Pulse4Pulse brings state-of-the-art noninvasive cardiovascular diagnostics directly to your practice or facility — identifying hidden conditions before they become crises, with zero equipment cost and full billing support.
Why Pulse4Pulse
Everything your practice needs to detect hidden cardiovascular and autonomic conditions — without adding staff, purchasing equipment, or disrupting your workflow.
Most chronic cardiovascular and autonomic conditions are completely asymptomatic in their early stages. By the time symptoms appear, significant disease progression has already occurred. Pulse4Pulse tests for these conditions before costly and invasive interventions become necessary — giving your patients the gift of early detection and your practice the opportunity to intervene when it matters most.
Pulse4Pulse testing is reimbursed by Medicare, Medicaid, and most major commercial insurers — with up to 5 billable CPT codes per 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 We Detect
Pulse4Pulse testing identifies chronic illness before costly and invasive interventions are required — in patients who appear perfectly healthy on a standard exam.
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 determine if the patient is at risk of vascular disease or neuropathy — often the earliest detectable sign 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 identifies many diseases of the nervous system — including cardiac autonomic neuropathy — before they progress to serious cardiac events.
A measurement of the ratio of blood pressure in the upper and lower body. Results indicate if the patient is suffering from peripheral vascular disease and enable testing of the vascular system at the micro-level — detecting peripheral artery disease at its earliest, most treatable stage.
Proven Standards of Care
Pulse4Pulse testing protocols are aligned with the established standards of care from the most respected organizations in cardiovascular and metabolic medicine.
Testing of the autonomic nervous system (ANS) is the recommended standard of care by the American Diabetes Association for patients with Type 1 and Type 2 diabetes — making Pulse4Pulse an essential tool for any practice serving diabetic patients.
Download the ReportThe American Heart Association Practice Guidelines include ankle-brachial index (ABI) measurements for adults over 50 with a history of smoking, diabetes, or circulation problems — and all adults over age 70.
Download the ReportOffice Workflow
From patient intake to insurance remittance — here's exactly how Pulse4Pulse integrates into your practice workflow.
Eligible patients complete a brief intake form to identify those with chronic indication for testing and establishing a clinical baseline.
Our certified medical technician conducts all protocols — no involvement required from your clinical staff.
A clear, easy-to-interpret report with a summary and recommendations is delivered same day via physician portal.
Based on results, a patient follow-up appointment is scheduled — giving your team a clear next step for every patient tested.
Pulse4Pulse assigns a billing liaison who works with your existing system to submit claims for all applicable CPT codes.
All insurance remittances are paid directly to your practice. Pulse4Pulse invoices the practice separately for the service.
Billing & Insurance
There may be up to 5 billable CPT codes approved by Medicare, Medicaid, and most private payers per visit. Rates vary by state and payer mix.
| CPT Code | Description |
|---|---|
| 93922 | Ankle-Brachial Index Test |
| 95921 | Autonomic Function Test |
| 95923 | Sudomotor Test |
| 93040 | Electrocardiogram |
| 94761 | Pulse Oximetry |
| 99214 | Follow-up Office Visit |
* Reimbursement rates vary per state and payer mix. Our billing liaison will assess eligibility for your specific patient population.
Everything Included
Pulse4Pulse is a full turnkey solution — every component is included, managed, and handled by our team.
FDA-cleared, portable diagnostic cart — small office footprint, brought to you by our technician. No purchase, no storage, no maintenance.
Instant, real-time report with summary and recommendations. Secure cloud-based database with full patient history.
Our P4P-employed technician tests patients, schedules assessments, conducts all tests, and manages all post-visit documentation.
A dedicated billing liaison assists with claims submission under your provider NPI. Billing submission through claim adjudication.
Complete the Picture
Pulse4Pulse identifies your highest-risk patients. FitPeo monitors them 24/7 between visits. Together, the two programs create a proactive care loop that detects hidden conditions, monitors them continuously, and generates Medicare reimbursement at every step.
Schedule a no-obligation discovery call. We'll walk you through the complete service, show you sample reports, and model the opportunity for your specific patient population.