National Coverage Determination 20.19: Ambulatory Blood Pressure Monitoring - Revised

Numbers: 11650 Revised & 14424 
Release Dates: May 1, 2020 & March 27, 2026
Effective Date: July 2, 2019 
Implementation Date: June 16, 2020 – local Medicare Administrative Contractor edits & October 5, 2020 - Medicare systems
Transmittal Numbers: R10073CP, R10073NCD & R13700CP

What’s Changed? CMS revised this article to add information from CR 14424, which updates the Medicare Claims Processing Manual for Ambulatory Blood Pressure Monitoring services. CMS also added the CR 14424 release date and transmittal number.

CR 11650 informs contractors that for dates of service on and after July 2, 2019, CMS will cover Ambulatory Blood Pressure Monitoring for the diagnosis of hypertension in Medicare beneficiaries under updated criteria.

Make sure your billing staff know about these changes.

View the complete CMS Medicare Learning Network (MLN) Matters (MM)11650.

Last Updated Apr 09 , 2026