AdministrativeCommercialMay 31, 2020

Quality Corner: CPT Category II Codes - Collaborating for enhanced patient care

Beginning January 1, 2024, Empire became Anthem. This article, published under the former brand, now applies to Anthem.

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.

 

See the attachment for some commonly used codes.

 

460-0620-PN-NY