MedicaidBilling CodesMedium impact
Self-Measured Blood Pressure Monitoring Procedure Codes
Missouri Medicaid (MO HealthNet)·MO · Family Medicine, Internal Medicine, Cardiology +2 more·Provider Notice
Effective date
Feb 1, 2025
We identified it
Jun 20, 2026
Summary
MO HealthNet Division now covers Self-Measured Blood Pressure (SMBP) monitoring services effective February 1, 2025, including education, training, measurements, and monitoring devices. New procedure codes are available for billing these services, with specific codes for pregnant women and postpartum patients.
Action Required
Before February 1, 2025: Billing team must add new SMBP procedure codes (99473, 99474, A4670) to billing system with appropriate modifiers (TH for pregnant/postpartum patients, EP for ages 20 & under). Update encounter forms to include these codes for blood pressure monitoring services. Ensure DME providers are participating before prescribing monitoring devices.