Adults’ Access to Preventive/Ambulatory Health Services (AAP)
HEDIS Measure
Adults' Access to Preventive/Ambulatory Health Services (AAP)
Line of business: Commercial Medicaid Medicare
Data Collection Method: Administrative (Claims)
Measure Description
The percentage of members 20 years of age and older who had an ambulatory or preventive care visit.
Numerator Compliance
Medicaid and Medicare: One or more ambulatory or preventive care visits during the measurement year.
Commercial: One or more ambulatory or preventive care visits during the measurement year or the two years prior to the measurement year.
Best Practices
- Encourage patients to maintain the relationship with a PCP to promote consistent and coordinated health care
- Educate patients on the importance of having at least one ambulatory or preventive care visit during each measurement year
- Consider offering extended practice hours to increase care access
- Remind patients of their appointment by making calls or sending texts
- Make outreach calls and/or send letters to advise members of the need for a visit
- Partner with Horizon Healthy Journey Program to assist with targeted outreach activities
Quality Value Set Directory Coding Tips
Ambulatory Visits
CPT
- 99201
- 99202
- 99203
- 99204
- 99205
- 99211
- 99212
- 99213
- 99214
- 99215
- 99241
- 99242
- 99243
- 99244
- 99245
- 99341
- 99342
- 99343
- 99344
- 99345
- 99347
- 99348
- 99349
- 99350
- 99381
- 99382
- 99383
- 99384
- 99385
- 99386
- 99387
- 99391
- 99392
- 99393
- 99394
- 99395
- 99396
- 99397
- 99401
- 99402
- 99403
- 99404
- 99411
- 99412
- 99429
- 99483
HCPCS
- G0402
- G0438
- G0439
- G0463
- T1015
ICD10CM
- V20.2
- V70.0
- V70.3
- V70.5
- V70.6
- V70.8
- V70.9
- Z00.00
- Z00.01
- Z00.121
- Z00.129
- Z00.3
- Z00.5
- Z00.8
- Z02.0
- Z02.1
- Z02.2
- Z02.3
- Z02.4
- Z02.5
- Z02.6
- Z02.71
- Z02.79
- Z02.81
- Z02.82
- Z02.83
- Z02.89
- Z02.9
- Z76.1
- Z76.2
SNOMED CT US Edition
- 962000
- 2219003
- 3089009
- 4197006
- 4708004
- 4967002
- 6391003
- 11411001
- 11867000
- 11961000
- 15195005
- 16457003
- 21695004
- 22869000
- 26377005
- 27874004
- 28652005
- 30775000
- 32511005
- 34715004
- 35090008
- 36685002
- 37051008
- 39698007
- 40361008
- 47163004
- 58634008
- 59486003
- 59983003
- 61416008
- 68658005
- 71622008
- 74559003
- 78909009
- 82303003
- 84497008
- 84992006
- 87838003
- 88284004
- 89430006
- 91545002
- 162651007
- 162655003
- 162666005
- 162680003
- 170107008
- 170109006
- 170110001
- 170111002
- 170112009
- 170114005
- 170118008
- 170119000
- 170120006
- 170121005
- 170123008
- 170127009
- 170128004
- 170129007
- 170130002
- 170132005
- 170136008
- 170137004
- 170138009
- 170139001
- 170141000
- 170145009
- 170146005
- 170147001
- 170148006
- 170150003
- 170154007
- 170155008
- 170156009
- 170157000
- 170159002
- 170163009
- 170164003
- 170165002
- 170166001
- 170168000
- 170172001
- 170173006
- 170174000
- 170175004
- 170181007
- 170182000
- 170183005
- 170184004
- 170250008
- 170254004
- 170258001
- 170259009
- 170260004
- 170261000
- 170263002
- 170267001
- 170268006
- 170269003
- 170270002
- 170272005
- 170276008
- 170277004
- 170278009
- 170279001
- 170281004
- 170285008
- 170286009
- 170287000
- 170288005
- 170290006
- 170294002
- 170295001
- 170296000
- 170297009
- 170300004
- 170305009
- 170306005
- 170307001
- 170308006
- 170309003
- 185351004
- 243788004
- 268563000
- 268565007
- 275725007
- 275726008
- 275923005
- 281029006
- 281031002
- 310367004
- 365857001
- 401140000
- 408485004
- 408500009
- 408502001
- 408503006
- 410620009
- 410622001
- 410623006
- 410624000
- 410625004
- 410626003
- 410627007
- 410628002
- 410629005
- 410630000
- 410631001
- 410632008
- 410633003
- 410634009
- 410635005
- 410636006
- 410637002
- 410638007
- 410639004
- 410640002
- 410641003
- 410642005
- 410643000
- 410644006
- 410645007
- 410646008
- 410647004
- 410648009
- 410649001
- 410650001
- 442162000
- 699134002
- 712791009
- 713020001
- 783260003
UBREV
- 0510
- 0511
- 0512
- 0513
- 0514
- 0515
- 0516
- 0517
- 0519
- 0520
- 0521
- 0522
- 0523
- 0526
- 0527
- 0528
- 0529
- 0982
- 0983
Online Assessments
CPT
- 98969
- 98970
- 98971
- 98972
- 99421
- 99422
- 99423
- 99444
- 99457
- 99458
HCPCS
- G0071
- G2010
- G2012
- G2061
- G2062
- G2063
- G2250
- G2251
- G2252
Telephone Visits
CPT
- 98966
- 98967
- 98968
- 99441
- 99442
- 99443
SNOMED CT US Edition
- 185317003
- 314849005
- 386472008
- 386473003
- 401267002
Other Ambulatory Visits
CPT
- 92002
- 92004
- 92012
- 92014
- 99304
- 99305
- 99306
- 99307
- 99308
- 99309
- 99310
- 99315
- 99316
- 99318
- 99324
- 99325
- 99326
- 99327
- 99328
- 99334
- 99335
- 99336
- 99337
HCPCS
- S0620
- S0621
SNOMED CT US Edition
- 18170008
- 19681004
- 207195004
- 209099002
- 210098006
UBREV
- 0524
- 0525