tci Part B Insider - 2005 Issue 44

INTERNAL MEDICINE: Lessen ABPM Coding Pressure With These Ideas

Key:  ICD-9 code 796.2 can get you $67The code you report for ambulatory blood pressure monitoring (ABPM) will determine whether or not Medicare will cover the service. Here's the skinny on how you can secure payment--and how white-coat hypertension (WCH) testing comes into play.  "Medicare is very black and white on its ABPM's diagnosis requirements," says Maria M. Torres, CPC, CMM, with Bermudez Medical Consulting in Tampa, FL. National Medicare policy only accepts 796.2 (Elevated blood pressure reading without diagnosis of hypertension), according to Medlearn Matters article MM2726. Key: Medicare's coverage will depend on...

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