AUCH Medical Directors Peer Group

Utah Medicaid covers the purchase of medically necessary automatic
blood pressure monitors.

• Use HCPCS code A4670 – Automatic Blood Pressure Monitor at qualified
  pharmacies and medical suppliers
• Must be ordered by a qualified practitioner as part of a
  comprehensive treatment plan that requires member monitoring and
  recording of blood pressure readings in the home.
• Monitors may be dispensed without prior approval.
• A unit limit of one every three years applies.
• Providers are encouraged to reference the Coverage and
  Reimbursement Lookup Tool for additional information concerning
  this code, and the Medical Supplies and Durable Medical Equipment
  provider manual for additional information concerning this and other
• MEDICAID INFORMATION BULLETIN: November 2022 Page 7 of 15
  medical supplies and DME.