October 5, 2023
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.
Blood pressure CPT® II codes establish patient compliance with the CBP measure. We no longer need to review medical records to confirm blood pressure values when you add the CPT II codes to your patients’ claims billed with an office visit, including telehealth, telephone, e-visit, or virtual visit.
Blood pressure readings can be captured during a telehealth, telephone, e-visit, or virtual visit. Please note:
- Patient-reported readings taken with a digital device are acceptable and should be documented in the medical record (MR).
- Providers do not need to see the reading on the digital device; the patient can verbally report the digital reading.
Review the CBP tip sheet to learn more about the measure and ways you can close gaps in care for patients. The tip sheet includes blood pressure CPT II codes that should be used on patient claims.
Healthcare Effectiveness Data Information Set. HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA). CPT® is a registered trademark of the American Medical Association.