Automated Ambulatory Blood Pressure Monitoring

Aetna covers automated ambulatory blood pressure monitoring to confirm hypertension and distinguish white‑coat hypertension (adults require ≥2 office readings on separate days with systolic ≥140 and/or diastolic ≥90 mm Hg; children >90th percentile), for episodic hypertension suspicious for pheochromocytoma, evaluation of hypotensive symptoms/medication‑related syncope, and for syncope when used with a 24‑hour Holter. Key requirements/exclusions: monitoring must be 24 hours up to 3 days (not <24 hrs or >3 days), repeat testing is generally no sooner than every 6 months, it is considered experimental/investigational for heart failure and for pregnant women who lack listed indications, and it is not covered for diagnosing malignant hypertension.

"Screening to confirm the diagnosis of hypertension and to distinguish 'white coat' hypertension (medical necessity for ambulatory BP monitoring as a preventive service)."