Blood pressure coding can reduce HEDIS® medical record requests

The Controlling High Blood Pressure (CBP) HEDIS® star measure assesses patients 18–85 years of age who had a diagnosis of hypertension reported on an outpatient claim and whose blood pressure was adequately controlled (<140/90 mm Hg) as of Dec. 31 of the measurement year.

Per HEDIS specifications, blood pressure CPT® II codes can now establish patient compliance with the CBP measure. We will no longer need to review medical records to confirm blood pressure values when you add the CPT II codes to your patients’ claims.

Blood Pressure readings taken by an electronic device and digitally stored, transmitted to and interpreted by the provider are acceptable.

Read the Controlling Blood Pressure tip sheet to learn more about the measure and view a chart with blood pressure CPT II codes.

Healthcare Effectiveness Data Information Set. HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA).