Self-Measured Blood Pressure Monitoring Procedure Codes
The MO HealthNet Division (MHD) covers Self-Measured Blood Pressure (SMBP) monitoring effective for dates of service on or after February 1, 2025. These services are covered when prescribed by a physician or a health care professional with prescribing authority. Prescriptions for SMBP-validated monitoring devices must be made to participating Durable Medical Equipment (DME) providers and must include a request for an appropriately sized cuff.
Eligible participants may receive one (1) device every three (3) years and should use devices with appropriately sized upper-arm cuffs. For additional eligibility and limitation information, refer to MO HealthNet Bulletin 47-46.
The table below lists the covered procedure codes that should be billed for reimbursement:
Procedure Code | Description |
| 99473 | Education and training to self-measure blood pressure |
| 99473 TH | Education and training to self-measure blood pressure for pregnant women and 12 months postpartum |
| 99474 | Self-measured blood pressure measurements |
| 99474 TH | Self-measured blood pressure measurements for pregnant women and 12 months postpartum |
| A4670 | Automatic blood pressure monitor ages 21 & over |
| A4670 EP | Automatic blood pressure monitor ages 20 & under |
For more coverage details regarding SMBP monitoring, refer to the Physician Provider Manual.
For additional resources, refer to the Education and Training Resources page and/or sign up for a live webinar by accessing our Provider Training Calendar. Email MHD.Education@dss.mo.gov for more information.