Quality Management Optimizing HEDIS & STARSCommercialDecember 23, 2024

HEDIS CAT II Coding Bulletin 2025

HEDIS® Category II Coding Bulletin 2025

Reduce the number of medical records Anthem requests from you during the HEDIS medical record review season (January to May each year) by adding specific CPT® Cat 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 attachments to view full details.

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

Commercial services provided by Anthem Blue Cross and Blue Shield, trade name of Anthem HealthChoice HMO, Inc. and Anthem HealthChoice Assurance, Inc., or Anthem Blue Cross and Blue Shield HP, trade name of Anthem HP, LLC.
Independent licensees of the Blue Cross Blue Shield Association. Anthem is a registered trademark of Anthem Insurance Companies, Inc.

MULTI-BCBS-CM-072001-24-CPN71400, MULTI-BC-CM-072000-24-CPN71400

ATTACHMENTS: HEDIS Category II Coding Bulletin 2025 - Anthem Blue Cross (pdf - 1.17mb), HEDIS Category II Coding Bulletin 2025 - Anthem Blue Cross and Blue Shield Commercial (pdf - 1.17mb)