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Hints for HEDIS® (and more)
Blue Cross Blue Shield of Rhode Island·RI · Family Medicine, Pediatrics, Internal Medicine +2 more·Physician
Effective date
Sep 1, 2019
We identified it
Jun 20, 2026
Summary
This policy provides updated HEDIS quality measure documentation requirements for weight assessment and counseling in children/adolescents ages 3-17. It specifies compliant documentation standards for BMI percentile, nutrition counseling, and physical activity counseling during the measurement year.
Action Required
Immediately: Providers and clinical staff must update documentation practices for pediatric patients ages 3-17 to ensure HEDIS compliance. Document BMI percentile (not just BMI value), specific nutrition counseling discussions, and physical activity counseling in progress notes and encounter forms. Use the specified ICD-10, CPT, and HCPCS codes when billing for nutrition and physical activity counseling services.