$17.28
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.
On this page
CMS RVU26D · Effective 2026-10-01
99474 Blood pressure monitoring Medicare reimbursement rates in Hawaii
Report this service for a completed 30-day period of twice-daily patient blood pressure readings, averaged and communicated with a treatment plan. Compare 99474 office and facility rates across CMS payment localities in Hawaii.
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.
What does Medicare pay for 99474 in Hawaii?
Hawaii has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$19.88
1 of 1 localities have a supported rate.
Payment area: Hawaii, Guam
One mapped payment locality.
Facility setting
$8.10
1 of 1 localities have a supported rate.
Payment area: Hawaii, Guam
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
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 Hawaii, from the same CMS release.
$27.83
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.
$55.33
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.
Compare 99474 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Hawaii, Guam →
Office / nonfacility
$19.88
Facility
$8.10
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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 Hawaii, Guam.
PPRRVU2026_Oct_nonQPP.csv
13,141
- Code
- 99474
- Physician work
- 0.18
- Practice expense
- 0.36
- Malpractice
- 0.01
GPCI2026.csv
46
- Locality
- Hawaii, Guam
- Physician work
- 1.000
- Practice expense
- 1.137
- Malpractice
- 0.579
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.18 | × 1.000 | 0.1800 |
| Practice expense | 0.36 | × 1.137 | 0.4093 |
| Malpractice | 0.01 | × 0.579 | 0.0058 |
| Total RVUs | 0.5951 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Hawaii, Guam$19.88
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.18 | 1 |
| Practice expense | 0.36 | 1.137 |
| Malpractice | 0.01 | 0.579 |
(0.18 × 1 + 0.36 × 1.137 + 0.01 × 0.579) × $33.4009 = $19.88
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.18 | 1 |
| Practice expense | 0.05 | 1.137 |
| Malpractice | 0.01 | 0.579 |
(0.18 × 1 + 0.05 × 1.137 + 0.01 × 0.579) × $33.4009 = $8.10
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.
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.
13,13899471,,Ped critical care initial,A,,15.98,3.22,NA,3.22,,0.99,20.19,20.19,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
13,13999472,,Ped critical care subsq,A,,7.99,1.96,NA,1.96,,0.58,10.53,10.53,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
13,14099473,,Self-meas bp pt educaj/train,A,,0.00,0.45,,0.45,NA,0.01,0.46,0.46,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
13,14199474,,Self-meas bp 2 readg bid 30d,A,,0.18,0.36,,0.05,,0.01,0.55,0.24,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
13,14299475,,Ped crit care age 2-5 init,A,,11.25,2.26,NA,2.26,,0.68,14.19,14.19,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
13,14399476,,Ped crit care age 2-5 subsq,A,,6.75,1.87,NA,1.87,,0.55,9.17,9.17,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
13,14499477,,Init day hosp neonate care,A,,7.00,1.41,NA,1.41,,0.43,8.84,8.84,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503
4410212,GA,01,ATLANTA,1.003,1.016,1.201
4510212,GA,99,REST OF GEORGIA,1.000,0.892,1.192
4601212,HI,01,"HAWAII, GUAM",1.000,1.137,0.579
4702202,ID,00,IDAHO,1.000,0.920,0.473
4806102,IL,16,CHICAGO,1.007,1.005,2.295
4906102,IL,12,EAST ST. LOUIS,1.000,0.920,2.014