Thank you for your inquiry for CMS165v12: Controlling High Blood Pressure. The measure numerator evaluates the most recent qualifying BP. The criteria is further explained in the measure guidance (quoted below). BP readings from orthostatic testing can also be included if they meet this criteria. If there are multiple blood pressure readings on the same day, use the lowest systolic and the lowest diastolic reading as the most recent blood pressure reading. "In reference to the numerator element, only blood pressure readings performed by a clinician, or an automated blood pressure monitor, or device are acceptable for numerator compliance with this measure. This includes blood pressures taken in person by a clinician and blood pressures measured remotely by electronic monitoring devices capable of transmitting the blood pressure data to the clinician. Blood pressure readings taken by an automated blood pressure monitor or device and conveyed by the patient to the clinician are also acceptable. It is the clinician’s responsibility and discretion to confirm the automated blood pressure monitor or device used to obtain the blood pressure is considered acceptable and reliable and whether the blood pressure reading is considered accurate before documenting it in the patient’s medical record. Do not include BP readings taken during an acute inpatient stay or an ED visit. If no blood pressure is recorded during the measurement period, the patient's blood pressure is assumed "not controlled". If there are multiple blood pressure readings on the same day, use the lowest systolic and the lowest diastolic reading as the most recent blood pressure reading. Ranges and thresholds do not meet criteria for this measure. A distinct numeric result for both the systolic and diastolic BP reading is required for numerator compliance."

For CMS165v12, only one LOINC code is noted for diastolic blood pressure readings, and one LOINC code for systolic blood pressure readings. Is this to include all readings, including orthostatic (supine or laying down)? Or is the intent to only capture readings where the patient is seated.