Updated: 5/15/14

HOW TO REPORT BLOOD PRESSURE

For patients with diagnosis of Hypertension, reporting of BLOOD PRESSURE values (CBP)

is obligatory this measurement year 2014 using CPT 2 CODES (See below for codes).

According to CMS (MEDICARE) Blood Pressure (BP) is under control when the value is

SYSTOLIC < 140 mm Hg & DIASTOLIC < 90 mm Hg.

If BP has been taken more than 2 times in the same day of Service (DOS), provider may

report to us the BEST SYSTOLIC & BEST DIASTOLIC of those pressure values (see

example below):

DOS: 1/2/2014

9:00 AM: 142 / 89 mm Hg (Patient just arrived)

9:30 AM: 138 / 91 mm Hg (After patient did rest, relax, went to restroom, etc.)

Provider may report 138 / 89 mm Hg using the following CPT 2 codes:

SYSTOLIC of 138 3075F & DIASTOLIC of 89 3079F

BLOOD PRESSURE LEVELS CPT 2 CODES:

3074 F Most recent Systolic LESS than 130 mm Hg

3075 F Most recent Systolic between 130 and 139 mm Hg

3077 F Most recent Systolic GREATER THAN OR EQUAL TO 140 mm Hg

3078 F Most recent Diastolic LESS than 80 mm Hg

3079 F Most recent Diastolic between 80-89 mm Hg

3080 F Most recent Diastolic GREATER THAN OR EQUAL TO 90 mm Hg

TIPS:

Never round up the value of the pressure to next level, for instance if BP was 89 do not

round up to 90. Report the exact number.

In Every claim submission, a BP level should be reported regardless of the level!

Blood Pressure that counts -for HEDIS purpose- is the last of the measurement year

(same as LDL-100 & Hb A1C POOR HEDIS measures).