Pulse4Pulse brings state-of-the-art noninvasive cardiovascular diagnostics directly to your practice or facility — supporting earlier detection in patients with a clinical indication for testing, with zero equipment cost and full billing support.
Why Pulse4Pulse
Everything your practice needs to evaluate for hidden cardiovascular and autonomic conditions — without adding staff, purchasing equipment, or disrupting your workflow.
Many chronic cardiovascular and autonomic conditions are asymptomatic in their early stages. By the time symptoms appear, significant disease progression may already have occurred. Pulse4Pulse supports evaluation for these conditions in patients whose clinical picture warrants it — giving your team the opportunity to intervene earlier, when it matters most.
Pulse4Pulse testing is reimbursed by Medicare, Medicare Advantage, and most major commercial insurers — with up to 5 billable diagnostic CPT codes per medically-necessary visit. Our certified technician comes to you, conducts the assessments, and supports the billing process. You receive all insurance remittances directly. No capital expense, no staff training, no workflow disruption.
What the Assessment Evaluates
Pulse4Pulse assessments produce objective measurements that help your clinical team evaluate patients for early vascular and autonomic disease — in patients who may appear unremarkable on a standard exam.
Pulse4Pulse assessments are diagnostic tests, not screening for the general population. Results support clinical evaluation by the ordering provider and do not, on their own, establish a diagnosis. Medical necessity and the decision to test are determined by the ordering provider based on each patient's clinical presentation.
The Testing Protocol
Three noninvasive assessments conducted onsite by our certified technician — delivering same-day results directly to your clinical team.
The device stimulates the patient's sweat glands (through hands and feet) by emitting a low-voltage current through a glass plate. Results help the physician assess whether the patient shows signs of vascular disease or neuropathy — often among the earliest detectable indicators of autonomic dysfunction in diabetic patients.
We report heart-rate variability with beat-to-beat blood pressure after deep breathing, head-tilt, and Valsalva maneuver tests, compared to baseline. This supports evaluation for disorders of the autonomic nervous system — including cardiac autonomic neuropathy — at a stage when intervention is still possible.
A measurement of the ratio of blood pressure in the upper and lower body. Results indicate whether the patient shows evidence of peripheral vascular disease — supporting detection of peripheral artery disease at an earlier, more treatable stage.
Billing & Insurance
Up to 5 billable diagnostic CPT codes per medically-necessary visit, plus an E/M code where documented. Rates vary by state and payer mix.
| CPT Code | Description |
|---|---|
| 93922 | Ankle-Brachial Index — noninvasive arterial study |
| 95921 | Autonomic function test — cardiovagal innervation |
| 95923 | Sudomotor function test |
| 93040 | Rhythm ECG — with interpretation and report |
| 94761 | Pulse oximetry — multiple determinations |
| 99214 | Follow-up office visit (E/M) — billed separately where documented |
Reimbursement rates vary by state and payer mix. Not every code applies to every patient — which tests are performed, and which codes are billable, depends on the clinical indication documented by the ordering provider. Our billing liaison will assess eligibility for your specific patient population.
The Full Story
The overview above covers the essentials. For the complete picture — including detailed testing protocols, workflow integration, sample reports, and how the assessments align with ADA and AHA standards of care — visit SeePulse4Pulse.com.
A no-obligation call to walk through the complete service, show you sample reports, and model the revenue opportunity for your specific patient population.