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COVID-19

Counseling for Physical Activity

Answer the questions to confirm eligibility and compliance criteria, this is applicable to Medicaid and Commercial members only.

Is the member* 3-17 years of age by the end of the measurement year?

Does the member have an outpatient visit with a PCP OR Ob/Gyn during the measurement year?

Does the member have documentation of counseling for physical activity or referral for physical activity that contained ONE of the following criteria during the measurement year?

  1. Discussion of current physical activity behaviors.
  2. Checklist indicating physical activity was addressed.
  3. Counseling or referral for physical activity.
  4. Member received educational materials on physical activity during a face-to-face visit.
  5. Anticipatory guidance specific to the child’s physical activity.
  6. Weight or obesity counseling

Member does not meet compliance for this measure

Billing Codes

  • ICD10CM LOINC
    Z68.51, Z68.52, Z68.53, Z68.54 59574-4, 59575-1, 59576-9
  • CPT® HCPCS ICD10CM SNOMED CT US Edition
    97802, 97803, 97804 G0270, G0271, G0447, S9449, S9452, S9470 Z71.3 11816003, 61310001, 183059007, 183060002, 183061003, 183062005, 183063000, 183065007, 183066008, 183067004, 183070000, 183071001, 226067002, 266724001, 275919002, 281085002, 284352003, 305849009, 305850009, 305851008, 306163007, 306164001, 306165000, 306626002, 306627006, 306628001, 313210009, 370847001, 386464006, 404923009, 408910007, 410171007, 410177006, 410200000, 429095004, 431482008, 443288003, 609104008, 698471002, 699827002, 699829004, 699830009, 699849008, 700154005, 700258004, 705060005, 710881000, 428461000124101, 428691000124107, 441041000124100, 441201000124108, 441231000124100, 441241000124105, 441251000124107, 441261000124109, 441271000124102, 441281000124104, 441291000124101, 441301000124100, 441311000124102, 441321000124105, 441331000124108, 441341000124103, 441351000124101, 445291000124103, 445301000124102, 445331000124105, 445641000124105
  • HCPCS ICD10CM SNOMED CT US Edition
    G0447, S9451 Z02.5, Z71.82 103736005, 183073003, 281090004, 304507003, 304549008, 304558001, 310882002, 386291006, 386292004, 386463000, 390864007, 390893007, 398636004, 398752005, 408289007, 410200000, 410289001, 410335001, 429778002, 435551000124105, 710849009

Member meets compliance for this measure.