TMPPM 2008 > Texas Medicaid Services > Texas Medicaid (Title XIX) Home Health Services > Benefits

24.5.18 Blood Pressure Devices

Blood pressure devices are a payable benefit of Home Health Services when:

•Medically necessary and appropriate.

•Prescribed by a physician.

•The client has one of the following covered diagnoses: essential or secondary hypertension, hypertensive heart disease, hypertensive renal disease, chronic pulmonary heart disease, heart failure, nephritis or nephropathy, acute renal failure, or hypertension complicating pregnancy, childbirth, and the puerperium.

When billing for these devices use procedure codes 9-A4660 and 9-A4670

If the client is not eligible for home health services, blood pressure devices may be provided under THSteps-CCP for clients younger than 21 years of age.

Prior authorization is required for blood pressure devices. Electronic blood pressure devices are not a benefit through Home Health Services. Rental of electronic blood pressure devices may be prior authorized through THSteps-CCP for clients younger than 12 months of age.

Refer to: "Electronic Blood Pressure Monitoring Device" for more information.