CPT code 99473: BP device training, education and calibration2026 Medicare rate & RVUs in Missouri
Report this service when a patient receives training on a clinically validated home blood pressure monitor and the device is calibrated for self-measurement.
Medicare pays $13.28–$14.64 for 99473 in the office in Missouri, from Rest of Missouri to Metropolitan St. Louis, MO. Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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On this page 9 sections
What 99473 covers
This service covers educating a patient to measure blood pressure at home with a device validated for clinical accuracy, along with calibrating that device. In primary care or hypertension management, office staff may teach cuff placement and proper measurement technique and check the home monitor against the practice’s equipment. The work prepares the patient to collect self-measured readings; it is not the ongoing review of a month of readings.
Report 99473 when the training and calibration are performed, and document the device, education provided, and calibration. Distinguish this setup service from 99474, which concerns analysis and reporting of qualifying self-measured readings. The CMS RVU profile assigns no physician-work RVU and assigns practice-expense and malpractice RVUs. Select the service based on the work actually furnished, not simply because a patient owns a home blood pressure monitor.
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
Where 99473 pays more and less in Missouri
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
3 payment localities
$13.28 to $14.64
| Payment locality | Office | Facility |
|---|---|---|
| Metropolitan Kansas City, MO | $14.44 | Unavailable |
| Metropolitan St. Louis, MO | $14.64 | Unavailable |
| Rest of Missouri | $13.28 | Unavailable |
How the 99473 rate is calculated
Each of 99473’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 99473
RVUs × geographic indexes × conversion factor
Work0.00
0.00 RVUs× 1.000 GPCI
Practice expense0.45
0.45 RVUs× 1.000 GPCI
Malpractice0.01
0.01 RVUs× 1.000 GPCI
Adjusted RVUs
0.4600
Conversion factor
$33.4009
Medicare rate
$15.36
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 99473
99473 has no global surgery period, no multiple-procedure, bilateral or assistant-at-surgery adjustment, and no professional/technical split. What changes the payment is where the service happens: the place of service on the claim decides whether Medicare pays the office or the facility rate.
Place of service · 99473
Which rate does Medicare pay?
The POS code on the claim line (CMS-1500 box 24B).
POS 11 · non-facility rate · national
$15.36
Higher because the practice carries its own overhead.
99473 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 99474Blood pressure monitoring30-day data review and plan
- Choose 99473 for patient training and device calibration. Choose 99474 for analysis and reporting of qualifying self-measured readings.
- 93784Blood pressure monitoringComplete service
- 93784 is for ambulatory blood pressure monitoring with a monitor worn to collect readings. 99473 is for training and calibration of a home self-measurement device.
- 99457RPM managementFirst 20 minutes per month
- 99457 describes remote physiologic monitoring treatment management. It does not represent the education and calibration work captured by 99473.
99473 billing questions
How is 99473 different from 99474?
99473 covers patient training and calibration of the home monitor. 99474 covers analysis and reporting of qualifying self-measured blood pressure readings.
What should the record show?
Document the validated home device, the training provided, and that calibration was performed. A note that the patient was advised to check blood pressure, without device training and calibration, does not describe this service.
Does a patient’s home monitor alone support reporting 99473?
No. The service includes education and calibration, not merely owning or using a home monitor.
Is 99473 the code for office blood pressure measurement?
No. It describes training and calibration for patient self-measurement at home, rather than a routine blood pressure reading taken by practice staff.
When is ambulatory blood pressure monitoring a better comparison?
93784 describes ambulatory monitoring using a device worn to collect readings over a monitoring period. 99473 instead addresses training and calibration of the patient’s home self-measurement device.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
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