![]() Here are examples of 2021 measurement year HEDIS measures and applicable codes. See our Claims and Eligibility webpage for claims filing tips. Category II CPT codes are reviewed and revised annually by the CPT/Health Care Professional Advisory Committee with input from NCQA for the HEDIS measures. How to Submit CPT II Codes: CPT II codes may be submitted on claims with other applicable codes. Track member screenings to help you monitor care and avoid sending unnecessary reminders.Identify and close gaps in care more accurately and quickly this drives HEDIS measures and quality improvement initiatives.Provide more accurate medical data and decrease requests for members' records for review.When submitted for services performed during office, lab or facility visits, CPT II codes can help: How CPT II Codes Can Help: CPT II codes are more specific than CPT I codes. We use these measures to monitor and improve the quality of care our members receive. Why it matters: CPT II codes are tracked for certain performance measures, including Healthcare Effectiveness Data and Information Set (HEDIS®) measures from the National Committee for Quality Assurance (NCQA). ![]() ![]() Using the proper Current Procedural Terminology (CPT®) Category II codes when filing claims can help streamline your administrative processes and ensure gaps in care are closed.
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