Did you know that the use of CPT® Category II Codes could close gaps in care as set forth by the National Committee for Quality Assurance? CPT Category II codes are helpful in documenting and communicating important preventive care services. These are informational-only, descriptive tracking codes. While CPT® Category II Codes are not reimbursed by BCBSRI, submission of these codes will greatly reduce the HEDIS medical record review burden on your practice by closing gaps in care through claims data. These codes can be submitted effective immediately and can even be used for claims with older dates of service. If you have any questions, please contact the Quality Department by emailing QualityHEDIS@bcbsri.org.

BCBSRI is currently recording a webinar about CPT Category II and ICD 10 CM codes that are helpful in documenting and communicating important preventive care services that our members have received while under your care in the attached PDF. The webinar should be available by the end of October in our provider portal.