Quality Management Optimizing HEDIS & STARSAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageAMH Health, LLC | Medicare AdvantageNovember 26, 2024

HEDIS Category II Coding Bulletin 2025

HEDIS® is a widely used set of performance measures developed and maintained by NCQA. These are used to drive improvement efforts surrounding best practices.

Reduce the number of medical records we request  from you during the HEDIS medical record review  season (January to May each year) by adding  specific CPT® Category 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 the attachments for more information.

HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA).

Anthem Blue Cross and Blue Shield is the trade name of Anthem Health Plans of Maine, Inc. Independent licensee of the Blue Cross Blue Shield Association. Anthem is a registered trademark of Anthem Insurance Companies, Inc.

Plans offered by AMH Health, LLC., a joint venture between MaineHealth and Anthem Partnership Holding Company, LLC. AMH Health is an independent licensee of the Blue Cross Blue Shield Association.

MEAMH-CR-071942-24-CPN71401, MULTI-BCBS-CR-071947-24-CPN71401, MULTI-BCBS-CM-072001-24-CPN71400

ATTACHMENTS: HEDIS Category II Coding Bulletin 2025 - AMH Health, LLC. (pdf - 1.33mb), HEDIS Category II Coding Bulletin 2025 - Blue Cross Blue Shield Medicare Advantage (pdf - 1.26mb), HEDIS Category II Coding Bulletin 2025 - Anthem Blue Cross and Blue Shield Commercial (pdf - 1.17mb)