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.
Coding: peoper codes to report the blood pressure measurements
- 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 - 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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