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
- Z00.8- Encounter for other general examination
- Z02.9- Encounter for administrative examinations, unspecified
IHA Billing Codes
Member population | CPT billing codes | ICD-10 Reporting codes |
---|---|---|
Preventive visit, new patient | 99381-99387 | No restriction |
Preventive visit, established patient | 99391-99397 | No restriction |
Office visit, new patient | 99204-99205 | No restriction |
Office visit, established patient | 99215 | 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.