Initial Health Assessment (IHA) Coding Updates


IHA Code Changes

The Initial Health Assessment (IHA) will apply coding updates to better capture services being rendered to our members. The coding updates include changes to the ICD-10 and CPT codes, impacting the Provider Portal Reports and Care-Based Incentive (CBI) program. These updates are effective immediately.

  • ICD10 removal: Z00.9, Z02.3
  • CPT removals: Hospital Codes- 99222-99223
  • ICD10 additions
    • 8- Encounter for other general examination
    • 9- Encounter for administrative examinations, unspecified

IHA Billing Codes

Member population

CPT billing codes

ICD-10 Reporting codes

Preventive visit, new patient


No restriction

Preventive visit, established patient


No restriction

Office visit, new patient


No restriction

Office visit, established patient


CPT and appropriate diagnosis code: Z00.00, Z00.01, Z00.110, Z00.111, Z00.121, Z00.129, Z01.411, Z01.419, Z00.8, Z02.1, Z02.89, Z02.9

Prenatal care

Z1032, Z1034, Z1038, Z6500

Pregnancy related diagnosis

For more information, please see the Initial Health Assessment section under Health Assessments on our website, or the Care-Based Incentive Resources for measure information.