Eligible patientsServices providedHCPCS codes
Patients with a diagnosis of hypertension (I10)
Exceptions:

  • Patients receiving hospice care during the measurement period,

  • Patients with documentation of end-stage renal disease, dialysis, or renal transplant before or during the measurement period,

  • Patients who are 65 years and older with institutional special needs plans (SNPs) or who reside in long-term care facilities at any time in the measurement period.

E/M office visit (99201–99215)
Home visit (99341–99350)
Initial preventive physical exam (G0402)
Medicare annual wellness visit (G0438–G0439)		Most recent systolic blood pressure:

  • G8752 < 140 mm Hg (performance met)

  • G8753 ≥ 140 mm Hg (performance not met)


Most recent diastolic blood pressure:

  • G8754 < 90 mm Hg (performance met)

  • G8755 ≥ 90 mm Hg (performance not met)


No documentation:

  • G8756 No documentation of blood pressure measurement, reason not given (performance not met)