CommercialMay 22, 2024
HEDIS well-child and immunizations coding bulletin
HEDIS® (Healthcare Effectiveness Data Information Set) is a widely used set of performance measures developed and maintained by NCQA. These are used to drive improvement efforts surrounding best practices.
We want to help reduce your administrative burden in reporting HEDIS data to us each year during the HEDIS medical review season, so we have prepared the following list of CPT®, ICD10CM, and HCPCS codes. Adding these codes to your claims will help us identify additional information about each visit and improve the accuracy of reporting quality measures.
Refer to attachment to view full details
HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA).
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.
CABC-CM-060170-24-SRS59862, CABC-CM-047787-23-CPN47561
ATTACHMENTS: HEDIS well-child and immunizations coding bulletin (pdf - 2.76mb)
To view this article online:
Or scan this QR code with your phone