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CMS RVU26D · Effective 2026-10-01

99474 in Austin

Office / nonfacility

$19.04

Base rate per service

Facility setting

$8.09

Base rate per service

Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.

Remote monitoring

About 99474: Self-measured blood pressure monitoring

Report this service for a completed 30-day period of twice-daily patient blood pressure readings, averaged and communicated with a treatment plan.

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.

Where the value comes from

  • Work RVU0.18 · 33%
  • Practice expense (office) RVU0.36 · 65%
  • Malpractice RVU0.01 · 2%

3.8K

Medicare services in 2024 · #2037 by national volume

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.

99474 compared with similar codes

Office rates for Austin, from the same CMS release.

99473

BP device training

Education and calibration

$16.20

Choose 99473 for patient education and device setup. Choose this code for the 30-day collection and review of readings, averages, and treatment-plan communication.

99470

RPM management

First 10 minutes

$26.87

99470 describes remote physiologic monitoring treatment management with a time-based structure. This code is specific to self-measured blood pressure data collected over 30 days.

99457

RPM management

First 20 minutes per month

$53.40

99457 is a remote physiologic monitoring treatment-management service. This code instead requires the specified pattern of self-measured blood pressure readings and reporting of their averages.

The same code, a different location

How does Austin compare?

In Beaumont, the office rate for 99474 is $17.26—$1.78 lower than the $19.04 rate in Austin. Both use the same code, release and participation basis.

99474 across payment areas

Same release and payment basis · bars start at $0

  1. Austin · This locality

    $19.04

  2. Beaumont

    $17.26

    $1.78 lower than Austin

  3. Brazoria

    $18.24

    $0.80 lower than Austin

  4. Dallas

    $18.33

    $0.71 lower than Austin

  5. Fort Worth

    $18.21

    $0.83 lower than Austin

  6. Galveston

    $18.28

    $0.76 lower than Austin

  7. Houston

    $18.46

    $0.58 lower than Austin

Other payment areas listed in Texas appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, 99474 ranges from $16.51 in Arkansas to $24.19 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.

The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.

Compare all 108 other payment areas

  • Rest Of Texas

    Texas · 99474

    Office

    $17.72

    Facility

    $7.90

    $1.32 lower than Austin for the office setting.

  • Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    California · 99474

    Office

    $20.71

    Facility

    $8.46

    $1.67 higher than Austin for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 99474

    Office

    $20.87

    Facility

    $8.68

    $1.83 higher than Austin for the office setting.

  • Miami

    Florida · 99474

    Office

    $19.37

    Facility

    $8.60

    $0.33 higher than Austin for the office setting.

  • Chicago

    Illinois · 99474

    Office

    $18.91

    Facility

    $8.50

    $0.13 lower than Austin for the office setting.

  • Manhattan

    New York · 99474

    Office

    $20.90

    Facility

    $8.87

    $1.86 higher than Austin for the office setting.

  • Alaska*

    Alaska · 99474

    Office

    $22.01

    Facility

    $10.98

    $2.97 higher than Austin for the office setting.

  • Alabama

    Alabama · 99474

    Office

    $16.72

    Facility

    $7.66

    $2.32 lower than Austin for the office setting.

  • Arkansas

    Arkansas · 99474

    Office

    $16.51

    Facility

    $7.62

    $2.53 lower than Austin for the office setting.

  • Arizona

    Arizona · 99474

    Office

    $17.95

    Facility

    $7.92

    $1.09 lower than Austin for the office setting.

  • Bakersfield

    California · 99474

    Office

    $19.51

    Facility

    $8.16

    $0.47 higher than Austin for the office setting.

  • Chico

    California · 99474

    Office

    $19.47

    Facility

    $8.12

    $0.43 higher than Austin for the office setting.

  • El Centro

    California · 99474

    Office

    $19.47

    Facility

    $8.13

    $0.43 higher than Austin for the office setting.

  • Fresno

    California · 99474

    Office

    $19.47

    Facility

    $8.12

    $0.43 higher than Austin for the office setting.

  • Hanford-Corcoran

    California · 99474

    Office

    $19.47

    Facility

    $8.12

    $0.43 higher than Austin for the office setting.

  • Madera

    California · 99474

    Office

    $19.47

    Facility

    $8.12

    $0.43 higher than Austin for the office setting.

  • Merced

    California · 99474

    Office

    $19.47

    Facility

    $8.12

    $0.43 higher than Austin for the office setting.

  • Modesto

    California · 99474

    Office

    $19.47

    Facility

    $8.12

    $0.43 higher than Austin for the office setting.

  • Napa

    California · 99474

    Office

    $22.41

    Facility

    $8.76

    $3.37 higher than Austin for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 99474

    Office

    $20.60

    Facility

    $8.36

    $1.56 higher than Austin for the office setting.

  • Redding

    California · 99474

    Office

    $19.47

    Facility

    $8.12

    $0.43 higher than Austin for the office setting.

  • Rest Of California

    California · 99474

    Office

    $19.47

    Facility

    $8.12

    $0.43 higher than Austin for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 99474

    Office

    $19.58

    Facility

    $8.24

    $0.54 higher than Austin for the office setting.

  • Sacramento-Roseville-Folsom

    California · 99474

    Office

    $20.39

    Facility

    $8.35

    $1.35 higher than Austin for the office setting.

  • Salinas

    California · 99474

    Office

    $20.31

    Facility

    $8.31

    $1.27 higher than Austin for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 99474

    Office

    $20.75

    Facility

    $8.37

    $1.71 higher than Austin for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 99474

    Office

    $23.69

    Facility

    $9.09

    $4.65 higher than Austin for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 99474

    Office

    $23.68

    Facility

    $9.08

    $4.64 higher than Austin for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 99474

    Office

    $24.19

    Facility

    $9.26

    $5.15 higher than Austin for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 99474

    Office

    $24.15

    Facility

    $9.21

    $5.11 higher than Austin for the office setting.

  • San Luis Obispo-Paso Robles

    California · 99474

    Office

    $19.99

    Facility

    $8.20

    $0.95 higher than Austin for the office setting.

  • Santa Cruz-Watsonville

    California · 99474

    Office

    $20.93

    Facility

    $8.35

    $1.89 higher than Austin for the office setting.

  • Santa Maria-Santa Barbara

    California · 99474

    Office

    $20.38

    Facility

    $8.31

    $1.34 higher than Austin for the office setting.

  • Santa Rosa-Petaluma

    California · 99474

    Office

    $21.14

    Facility

    $8.42

    $2.10 higher than Austin for the office setting.

  • Stockton

    California · 99474

    Office

    $19.47

    Facility

    $8.12

    $0.43 higher than Austin for the office setting.

  • Vallejo

    California · 99474

    Office

    $22.39

    Facility

    $8.75

    $3.35 higher than Austin for the office setting.

  • Visalia

    California · 99474

    Office

    $19.47

    Facility

    $8.12

    $0.43 higher than Austin for the office setting.

  • Yuba City

    California · 99474

    Office

    $19.47

    Facility

    $8.12

    $0.43 higher than Austin for the office setting.

  • Colorado

    Colorado · 99474

    Office

    $19.14

    Facility

    $8.12

    $0.10 higher than Austin for the office setting.

  • Connecticut

    Connecticut · 99474

    Office

    $19.49

    Facility

    $8.34

    $0.45 higher than Austin for the office setting.

  • Delaware

    Delaware · 99474

    Office

    $18.22

    Facility

    $7.99

    $0.82 lower than Austin for the office setting.

  • Fort Lauderdale

    Florida · 99474

    Office

    $18.80

    Facility

    $8.31

    $0.24 lower than Austin for the office setting.

  • Rest Of Florida

    Florida · 99474

    Office

    $18.01

    Facility

    $8.11

    $1.03 lower than Austin for the office setting.

  • Atlanta

    Georgia · 99474

    Office

    $18.65

    Facility

    $8.13

    $0.39 lower than Austin for the office setting.

  • Rest Of Georgia

    Georgia · 99474

    Office

    $17.14

    Facility

    $7.90

    $1.90 lower than Austin for the office setting.

  • Hawaii, Guam

    Hawaii · 99474

    Office

    $19.88

    Facility

    $8.10

    $0.84 higher than Austin for the office setting.

  • Iowa

    Iowa · 99474

    Office

    $17.15

    Facility

    $7.67

    $1.89 lower than Austin for the office setting.

  • Idaho

    Idaho · 99474

    Office

    $17.23

    Facility

    $7.71

    $1.81 lower than Austin for the office setting.

  • East St. Louis

    Illinois · 99474

    Office

    $17.75

    Facility

    $8.22

    $1.29 lower than Austin for the office setting.

  • Rest Of Illinois

    Illinois · 99474

    Office

    $17.51

    Facility

    $8.06

    $1.53 lower than Austin for the office setting.

  • Suburban Chicago

    Illinois · 99474

    Office

    $19.00

    Facility

    $8.36

    $0.04 lower than Austin for the office setting.

  • Indiana

    Indiana · 99474

    Office

    $17.32

    Facility

    $7.72

    $1.72 lower than Austin for the office setting.

  • Kansas

    Kansas · 99474

    Office

    $17.05

    Facility

    $7.69

    $1.99 lower than Austin for the office setting.

  • Kentucky

    Kentucky · 99474

    Office

    $17.01

    Facility

    $7.80

    $2.03 lower than Austin for the office setting.

  • New Orleans

    Louisiana · 99474

    Office

    $17.71

    Facility

    $7.96

    $1.33 lower than Austin for the office setting.

  • Rest Of Louisiana

    Louisiana · 99474

    Office

    $16.97

    Facility

    $7.81

    $2.07 lower than Austin for the office setting.

  • Metropolitan Boston

    Massachusetts · 99474

    Office

    $20.91

    Facility

    $8.55

    $1.87 higher than Austin for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 99474

    Office

    $19.04

    Facility

    $8.13

    The same base rate than Austin for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 99474

    Office

    $19.42

    Facility

    $8.31

    $0.38 higher than Austin for the office setting.

  • Rest Of Maryland

    Maryland · 99474

    Office

    $18.55

    Facility

    $8.07

    $0.49 lower than Austin for the office setting.

  • Rest Of Maine

    Maine · 99474

    Office

    $17.28

    Facility

    $7.76

    $1.76 lower than Austin for the office setting.

  • Southern Maine

    Maine · 99474

    Office

    $18.14

    Facility

    $7.88

    $0.90 lower than Austin for the office setting.

  • Detroit

    Michigan · 99474

    Office

    $18.18

    Facility

    $8.19

    $0.86 lower than Austin for the office setting.

  • Rest Of Michigan

    Michigan · 99474

    Office

    $17.37

    Facility

    $7.91

    $1.67 lower than Austin for the office setting.

  • Minnesota

    Minnesota · 99474

    Office

    $18.48

    Facility

    $7.83

    $0.56 lower than Austin for the office setting.

  • Metropolitan Kansas City

    Missouri · 99474

    Office

    $17.63

    Facility

    $7.91

    $1.41 lower than Austin for the office setting.

  • Metropolitan St. Louis

    Missouri · 99474

    Office

    $17.79

    Facility

    $7.94

    $1.25 lower than Austin for the office setting.

  • Rest Of Missouri

    Missouri · 99474

    Office

    $16.70

    Facility

    $7.78

    $2.34 lower than Austin for the office setting.

  • Mississippi

    Mississippi · 99474

    Office

    $16.61

    Facility

    $7.70

    $2.43 lower than Austin for the office setting.

  • Montana**

    Montana · 99474

    Office

    $18.37

    Facility

    $8.02

    $0.67 lower than Austin for the office setting.

  • North Carolina

    North Carolina · 99474

    Office

    $17.44

    Facility

    $7.78

    $1.60 lower than Austin for the office setting.

  • North Dakota**

    North Dakota · 99474

    Office

    $18.17

    Facility

    $7.82

    $0.87 lower than Austin for the office setting.

  • Nebraska

    Nebraska · 99474

    Office

    $17.24

    Facility

    $7.68

    $1.80 lower than Austin for the office setting.

  • New Hampshire

    New Hampshire · 99474

    Office

    $18.82

    Facility

    $8.04

    $0.22 lower than Austin for the office setting.

  • Northern Nj

    New Jersey · 99474

    Office

    $20.70

    Facility

    $8.68

    $1.66 higher than Austin for the office setting.

  • Rest Of New Jersey

    New Jersey · 99474

    Office

    $19.75

    Facility

    $8.44

    $0.71 higher than Austin for the office setting.

  • New Mexico

    New Mexico · 99474

    Office

    $17.44

    Facility

    $7.94

    $1.60 lower than Austin for the office setting.

  • Nevada**

    Nevada · 99474

    Office

    $18.33

    Facility

    $7.96

    $0.71 lower than Austin for the office setting.

  • Nyc Suburbs/Long Island

    New York · 99474

    Office

    $21.31

    Facility

    $9.00

    $2.27 higher than Austin for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 99474

    Office

    $19.85

    Facility

    $8.52

    $0.81 higher than Austin for the office setting.

  • Queens

    New York · 99474

    Office

    $21.09

    Facility

    $8.85

    $2.05 higher than Austin for the office setting.

  • Rest Of New York

    New York · 99474

    Office

    $17.67

    Facility

    $7.83

    $1.37 lower than Austin for the office setting.

  • Ohio

    Ohio · 99474

    Office

    $17.33

    Facility

    $7.87

    $1.71 lower than Austin for the office setting.

  • Oklahoma

    Oklahoma · 99474

    Office

    $17.01

    Facility

    $7.76

    $2.03 lower than Austin for the office setting.

  • Portland

    Oregon · 99474

    Office

    $19.72

    Facility

    $8.21

    $0.68 higher than Austin for the office setting.

  • Rest Of Oregon

    Oregon · 99474

    Office

    $18.22

    Facility

    $7.91

    $0.82 lower than Austin for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 99474

    Office

    $19.04

    Facility

    $8.26

    The same base rate than Austin for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 99474

    Office

    $17.37

    Facility

    $7.86

    $1.67 lower than Austin for the office setting.

  • Puerto Rico

    Puerto Rico · 99474

    Office

    $18.50

    Facility

    $8.03

    $0.54 lower than Austin for the office setting.

  • Rhode Island

    Rhode Island · 99474

    Office

    $18.85

    Facility

    $8.15

    $0.19 lower than Austin for the office setting.

  • South Carolina

    South Carolina · 99474

    Office

    $17.41

    Facility

    $7.84

    $1.63 lower than Austin for the office setting.

  • South Dakota**

    South Dakota · 99474

    Office

    $18.15

    Facility

    $7.79

    $0.89 lower than Austin for the office setting.

  • Tennessee

    Tennessee · 99474

    Office

    $17.12

    Facility

    $7.71

    $1.92 lower than Austin for the office setting.

  • Utah

    Utah · 99474

    Office

    $17.61

    Facility

    $7.88

    $1.43 lower than Austin for the office setting.

  • Virginia

    Virginia · 99474

    Office

    $18.07

    Facility

    $7.89

    $0.97 lower than Austin for the office setting.

  • Virgin Islands

    United States Virgin Islands · 99474

    Office

    $18.50

    Facility

    $8.03

    $0.54 lower than Austin for the office setting.

  • Vermont

    Vermont · 99474

    Office

    $18.09

    Facility

    $7.83

    $0.95 lower than Austin for the office setting.

  • Rest Of Washington

    Washington · 99474

    Office

    $19.01

    Facility

    $8.10

    $0.03 lower than Austin for the office setting.

  • Seattle (King Cnty)

    Washington · 99474

    Office

    $21.34

    Facility

    $8.63

    $2.30 higher than Austin for the office setting.

  • Wisconsin

    Wisconsin · 99474

    Office

    $17.63

    Facility

    $7.71

    $1.41 lower than Austin for the office setting.

  • West Virginia

    West Virginia · 99474

    Office

    $16.94

    Facility

    $7.94

    $2.10 lower than Austin for the office setting.

  • Wyoming**

    Wyoming · 99474

    Office

    $18.28

    Facility

    $7.93

    $0.76 lower than Austin for the office setting.

See how rates vary across the country

99474 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$16.51

$22.01

Color shows the midpoint of each state’s locality range.

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$22.011
AL$16.721
AR$16.511
AZ$17.951
CA$19.47–$24.1929
CO$19.141
CT$19.491
DC$20.871
DE$18.221
FL$18.01–$19.373
GA$17.14–$18.652
GU$19.881
HI$19.881
IA$17.151
ID$17.231
IL$17.51–$19.004
IN$17.321
KS$17.051
KY$17.011
LA$16.97–$17.712
MA$19.04–$20.912
MD$18.55–$20.873
ME$17.28–$18.142
MI$17.37–$18.182
MN$18.481
MO$16.70–$17.793
MS$16.611
MT$18.371
NC$17.441
ND$18.171
NE$17.241
NH$18.821
NJ$19.75–$20.702
NM$17.441
NV$18.331
NY$17.67–$21.315
OH$17.331
OK$17.011
OR$18.22–$19.722
PA$17.37–$19.042
PR$18.501
RI$18.851
SC$17.411
SD$18.151
TN$17.121
TX$17.26–$19.048
UT$17.611
VA$18.07–$20.872
VI$18.501
VT$18.091
WA$19.01–$21.342
WI$17.631
WV$16.941
WY$18.281

Explore 99474 on the national rate map →

Where does this rate apply?

Austin is a Medicare payment area. Our Census mapping connects it to 31 cities and communities in Texas, including the examples shown here.

Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.

Browse all communities in Texas →

Why are the office and facility amounts different?

For 99474 in Austin, the physician’s office rate is $19.04 and the facility-setting rate is $8.09: a difference of $10.95.

The calculation uses a different practice-expense RVU for each setting. Both amounts here are physician fee-schedule amounts. The facility figure does not include a hospital’s separate charges, so this comparison does not tell you the total cost of receiving care in each setting.

See the inputs behind this difference →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 99474 in Austin. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$20.94

$19.04 × 110% = $20.94

A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.

Working with a whole code list?

Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.

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How this local rate is calculated

Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 99474 in Austin.

PPRRVU2026_Oct_nonQPP.csv

13,141

Code
99474
Physician work
0.18
Practice expense
0.36
Malpractice
0.01

GPCI2026.csv

96

Locality
Austin
Physician work
1.002
Practice expense
1.058
Malpractice
0.886
Office / nonfacility calculation for 99474 in Austin
ComponentRVULocality factorAdjusted
Physician work0.18× 1.0020.1804
Practice expense0.36× 1.0580.3809
Malpractice0.01× 0.8860.0089
Total RVUs0.5701
Conversion factor× 33.4009

Office / nonfacility rate, Austin$19.04

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.

Open 99474 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.181.002
Practice expense0.361.058
Malpractice0.010.886

(0.18 × 1.002 + 0.36 × 1.058 + 0.01 × 0.886) × $33.4009 = $19.04

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work0.181.002
Practice expense0.051.058
Malpractice0.010.886

(0.18 × 1.002 + 0.05 × 1.058 + 0.01 × 0.886) × $33.4009 = $8.09

The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.

How this rate has changed

99474 · Office / nonfacility

$19.04

Effective 2026-10-01

The base rate is $2.09 higher than on 2025-10-01, moving from $16.95 to $19.04 (12.3%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release

  1. January 1, 2026

    RVU26A

    $16.95changed to$19.04

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 0.32 changed to 0.36
    • Work GPCI 1.000 changed to 1.002
    • Practice expense GPCI 1.046 changed to 1.058
    • Malpractice GPCI 0.914 changed to 0.886

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $16.95

    Held through RVU25B, RVU25C, RVU25D.

Explore release dates and calculate this code in an earlier period →

Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.

Inspect every release and its CMS source
Effective fromOffice / nonfacilityFacilityCMS release
2026-10-01$19.04$8.09RVU26D
2026-07-01$19.04$8.09RVU26C
2026-04-01$19.04$8.09RVU26B
2026-01-01$19.04$8.09RVU26A
2025-10-01$16.95$8.49RVU25D
2025-07-01$16.95$8.49RVU25C
2025-04-01$16.95$8.49RVU25B
2025-01-01$16.95$8.49RVU25A

99474 billing questions

How is this different from 99473?

99473 covers patient education and device setup. This code covers review and reporting of the readings, including averages and communication of a treatment plan.

Do individual blood pressure readings count as separate units?

No. The service is reported for the 30-day monitoring period, which requires at least two readings daily; it is not reported once per reading.

What documentation supports reporting this service?

Record the monitoring period, the daily readings, the systolic and diastolic averages, and how and when the treatment plan was communicated to the patient.

Can this be used instead of remote physiologic monitoring?

It is specific to self-measured blood pressure monitoring and its 30-day reading and treatment-plan requirements. Remote physiologic monitoring codes describe a different service structure.

Does the service include communicating a treatment plan?

Yes. Communication of a treatment plan based on the reported average pressures is part of the service.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.

Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.

RVUs for 99474PPRRVU2026_Oct_nonQPP.csv, line 13,141 (RVU26D)
Geographic factors for AustinGPCI2026.csv, line 96 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet