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    • Use CPT II codes for HEDIS® high blood pressure measurements


    For patients diagnosed with hypertension, be sure to submit claims or encounter data with Current Procedural Terminology® (CPT®) II codes for blood pressure results obtained during 2018 office visits.

     

    Diastolic < 80

     

    Diastolic 80 – 89

     

    Diastolic ≥ 90

    CPT II

     

    CPT II

     

    CPT II

    3078F 

     

    3079F 

     

    3080F 

     

    Systolic < 130

     

     

    Systolic 130 – 139

     

     

    CPT II

     

     

    CPT II

     

     

    3074F 

     

     

    3075F 

     

     

     

    Systolic ≥ 140

    CPT II

    3077F 

     

    Why use CPT II codes?
     

    • CPT II codes will decrease the amount of medical records requested during Healthcare Effectiveness Data and Information Set (HEDIS) hybrid data collection from February 2019 to May 2019.
    • As HEDIS rates increase, providers may earn maximum or additional revenue through value-based services and other pay-for-performance models.
    • HEDIS reports help identify and address gaps in quality care for patients.

     

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

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