All PlansBilling CodesMedium impact
Supporting Our Providers in Improving Blood Pressure Rates for Members with Hypertension
Medical Mutual of Ohio·OH · Family Medicine, Internal Medicine, Cardiology +3 more·Reimbursement
We identified it
Jun 20, 2026
Summary
Medical Mutual of Ohio introduced new CPT Category II codes for reporting blood pressure readings to improve HEDIS Controlling High Blood Pressure (CBP) measure rates. Providers can now use specific codes on claims to document BP control levels instead of relying solely on chart reviews.
Action Required
Immediately: Billing team should update encounter forms and billing systems to include CPT Category II codes 3074F, 3075F, 3078F, 3079F, 3077F, and 3080F for documenting blood pressure readings. Providers should use these codes on claims for hypertensive patients to improve HEDIS rates and reduce medical record review requests. Contact Medical Mutual provider representative to discuss data exchange opportunities for supplemental data submission.