April 15, 2021
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 blood pressure adequately controlled (<140/90 mm Hg) as of December
31 of the measurement year.
Per HEDIS specifications, blood pressure CPT® II codes can now establish patient compliance with the CBP measure. We’ll 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 along with the date.
- Providers don’t need to see the reading on the digital device; the patient can verbally report it.
Read the CBP tip sheet to learn more about the measure and view a chart with blood pressure CPT II codes.
For more information and/or questions regarding this article, email ProviderClinicalConsulting@Premera.com.
HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA). CPT Copyright 1995–2021 American Medical Association. All rights reserved. CPT® is a registered trademark of the American Medical Association.