MedicaidCoverageMedium impact
Update to Reimbursement for Remote Patient Monitoring Services: Self-Measured Blood Pressure Codes
Maryland Medicaid·MD · Cardiology, Family Medicine, Internal Medicine +1 more·Clinics
Effective date
May 15, 2025
We identified it
Jun 20, 2026
Summary
Maryland Medicaid has updated Remote Patient Monitoring (RPM) and Self-Measured Blood Pressure (SMBP) coverage, eliminating prior authorization requirements for RPM and adding new billable SMBP codes 99473 and 99474. Code S9110 is no longer covered for RPM services.
Action Required
Immediately: Update billing system to stop billing S9110 for RPM services as it is no longer covered. Add new SMBP codes 99473 ($15.07) and 99474 (facility $8.80, non-facility $17.52) to fee schedules. Remove prior authorization requirements for RPM codes 99453-99458. Train billing staff on new limitations: 99473 billed once per device, 99474 once per 30-day period with specific code exclusions. Update encounter forms to reflect Maryland Medicaid participants only.