CPT code 99474: Blood pressure monitoring, 30-day data review and plan2026 Medicare rate & RVUs in New Mexico

In New Mexico, Medicare pays $17.44 for 99474 in the office and $7.94 when it’s performed in a hospital or facility.

Check a contract rate as a % of Medicare · 99474 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 99474 covers

This service covers review of a patient’s self-measured blood pressure readings over 30 days, reporting the average systolic and diastolic pressures, and communicating a treatment plan. It is commonly used in outpatient hypertension care when a clinician needs home readings to assess blood pressure control or guide management. The patient or caregiver takes the readings at home; the treating physician or other qualified health care professional reviews the data and communicates the plan.

Report the service for the 30-day monitoring period, not for each individual reading. Documentation should support the monitoring period, the required pattern of at least two readings daily, the calculated averages, and communication of the treatment plan to the patient. The Medicare Physician Fee Schedule assigns work, practice-expense, and malpractice values to the service, with office and facility practice-expense values reported separately. The code represents the monitoring review and communication work for the period.

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.

How New Mexico compares for 99474

Across 109 of 109 payment localities, the office rate for 99474 runs from $16.51 in Arkansas to $24.19 in San Benito County, CA. New Mexico pays $17.44. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

99474 rates by state

Office rate range in each state. Select a state to see its payment localities.

See 99474 in every payment locality

How the 99474 rate is calculated

Each of 99474’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.

Payment rules and modifiers for 99474

99474 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.

Codes related to 99474

Related codes aren’t interchangeable: bill the code that matches the service performed.

How 99474 has changed in New Mexico

Price 99474 for an earlier date of service

Where the New Mexico rate applies

New Mexico is a Medicare payment area, not a city. Our Census mapping connects it to 528 cities and communities in New Mexico. Some span more than one payment area; confirm with the service ZIP.

• Abeytas
• Abiquiu
• Acomita Lake
• Adelino
• Agua Fria
• Alamillo
• Alamo
• Alamogordo

Browse all communities in New Mexico

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

Open CMS sourceHow we calculate rates