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COVID-19

HEDIS Measure - 15 Months

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

Does the member* turn 15 months of age during the measurement year?

Does the member have 0, 1, 2, 3, 4, 5, 6 or more well-child visits with a Primary Care Provider (PCP), on different dates of service, on or before the child’s 15-month birthday that contain ALL of the following criteria?

Documentation of:

  1. A health history
  2. A physical developmental history
  3. A mental developmental history
  4. A physical exam
  5. Health education/anticipatory guidance

Member does not meet compliance for this measure

Billing Codes

  • CPT® HCPCS ICD10CM SNOMED CT US Edition
    99381-99385,99391-99395,99461 G0438, G0439, S0302 Z00.00, Z00.01, Z00.110, Z00.111, Z00.121, Z00.129, Z00.2, Z00.3, Z02.5, Z76.1, Z76.2 103740001, 170099002, 170107008, 170114005, 170123008, 170132005, 170141000, 170150003, 170159002, 170168000, 170250008, 170254004, 170263002, 170272005, 170281004, 170290006, 170300004, 170309003, 171387006, 171394009, 171395005, 171409007, 171410002, 171416008, 171417004, 243788004, 268563000, 270356004, 401140000, 410620009, 410621008, 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, 783260003, 444971000124105, 446301000124108, 446381000124104, 669251000168104, 669261000168102, 669271000168108, 669281000168106

Member meets compliance for this measure.