Quality Management Optimizing HEDIS & STARSCommercialDecember 24, 2024

HEDIS CAT II Coding Bulletin 2025

Reduce the number of medical records Anthem requests from you during the HEDIS medical record review season (January to May each year) by adding specific CPT® Cat II codes to your claims. These codes will help us identify additional information about the visit and improve the accuracy of reporting HEDIS quality measures.

Refer to attachment to view full details.

Anthem Blue Cross is the trade name of Blue Cross of California. Anthem Blue Cross and Anthem Blue Cross Life and Health Insurance Company are independent licensees of the Blue Cross Association. Anthem is a registered trademark of Anthem Insurance Companies, Inc.

MULTI-BC-CM-072000-24-CPN71400

ATTACHMENTS: HEDIS Category II Coding Bulletin 2025 - Anthem Blue Cross (pdf - 1.17mb)