The American Medical Association has an alphabetical listing of clinical conditions with which measures and CPT Category II codes are associated. The use of CPT Category II Codes and ICD-10-CM codes can reduce the number of medical records that we request during the HEDIS® medical record review season (January – May each year), thus reducing the administrative burden on physician offices.


The PDF attachment to this article contains some commonly used codes for your convenience. This information applies to both Commercial and Federal Employee Program® (FEP®) members.

CPT® is a registered trademark of the American Medical Association Copyright 2020 American Medical Association. All rights reserved.




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June 2020 Anthem Maine Provider News