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Ambulatory blood pressure monitoring is a diagnostic procedure designed to assess blood pressure variations over an extended period, typically 24 hours or longer. This method is particularly useful for capturing blood pressure readings in a patient's natural environment, as it allows for the monitoring of fluctuations that may not be evident during a standard clinical visit. The procedure involves the use of a portable blood pressure cuff that is worn continuously, enabling the device to take measurements at regular intervals throughout the day and night. This continuous monitoring can help identify conditions such as white coat hypertension, where a patient's blood pressure is elevated in a clinical setting but normal in everyday life, as well as nocturnal hypertension, which refers to high blood pressure during sleep. Additionally, it provides valuable insights into the effectiveness of antihypertensive medications by tracking how blood pressure responds to treatment over time. The monitoring device is typically set up in a healthcare facility, where it is programmed to automatically inflate the cuff, measure blood pressure, and record the data. After the monitoring period, the device is returned to the healthcare provider, who utilizes report-generating software to analyze the collected data, interpret the results, and produce a comprehensive report. This report is essential for guiding further clinical decisions and managing the patient's blood pressure effectively.
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Ambulatory blood pressure monitoring is indicated for several specific clinical scenarios, including:
The procedure for ambulatory blood pressure monitoring involves several key steps:
Post-procedure care for ambulatory blood pressure monitoring typically involves reviewing the generated report with the patient. The healthcare provider discusses the findings, including any identified patterns in blood pressure readings, and makes recommendations based on the results. This may include adjustments to medication, lifestyle changes, or further diagnostic testing if necessary. Patients are encouraged to follow up with their healthcare provider to discuss the implications of the monitoring results and to establish an ongoing management plan for their blood pressure.
| Short Descr | AMBL BP MNTR W/SW I&R | Medium Descr | AMBULATORY BP MNTR W/SW 24 HR+ REVIEW W/I&R | Long Descr | Ambulatory blood pressure monitoring, utilizing report-generating software, automated, worn continuously for 24 hours or longer; review with interpretation and report | Status Code | Active Code | Global Days | XXX - Global Concept Does Not Apply | PC/TC Indicator (26, TC) | 2 - Professional Component Only Code | Multiple Procedures (51) | 0 - No payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 0 - 150% payment adjustment for bilateral procedures does NOT apply. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 0 - Payment restriction for assistants at surgery applies to this procedure... | Co-Surgeons (62) | 0 - Co-surgeons not permitted for this procedure. | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Items and Services Not Billable to the MAC | Type of Service (TOS) | 5 - Diagnostic Laboratory | Berenson-Eggers TOS (BETOS) | T2D - Other tests - other | MUE | 1 | CCS Clinical Classification | 62 - Other diagnostic cardiovascular procedures |
| GA | Waiver of liability statement issued as required by payer policy, individual case | 59 | Distinct procedural service: under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-e/m services performed on the same day. modifier 59 is used to identify procedures/services, other than e/m services, that are not normally reported together, but are appropriate under the circumstances. documentation must support a different session, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same individual. however, when another already established modifier is appropriate it should be used rather than modifier 59. only if no more descriptive modifier is available, and the use of modifier 59 best explains the circumstances, should modifier 59 be used. note: modifier 59 should not be appended to an e/m service. to report a separate and distinct e/m service with a non-e/m service performed on the same date, see modifier 25. | GZ | Item or service expected to be denied as not reasonable and necessary | CR | Catastrophe/disaster related | 76 | Repeat procedure or service by same physician or other qualified health care professional: it may be necessary to indicate that a procedure or service was repeated by the same physician or other qualified health care professional subsequent to the original procedure or service. this circumstance may be reported by adding modifier 76 to the repeated procedure or service. note: this modifier should not be appended to an e/m service. | 95 | Synchronous telemedicine service rendered via a real-time interactive audio and video telecommunications system: synchronous telemedicine service is defined as a real-time interaction between a physician or other qualified health care professional and a patient who is located at a distant site from the physician or other qualified health care professional. the totality of the communication of information exchanged between the physician or other qualified health care professional and the patient during the course of the synchronous telemedicine service must be of an amount and nature that would be sufficient to meet the key components and/or requirements of the same service when rendered via a face-to-face interaction. modifier 95 may only be appended to the services listed in appendix p. appendix p is the list of cpt codes for services that are typically performed face-to-face, but may be rendered via a real-time (synchronous) interactive audio and video telecommunications system. | AQ | Physician providing a service in an unlisted health professional shortage area (hpsa) | CC | Procedure code change (use 'cc' when the procedure code submitted was changed either for administrative reasons or because an incorrect code was filed) | FQ | The service was furnished using audio-only communication technology | GC | This service has been performed in part by a resident under the direction of a teaching physician | GV | Attending physician not employed or paid under arrangement by the patient's hospice provider | GW | Service not related to the hospice patient's terminal condition | PD | Diagnostic or related non diagnostic item or service provided in a wholly owned or operated entity to a patient who is admitted as an inpatient within 3 days | XP | Separate practitioner, a service that is distinct because it was performed by a different practitioner |
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| 2020-01-01 | Changed | Code description changed. |
| 2013-01-01 | Changed | Description Changed |
| Pre-1990 | Added | Code added. |
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