surgeon because a qualified resident surgeon was unavailable (includes situations where…

    Related Provider Taxonomies

    8 rows

    Taxonomy Code
    207Q00000X
    207R00000X
    207RC0000X
    363LF0000X
    163WA0400X
    225700000X
    207LH0002X
    224Z00000X

    Related Payer Policy Updates

    Specialty: Cardiology1 / 3

    10 rows

    PolicyPayerEffective Date
    Automated Ambulatory Blood Pressure Monitoring for Diagnosis of Hypertension in Patients with Elevated Office Blood PressureBluecross Idaho2026-11-01
    Cardiology - IvabradineCigna2026-10-15
    Cardiac Computed Tomography (CCT)/Coronary Computed Tomographic Angiography (CCTA)univerahealthcare2026-10-15
    Percutaneous Ventricular Assist DeviceUnitedHealthcare2026-10-01
    Cardiovascular Disease Risk AssessmentOscar Health2026-10-01
    Biomarkers for Myocardial Infarction and Chronic Heart FailureOscar Health2026-10-01
    Multiple Procedure Payment Reduction for Diagnostic Cardiovascular ProceduresBlue Cross Blue Shield - Maine2026-10-01
    Left Atrial Appendage Closure Devicesexcellus_health_plan_inc2026-09-17
    Left Atrial Appendage Closure Devicesuniverahealthcare2026-09-17
    Cardiac Omnibus CodesCigna2026-09-15

    Related Codes

    CPT-99091-REMOTE-PHYSIOLOGIC-DATA-INTERPRETATION

    CPT 99091: Interpretation of Patient-Provided Digital Health Data, 30 Minutes

    CPT-99445-REMOTE-PHYSIOLOGIC-MONITORING-DEVICE-SUPPLY-2-15-DAYS

    CPT 99445: Supply of Devices for Short-Term Remote Physiologic Monitoring

    CPT-99453-REMOTE-PHYSIOLOGIC-MONITORING-SETUP-EDUCATION

    CPT 99453: Remote Physiologic Monitoring Equipment Setup and Education

    CPT-99454-REMOTE-PHYSIOLOGIC-MONITORING-DEVICE-SUPPLY-16-30-DAYS

    CPT 99454: Remote Physiologic Monitoring Device Supply, 16–30 Days

    CPT-99473-BP-DEVICE-CALIBRATION-PATIENT-TRAINING

    CPT 99473: Blood Pressure Device Calibration and Patient Training

    Frequently Asked Questions

    References

    1. 1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
    2. 2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
    3. 3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.
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