HEDIS Well Child and Immunizations Coding Bulletin 2025

HEDIS^® is a widely used set of performance measures developed and maintained by the National Committee for Quality Assurance (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^®, ICD10-CM, 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