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Cigna·Family Medicine, Internal Medicine, Cardiology +2 more·General
We identified it
Jun 19, 2026
Summary
Cigna Healthcare has updated coverage policies to support self-measured blood pressure (SMBP) monitoring for hypertension patients, allowing providers to bill for patient education, device calibration, and monitoring services using new CPT codes 99473 and 99474.
Action Required
Immediately: Update billing system to include new CPT codes 99473 (SMBP patient education/training and device calibration) and 99474 (SMBP monitoring with 30-day data collection). Train providers on new CPT Category II codes (3074F-3080F) for hypertension quality tracking. Ensure documentation includes required criteria: board-certified provider prescription, electronic data collection, and device validation for clinical accuracy.