Quality ManagementCommercialJune 4, 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 and Blue Shield is the trade name of Rocky Mountain Hospital and Medical Service, Inc. HMO products underwritten by HMO Colorado, Inc., dba HMO Nevada. Independent licensee(s) of the Blue Cross Blue Shield Association. Anthem is a registered trademark of Anthem Insurance Companies, Inc.

MULTI-BCBS-CM-047788-23-CPN47561, MULTI-BCBS-CM-060900-24-SRS60748

ATTACHMENTS: HEDIS well-child and immunizations coding bulletin (pdf - 2.78mb)