Quality Management Optimizing HEDIS & STARSCommercialDecember 24, 2024

HEDIS® Category II Coding Bulletin 2025

HEDIS® is a widely used set of performance measures developed and maintained by NCQA. They are used to drive improvement efforts in 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® 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 attachment to view full details.

Anthem Blue Cross and Blue Shield is the trade name of Community Insurance Company. Independent licensee(s) of the Blue Cross Blue Shield Association. Anthem is a registered trademark of Anthem Insurance Companies, Inc.

MULTI-BCBS-CM-072001-24-CPN71400

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