Pulse4Pulse brings noninvasive cardiovascular and autonomic assessments directly to your practice or facility — surfacing early risk markers that a standard exam does not capture, with zero equipment cost and full billing support.
Why Pulse4Pulse
Everything your practice needs to assess cardiovascular and autonomic risk — 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, meaningful disease progression has often already occurred. Pulse4Pulse assessments surface early physiological risk markers and give your clinical team objective data to act on — supporting your evaluation, not replacing it.
Pulse4Pulse assessments are billable to Medicare Part B for eligible patients when medically indicated, with up to 5 CPT codes per qualifying visit. Coverage and rates vary by payer, state and MAC contractor. 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 Assessments Surface
Pulse4Pulse assessments produce objective physiological data relevant to the evaluation of conditions that are often asymptomatic in their early stages — in patients who present as well on a routine exam.
These assessments support clinical evaluation and risk stratification. They are not diagnostic of any condition on their own, and results are interpreted by the ordering provider.
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. The findings support evaluation of autonomic function — including screening for cardiac autonomic neuropathy — while it may still be clinically silent.
A measurement of the ratio of blood pressure in the upper and lower body. An abnormal result is a recognized indicator of peripheral arterial disease and allows assessment of the vascular system at the macro level, often before a patient reports symptoms.
Established Standards of Care
The assessments in the Pulse4Pulse protocol are the ones addressed by published guidance from the leading bodies in cardiovascular and metabolic medicine. Neither organization endorses Pulse4Pulse or any commercial service.
The American Diabetes Association Standards of Care address screening for cardiovascular autonomic neuropathy in patients with diabetes. Autonomic assessment is therefore directly relevant to any practice managing a diabetic panel.
Download the ReportThe American Heart Association practice guidelines address ankle-brachial index measurement in adults at increased risk of peripheral artery disease, including those with diabetes, a smoking history, or other risk factors, and in older adults.
Access 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, identifying those with a clinical indication for testing and establishing a baseline.
Our certified medical technician sets up, conducts and documents all three assessments onsite — your staff does not administer the tests.
A clear, easy-to-interpret report with a summary and findings is delivered the same day via physician portal for your review.
Where findings warrant it, your provider determines the appropriate follow-up — giving your team a clear, clinically driven next step.
Pulse4Pulse assigns a billing liaison who works with your existing system to support claims submission for all applicable CPT codes.
All insurance remittances are paid directly to your practice. Pulse4Pulse invoices the practice separately for the service.
Billing & Insurance
Up to 5 CPT codes may be billable per qualifying visit, depending on which assessments are medically indicated for the individual patient.
| CPT Code | Description |
|---|---|
| 93922 | Ankle-Brachial Index Test |
| 95921 | Autonomic Function Test |
| 95923 | Sudomotor Test |
| 93040 | Rhythm ECG with Interpretation and Report |
| 94761 | Pulse Oximetry, Multiple Determinations |
Not every patient qualifies for every assessment, and not every code is billable at every visit — medical necessity is determined per patient. Coverage, rates and payer policy vary by state, payer and MAC contractor. Our billing liaison will review eligibility for your specific patient population before anything begins. See how we source our figures.
Everything Included
Pulse4Pulse is a full turnkey solution — every component is included, managed, and handled by our team.
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 findings. Secure cloud-based database with full patient history.
Our P4P-employed technician schedules assessments, conducts all tests, and manages all post-visit documentation.
A dedicated billing liaison assists with claims submission under your provider NPI, from submission through claim adjudication.
Complete the Picture
Pulse4Pulse helps identify your highest-risk patients. FitPeo monitors them 24/7 between visits. Together, the two programs create a proactive care loop that surfaces early risk markers, monitors them continuously, and generates Medicare reimbursement at every step.
* Estimated net revenue to the practice after program fees, per 100 enrolled Medicare patients, assuming approximately 80% of enrolled patients transmit enough days each month to bill a full month (10% partial, 5% care-management only, 5% non-billable). Conservative-to-moderate service tier. RPM and CCM are Medicare Part B services; the estimate covers Medicare and dual-eligible patients only. Pulse4Pulse reimbursement is described qualitatively and carries no revenue estimate. Rates vary by locality, MAC contractor, payer mix, patient engagement, and billing compliance. Planning estimate only — not a guarantee of revenue. See how we source our figures.
See How They Work TogetherA no-obligation 15-minute call. We'll walk you through the complete service, show you sample reports, and discuss the opportunity for your specific patient population.