HEDIS: Measure - Children and Adolescent’s Access to PCP

HEDIS Measure: Children and Adolescent’s Access to PCP

Members 12 months–19 years of age who had a visit with a PCP.

For 12–24 months, 25 months–6 years: One or more visits with a PCP during the measurement year.

For 7–11 years, 12–19 years: One or more visits with a PCP during the measurement year or the year prior to the measurement year.

CPT: 99201-99205, 99211-99215, 99241-99245,

99341-99345, 99347-99350, 99381-99385,

99391-99395, 99401-99404, 99411-99412,

99420, 99429

HCPCS: G0438, G0439

ICD-9-CM Diagnosis: V20.2, V70.0, V70.3,

V70.5, V70.6, V70.8, V70.9

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HEDIS