Ambulatory Blood Pressure Monitoring

For Medicare beneficiaries, ABPM is nationally covered for diagnosing hypertension when there is suspected masked hypertension meeting specified office BP (systolic 120-129 mm Hg or diastolic 75-79 mm Hg on two visits with ≥2 measurements per visit) plus ≥2 out-of-office readings ≥130/80 mm Hg, and for suspected white coat hypertension per the policy definition. Devices must meet technical and procedural requirements, testing must include documented office/out-of-office measurements, and ABPM is covered once per year; other indications are determined by MACs.

"ABPM is covered for Medicare beneficiaries with suspected masked hypertension defined as average office systolic BP 120-129 mm Hg or average office diastolic BP 75-79 mm Hg on two separate clinic/o..."

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