What are the HEDIS codes?

Hypertension. ICD-10: I10.

  • Systolic Greater than/Equal to 140. CPT-CAT-II: 3077F.
  • Systolic Less than 140. CPT-CAT-II: 3074F, 3075F.
  • Diastolic Greater than/Equal to 90. CPT-CAT-II: 3080F.
  • Diastolic 80-89. CPT-CAT-II: 3079F.
  • Diastolic Less than 80. CPT-CAT-II: 3078F.
  • Outpatient Codes. CPT: 99201 – 99205, 99211 – 99215,
  • 99341-99345.

    • What are all the HEDIS measures?

    HEDIS Measures

    • Effectiveness of Care.
    • Access/Availability of Care.
    • Experience of Care.
    • Utilization and Risk Adjusted Utilization.
    • Health Plan Descriptive Information.
    • Measures Reported Using Electronic Clinical Data Systems.

    What are CPT 2 codes?

    CPT Category II Codes are supplemental tracking codes used for performance measurement and data collection related to quality and performance measurement, including Healthcare Effectiveness Data and Information Set (HEDIS®).

    What does Macra stand for?

    Medicare Access and CHIP Reauthorization Act of 2015
    The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) is a bipartisan legislation signed into law on April 16, 2015. MACRA created the Quality Payment Program that: Repeals the Sustainable Growth Rate (PDF) formula. Changes the way that Medicare rewards clinicians for value over volume.

    What is the current HEDIS measurement year?

    2020
    HEDIS® Measurement Year 2020–continuing the pursuit of meaningful measures.

    What are F codes in CPT?

    Category II codes are alphanumeric and consist of four digits followed by the letter ‘F. ‘ Category II codes are NOT billing codes; they are used to track services on claims for performance measurement. Category II codes are not to be used as a substitute for Category I codes.

    What are HCPCS F codes?

    HCPCS Modifier Codes for Procedure, Supply & DME (Durable Medical Equipment) Codes (“F” Codes): F1 LEFT HAND, SECOND DIGIT HCPCS Modifier Code Code. F2 LEFT HAND, THIRD DIGIT HCPCS Modifier Code Code. F3 LEFT HAND, FOURTH DIGIT HCPCS Modifier Code Code.