Hedis Measure: Controlling Blood Pressure Controlling Blood Pressure

Are you a provider that participates in reporting HEDIS measures? Then this blog post is for you!

What is this measure: the measure assesses if adults (18-85) with hypertension have their blood pressure adequately controlled, below 140/90 mm Hg. and below 130/80 Hg.

Documentation Requirements:

1. Adults 18-85 with a hypertension diagnosis. 

2. At least two visits during the measurement period with hypertension diagnoses, with a controlled reading occurring on or after the second diagnosis. 

3. Don’t forget to remove the members fhat were identified to have a nonacute inpatient admission during the measurement period.

4. Using remote devices to meet this HEDIS measure- some payers cover remote blood pressure devices ex. Emblem Health- place an order for the remote device through an In network DME provider- the cost cannot exceed $40. For this measure the patient read reading does not meet the medical criteria- the information should be transmitted to the provider from the device.

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Coding: peoper codes to report the blood pressure measurements

1. Systolic Blood Pressure CPT II:
   3074F – blood pressure less than 130 mmHg
   3075F – blood pressure 130-139 mmHg
   3077F – blood pressure greater than or equal to 140 mmHg
   
2. Diastolic Blood Pressure CPT II:
   3078F – blood pressure less than 80 mmHg
   3079F – blood pressure 80‐89 mmHg
   3080F – blood pressure greater than or equal to 90

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• Hedis Measure: Controlling Blood Pressure Controlling Blood Pressure
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