CommercialCoverageMedium impact
Remind Members to Self-Monitor Blood Pressure
EmblemHealth·Cardiology, Family Medicine, Internal Medicine +1 more·Provider News
We identified it
Jun 20, 2026
Summary
EmblemHealth now covers automatic blood pressure monitors for hypertensive members with no cost-share or preauthorization. Providers must order devices through contracted pharmacies/DME providers (max $40 cost) and document home BP readings using specific CPT II codes for quality measures.
Action Required
Immediately: Providers should begin ordering blood pressure monitors for hypertensive EmblemHealth members through contracted pharmacies/DME providers only (device cost under $40). Document all home BP readings as 'digital device' with date taken in medical records. Submit appropriate CPT II codes (3074F-3080F) based on BP readings to support quality measures and care gap closure.