Medicare Claims Processing Manual

Medicare covers ambulatory blood pressure monitoring for suspected white coat or resistant hypertension, electrical stimulation for chronic non-healing wounds, counseling for tobacco users with related health conditions, hyperbaric oxygen therapy for diabetic lower extremity wounds, home PT/INR monitoring for anticoagulated patients, and PET scans for suspected dementia or inconclusive differential diagnosis. Key limitations include that ABPM is not covered for routine monitoring, counseling is not available for those under 18, and services must be provided by qualified professionals. Documentation of medical necessity and relevant patient history is required for all covered services.

"Ambulatory Blood Pressure Monitoring (ABPM) is covered for patients with suspected white coat hypertension or resistant hypertension."

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