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Line of business: BlueAlliance (Commercial)
The percentage of Members who had six or more well-child visits with a PCP (Primary Care Provider) on different dates of service on or before 15 months of age.
Either of the following meet criteria:
CPT® Codes | ||||
99381 | 99382 | 99391 | 99392 | 99461 |
HCPCS | ||
G0439 | G0438 | S0302 |
ICD-10 Codes | |||||
Z00.110 | Z00.111 | Z00.121 | Z00.129 | Z00.2 | Z76.2 |
The analysis of any medical coding question related to a measure is dependent on the measure’s technical specifications including the factual situations present related to the member, the practice, the professionals, and the medical services provided.
Should you have specific coding or other questions related to the measure, please send your questions to BlueAlliance@bcbsnd.com.
HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA).
Updated 7/16/2025