Flu Season Alert!Alerta de temporada de influenza:
Don’t let germs win this season – protect yourself and your family!
The flu vaccine is your best defense against flu and related complications – PLUS, it is a covered benefit for Texas Children’s Health Plan members! Learn more!
¡No permitas que los gérmenes ganen esta temporada! ¡Protégete a ti y a tu familia!
La vacuna contra la influenza es tu mejor defensa contra la influenza y sus complicaciones. Además, ¡es un beneficio cubierto para los miembros de Texas Children's Health Plan! Aprende más
CPT Coding for Self-Measured Blood Pressure Monitoring
Date: February 18, 2021
Attention: All providers
Providers should monitor the Texas Children’s Health Plan (TCHP) Provider Portal regularly for alerts and updates associated to the COVID-19 event. TCHP reserves the right to update and/or change this information without prior notice due to the evolving nature of the COVID-19 event.Call to action: Texas Children’s Health Plan would like to inform network providers of Current Procedural Terminology (CPT®) Codes available to support self-measured blood pressure monitoring.
How this impacts providers: The CPT Codes include the following:
99473 can be submitted once when physician practice staff provide training, device setup and calibration, and patient instruction on proper technique. Limited to one service per year. May be considered for more than once per year when documentation of medical necessity is submitted with the claim.
99474 can be submitted monthly when patients and/or their caregivers report their blood pressure readings back to the practice- whether it is done electronically or in person with a written log. Limited to four services per year and payable if procedure code 99473 has been submitted within the past 12 rolling months.
A4670 can be submitted for an automated blood pressure monitor. These are a covered benefit under Texas Medicaid for the purpose of self-monitoring in the home setting. Limited to one monitor per year.
