HEDIS Coding Guides
Access MVP’s HEDIS Guides for quality measures in preventive care, behavioral health, diabetes management, and women’s health to help improve patient outcomes.
Measurement Year 2026 Coding Cheat Sheets
Measurement Year 2025 Coding Guides Adult Medical Conditions and Preventive Care
- Adult Immunization Status (AIS-E)
- Asthma Medication Ratio (AMR)
- Blood Pressure Control for Patients with Hypertension (BPC-E)
- Breast Cancer Screening (BCS-E)
- Care for Older Adults (COA)
- Cervical Cancer Screening (CCS)
- Chlamydia Screening in Women (CHL)
- Colorectal Cancer Screening (COL-E)
- Controlling High Blood Pressure (CBP)
- Documented Assessment After Mammogram (DBM-E)(PDF)
- Follow-Up After Abnormal Mammogram Assessment (FMA-E)
- Follow-Up After Emergency Department Visit for People with Multiple High-Risk Chronic Conditions (FMC)
- Plan All-Cause Readmissions (PCR)
- Prenatal and Postpartum Care (PPC)
- Osteoporosis Management in Women who had a Fracture (OMW)
- Social Need Screening and Intervention (SNS-E)
- Statin Therapy for Patients with Cardiovascular Disease (SPC)
- Transitions of Care (TRC)
Behavioral Health Care
- Adherence Antipsychotic Medications Individuals Schizophrenia (SAA)
- Depression Screening and Follow-Up for Adolescents and Adults (DSF-E)
- Developmental Screening in the First Three Years of Life (DEV-N)
- Diabetes Screening for People with Schizophrenia or Bipolar Disorder on Antipsychotics (SSD)
- Follow-Up After Emergency Department Visit for Mental Illness (FUM)
- Follow-Up After Emergency Department Visit for Substance Use (FUA)
- Follow-Up After Hospitalization for Mental Illness (FUH)
- Follow-Up Care for Children Prescribed ADHD Medication (ADD-E)
- Initiation and Engagement of Substance Use Disorder Treatment (IET)
- Initiation for Pharmacotherapy Upon New Episode of Opioid Dependence (POD-N) (QARR Measure)
- Metabolic Monitoring for Children and Adolescents on Antipsychotics (APM)
- Use of Opioids at High Dosage (HDO)
- Use of Pharmacotherapy for Alcohol Use or Dependence (POA) (QARR Measure)
Child and Adolescent Care
- Asthma Medication Ratio (AMR)
- Depression Screening and Follow-Up for Adolescents and Adults (DSF-E)
- Child and Adolescent Well-Care Visits (WCV)
- Childhood Immunization Status (CIS)
- Developmental Screening in the First Three Years of Life (DEV-N)
- Follow-Up Care for Children Prescribed ADHD Medication (ADD-E)
- Immunizations for Adolescents (IMA)
- Metabolic Monitoring for Child and Adolescents on Antipsychotics (APM)
- Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents (WCC)
- Well-Child Visits in the First 30 Months of Life (W30)
Diabetes Care
- Blood Pressure Control for Patients with Diabetes (BPD)
- Eye Exam for Patients with Diabetes (EED)
- Glycemic Status Assessment for Patients with Diabetes (GSD)
- Kidney Health Evaluation for Patients with Diabetes (KED)
- Statin Therapy for Patients with Diabetes (SPD)
- Statin Use in Persons with Diabetes (SUPD)